Evidence map›Paper›PMID 34457108›Full record

ArticleJournal of pain management2020

Opioid use in patients undergoing treatment for oral cavity cancer.

Huaising C Ko, Mandira N Mehra, Adam R Burr, Aaron M Wieland, Randal J Kimple, Gregory K Hartig, Paul M Harari, Matthew E Witek

Open access · greenAbstract read
In one paragraph

Article in Journal of pain management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Unveiling Prescribing Patterns: A Systematic Review of Chronic Opioid Prescriptions After Head and Neck Cancer Surgeries.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Huaising C KoDepartment of Human Oncology, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin.
Mandira N MehraDepartment of Pain Management, SSM Health St. Mary's Hospital, Madison, Wisconsin.
Adam R BurrDepartment of Human Oncology, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin.
Aaron M WielandDepartment of Surgery, Division of Otolaryngology and Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Randal J KimpleDepartment of Human Oncology, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin.
Gregory K HartigDepartment of Surgery, Division of Otolaryngology and Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Paul M HarariDepartment of Human Oncology, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin.
Matthew E WitekDepartment of Human Oncology, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin.ORCID 0000-0003-0570-3293
University of Wisconsin–Madison · USSt. Mary's Hospital · USUniversity of Maryland, Baltimore · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Christian Capitini · 1985 to 2026
$142.6M
Project 4: Role of Receptor Tyrosine Kinase AXL in HNSCC Therapy ResistanceP50DE026787 · NIDCR · UNIVERSITY OF WISCONSIN-MADISON · PI HARARI, PAUL M · 2016 to 2020
$10.8M
NCI NIH HHS P30 CA014520NIDCR NIH HHS P50 DE026787
6 · The paper itself

Abstract

objectiveIn the context of the opioid epidemic, there is value in examining the use of opioids in specific cancer patient cohorts. We analyzed opioid use in patients undergoing adjuvant therapy for oral cavity cancer to define the incidence of new persistent use beyond 3 months. STUDY

designRetrospective.

settingComprehensive academic cancer center. SUBJECTS AND

methodsWe performed a retrospective IRB-approved analysis of opioid use in patients who received adjuvant radiotherapy with or with concurrent systemic therapy for surgically resected oral cavity cancer between 2003 and 2016. Factors associated with opioid use were evaluated by Chi-square test and one-way ANOVA. The Kaplan-Meier method was used to estimate overall survival.

resultsOf 77 identified patients, 10 (13%) patients received opioid prescriptions at 3 months or greater following completion of radiotherapy. Patients who were opioid naive prior to surgery required significantly fewer opioid prescriptions than intermittent or chronic opioid users. No specific factors were associated with new persistent opioid use.

conclusionsPatients undergoing surgery and adjuvant radiotherapy for oral cavity cancer who required opioids for cancer treatment related pain are at minimal risk for new dependency. Judicious pain management should be applied for patients with a history of prior opioid use. Larger patient cohorts will be needed to identify patient, disease, and treatment characteristics associated with new persistent use given its limited incidence.

Indexed as

opioidsOral cavity cancerpainradiotherapysurgery

Identifiers

PMID34457108
PMCPMC8388255
OpenAlexW3196563495

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.