Evidence map›Paper›PMID 34493343›Full record

SynthesisJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2021

Prognostic factors of head and neck cutaneous squamous cell carcinoma: a systematic review.

Joshua Lubov, Mathilde Labbé, Krystelle Sioufi, Grégoire B Morand, Michael P Hier, Manish Khanna, Khalil Sultanem, Alex M Mlynarek

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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

34 citing papers in PubMed.

  1. Article
  2. Prognostic determinants of overall, disease-specific and recurrence-free survival in cutaneous squamous cell carcinoma of the head and neck: a single-centre retrospective cohort study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  3. Review
  4. Prediction and Prognostication of Peripheral Blood Biomarkers in Head and Neck Cutaneous Squamous Cell Carcinoma.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Survival rates in head and neck cutaneous squamous cell carcinoma with nodal metastases: a multicenter study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Observational
  10. Review
  11. Review
  12. Article
  13. Article
  14. The international expert consensus on management of external auditory canal carcinoma.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
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.

Joshua LubovDepartment of Otolaryngology Head and Neck Surgery, Sir Mortimer B. Davis-Jewish General HospitalMcGill University, 3755 Côte Ste-Catherine Road, Montreal, QC, H3T 1E2, Canada.
Mathilde LabbéDepartment of Otolaryngology Head and Neck Surgery, Sir Mortimer B. Davis-Jewish General HospitalMcGill University, 3755 Côte Ste-Catherine Road, Montreal, QC, H3T 1E2, Canada.
Krystelle SioufiDepartment of Otolaryngology Head and Neck Surgery, Sir Mortimer B. Davis-Jewish General HospitalMcGill University, 3755 Côte Ste-Catherine Road, Montreal, QC, H3T 1E2, Canada.
Grégoire B MorandDepartment of Otolaryngology Head and Neck Surgery, Sir Mortimer B. Davis-Jewish General HospitalMcGill University, 3755 Côte Ste-Catherine Road, Montreal, QC, H3T 1E2, Canada.
Michael P HierDepartment of Otolaryngology Head and Neck Surgery, Sir Mortimer B. Davis-Jewish General HospitalMcGill University, 3755 Côte Ste-Catherine Road, Montreal, QC, H3T 1E2, Canada.
Manish KhannaDepartment of Dermatology, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, QC, Canada.
Khalil SultanemDepartment of Radiation Oncology, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, QC, Canada.
Alex M MlynarekDepartment of Otolaryngology Head and Neck Surgery, Sir Mortimer B. Davis-Jewish General HospitalMcGill University, 3755 Côte Ste-Catherine Road, Montreal, QC, H3T 1E2, Canada. alex.mlynarek@mcgill.ca.ORCID http://orcid.org/0000-0002-9640-2447

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHead and neck cutaneous squamous cell carcinoma (HNCSCC) is a non-melanoma skin cancer that is mostly caused by solar ultraviolet radiation exposure. While it usually has an excellent prognosis, a subset of patients (5%) develops nodal metastasis and has poor outcomes. The aim of this study was to systematically review the literature and evaluate the prognostic factors of HNCSCC in order to better understand which patients are the most likely to develop metastatic disease.

methodsA comprehensive literature search was performed on PubMed and EMBASE to identify the studies that evaluated the prognostic factors of HNCSCC. Prognostic factors were deemed significant if they had a reported p-value of < 0.05. Proportions of studies that reported a given factor to be statistically significant were calculated for each prognostic factor.

resultsThe search yielded a total of 958 citations. Forty studies, involving a total of 8535 patients, were included in the final analysis. The pre-operative/clinical prognostic factors with the highest proportion of significance were state of immunosuppression (73.3%) and age (53.3%); while post-operative/pathological prognostic factors of importance were number of lymph nodes involved with carcinoma (70.0%), margins involved with carcinoma (66.7%), and tumor depth (50.0%).

conclusionThis systematic review is aimed to aid physicians in assessing the prognosis of HNCSCC and identifying the subsets of patients that are most susceptible to metastasis. It also suggests that immunosuppressed patients with a high-risk feature on biopsy, such as invasion beyond subcutaneous fat, could possibly benefit from a sentinel lymph node biopsy.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsSkin NeoplasmsHumansNeoplasm StagingPrognosisRetrospective StudiesUltraviolet RaysCarcinomaMohs surgerySentinel lymph node biopsySkin neoplasmsSquamous cellSquamous cell carcinoma of head and neck

Identifiers

PMID34493343
PMCPMC8425113

What OpenQuestion holds

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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.