Evidence map›Paper›PMID 34610657›Full record

ArticleRadiation oncology journal2021

Late toxicities in locally advanced head and neck squamous cell carcinoma treated with intensity modulated radiation therapy.

Sandeep Muzumder, Nirmala Srikantia, Avinash H Udayashankar, Prashanth Bhat Kainthaje, M G John Sebastian, John Michael Raj

Open access · diamondAbstract read
In one paragraph

Article in Radiation oncology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
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  9. Education in Radiation Oncology-Current Challenges and Difficulties.International journal of environmental research and public health · 2022
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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

6 authors at 1 institution in 1 country.

Sandeep MuzumderDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Nirmala SrikantiaDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Avinash H UdayashankarDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
Prashanth Bhat KainthajeDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
M G John SebastianDepartment of Radiation Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.
John Michael RajDepartment of Biostatistics, St John's Medical College, Bengaluru, Karnataka, India.
St.John's Medical College Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aims to report late toxicities in locally advanced head-and-neck squamous cell carcinoma (LAHNSCC) treated with intensity-modulated radiation therapy (IMRT). MATERIALS AND

methodsA retrospective study was conducted on 103 patients of LAHNSCC treated with IMRT. We analyzed the cumulative incidence of late xerostomia, dysphagia, and aspiration at an interval of 6-month, 1-year, 2-year, and 3-year from the start of IMRT.

resultsAt a median follow up of 4.2 years (interquartile range, 3.5 to 6 years), the cumulative incidence of grade ≥2 late xerostomia was 5.5%, dysphagia was 6.9%, and aspiration was 11.1%. Logistic regression showed that Dmean of ≥26 Gy to parotids had higher risk of xerostomia (hazard ratio [HR] = 5.19; 95% confidence interval [CI], 1.90-14.22; p = 0.001). Late dysphagia was associated with Dmean of ≥45 Gy to pharyngeal constrictors (PC) (HR = 7; 95% CI, 1.84-26.61; p =0.004), ≥55 Gy to larynx (HR = 3.25; 95% CI, 1.15-9.11; p = 0.025), and adjuvant RT (HR = 5.26; 95% CI, 1.85-14.87; p = 0.002). Aspiration was associated with Dmean of ≥45 Gy to larynx (HR = 6.5; 95% CI, 1.93-21.88; p = 0.003), Dmean of ≥55 Gy to PC (HR = 3.54; 95% CI, 1.25-9.98; p = 0.017), and patients having late dysphagia (HR = 4.37; 95% CI, 1.55-12.31; p = 0.005).

conclusionIMRT is a feasible radiation delivery technique in LAHNSCC with a decreased late toxicity profile.

Indexed as

AspirationDysphagiaHead and neck cancerIntensity-modulated radiotherapyXerostomia

Identifiers

PMID34610657
PMCPMC8497871
OpenAlexW3200334738

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.