Evidence map›Paper›PMID 34721672›Full record

ArticleTherapeutic advances in medical oncology2021

Development of a risk classification system combining TN-categories and circulating EBV DNA for non-metastatic NPC in 10,149 endemic cases.

Fo-Ping Chen, Li Lin, Jin-Hui Liang, Sze Huey Tan, Enya H W Ong, Ying-Shan Luo, Luo Huang, Adelene Y L Sim, Hai-Tao Wang, Tian-Sheng Gao and 5 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Regional lymph node density-based nomogram predicts prognosis in nasopharyngeal carcinoma patients without distant metastases.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Long-term outcomes of chemoradiotherapy versus radiotherapy alone in patients with intermediate-risk nasopharyngeal carcinoma: a population-based analysis.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 · 2023
    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

15 authors at 3 institutions in 2 countries.

Fo-Ping ChenDepartment of Radiation Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Li LinDepartment of Radiation Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Jin-Hui LiangDepartment of Radiation Oncology, Wuzhou Red Cross Hospital, Wuzhou, China.
Sze Huey TanDivision of Clinical Trials and Epidemiological Sciences, National Cancer Centre Singapore, Singapore.
Enya H W OngDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore.
Ying-Shan LuoDepartment of Radiation Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Luo HuangDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore.
Adelene Y L SimDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore.
Hai-Tao WangDivision of Radiation Oncology, National Cancer Centre Singapore, Singapore.
Tian-Sheng GaoDepartment of Radiation Oncology, Wuzhou Red Cross Hospital, Wuzhou, China.
Bin DengDepartment of Radiation Oncology, Wuzhou Red Cross Hospital, Wuzhou, China.
Guan-Qun ZhouDepartment of Radiation Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.ORCID https://orcid.org/0000-0002-7989-4224
Jia KouDepartment of Radiation Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Melvin L K ChuaDivision of Radiation Oncology, Department of Head and Neck and Thoracic Cancers, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore 169610.ORCID https://orcid.org/0000-0002-1648-1473
Ying SunDepartment of Radiation Oncology, Sun Yat-Sen University Cancer Center, No. 651 Dongfeng Eastern Road, Guangzhou 510060, Guangdong, China.
Duke-NUS Medical School · SGSun Yat-sen University · CNWuzhou Red Cross Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to construct a risk classification system integrating cell-free Epstein-Barr virus (cfEBV) DNA with T- and N- categories for better prognostication in nasopharyngeal carcinoma (NPC).

methodsClinical records of 10,149 biopsy-proven, non-metastatic NPC were identified from two cancer centers; this comprised a training (

resultsWe chose a cfEBV DNA cutoff of ⩾2,000 copies for optimal risk discretization of OS, disease-free survival (DFS) and distant metastasis-free survival (DMFS) in the training cohort. AHR modeling method divided NPC into six risk groups with significantly disparate survival (

conclusionHerein, we developed and validated a risk classification system that combines the AJCC/UICC 8th edition TN-stage classification and cfEBV DNA for non-metastatic NPC. Our new clinicomolecular model provides improved OS prediction over the current staging system.

Indexed as

adjusted hazard ratioEpstein-Barr virus DNAnasopharyngeal carcinomarisk stratificationTNM stage

Identifiers

PMID34721672
PMCPMC8554575
OpenAlexW3208698849

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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.