Evidence map›Paper›PMID 34483015›Full record

SynthesisSeminars in oncology nursing2021

Symptom Clusters in Head and Neck Cancer: A Systematic Review and Conceptual Model.

Asha Mathew, Amit Jiwan Tirkey, Hongjin Li, Alana Steffen, Mark B Lockwood, Crystal L Patil, Ardith Z Doorenbos

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Seminars in oncology nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Depressive symptoms and perceived stress in patients with head and neck cancer undergoing intensity-modulated radiation therapy: A longitudinal study.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2026
    Article
  7. A mixed-method study of identifying symptom clusters in adult patients with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  8. "When symptoms interact and change": longitudinal network analysis of dynamic symptom changes in oral cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  9. Article
  10. Multidomain predictors of long-term work disability in late survivorship after head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  11. Article
  12. Article
  13. Identification of symptom clusters and sentinel symptoms in preoperative patients with oral and maxillofacial cancers: A cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  14. Perioperative symptom cluster characteristics and supportive care needs of sellar tumor patients: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  15. Article
  16. An exploration of nursing and Allied Health Professional (AHP)-led post-treatment surveillance and survivorship care for people with head and neck cancer-a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Article
  18. Article
  19. Collaborative Filtering for the Imputation of Patient Reported Outcomes.Database and expert systems applications : 35th International Conference, DEXA 2024, Naples, Italy, August 26-28, 2024, Proceedings. Part I. Database and Expert Systems Applications Conference (35th : 2024 : Naples, Italy) · 2024
    Article
  20. Quality of life, craniomandibular function, and psychosocial factors related to pain and movement in patients with head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    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

7 authors at 2 institutions in 2 countries.

Asha MathewCollege of Nursing, University of Illinois, Chicago; Christian Medical College, Vellore, India. Electronic address: asolom8@uic.edu.
Amit Jiwan TirkeyChristian Medical College, Vellore, India.
Hongjin LiCollege of Nursing, University of Illinois, Chicago; Christian Medical College, Vellore, India.
Alana SteffenCollege of Nursing, University of Illinois, Chicago.
Mark B LockwoodCollege of Nursing, University of Illinois, Chicago.
Crystal L PatilCollege of Nursing, University of Illinois, Chicago.
Ardith Z DoorenbosCollege of Nursing, University of Illinois, Chicago; University of Illinois Cancer Center, Chicago.
University of Illinois Urbana-Champaign · USChristian Medical College, Vellore · IN

Funding

Applying Technology to Problems in Pain and Symptom ManagementK24NR015340 · NINR · UNIVERSITY OF WASHINGTON · PI DOORENBOS, ARDITH Z · 2014 to 2018
$842k
NINR NIH HHS K24 NR015340
6 · The paper itself

Abstract

objectiveThe two approaches to symptom-cluster research include grouping symptoms and grouping patients. The objective of this systematic review was to examine the conceptual approaches and methodologies used in symptom-cluster research in patients with head and neck cancer. DATA SOURCES: Articles were retrieved from electronic databases (CINAHL, MEDLINE via Ovid, APA PsycINFO, Scopus, Embase, and Cochrane Central Register of Controlled Trials-CENTRAL), five grey literature portals, and Google Scholar. Seventeen studies met the eligibility criteria. Eight studies grouped symptoms to identify symptom clusters, of which two used qualitative methods. The number of symptom clusters ranged from two to five, and the number of symptoms in a cluster ranged from 2 to 11. Nine studies grouped patients based on their experiences with multiple symptoms. Cluster analysis and factor analysis were most commonly used. Despite variable names and composition of symptom clusters, synthesis revealed three prominent symptom clusters: general, head and neck cancer-specific, and gastrointestinal. Being female and quality of life were significantly associated with high symptom group or cluster severity. Biological mechanisms were sparsely examined.

conclusionSymptom cluster research in head and neck cancer is emerging. Consensus on nomenclature of a symptom cluster will facilitate deduction of core clinically relevant symptom clusters in head and neck cancer. Further research is required on understanding patients' subjective experiences, identifying predictors and outcomes, and underlying mechanisms for symptom clusters. IMPLICATIONS FOR NURSING PRACTICE: Identification of clinically relevant symptom clusters would enable targeted symptom assessment and management strategies, thus improving treatment efficiencies and patient outcomes.

Indexed as

Head and Neck NeoplasmsQuality of LifeCluster AnalysisFemaleHumansSymptom AssessmentSyndromeCluster analysisFactor analysisHead and neck cancerSymptom clusterSystematic review

Identifiers

PMID34483015
PMCPMC8492544
OpenAlexW3196731757

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.