Evidence map›Paper›PMID 34915063›Full record

ArticleRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2022

Fewer head and neck cancer diagnoses and faster treatment initiation during COVID-19 in 2020: A nationwide population-based analysis.

Rosanne C Schoonbeek, Dominique V C de Jel, Boukje A C van Dijk, Stefan M Willems, Elisabeth Bloemena, Frank J P Hoebers, Esther van Meerten, Berit M Verbist, Ludi E Smeele, György B Halmos and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  11. Laryngeal cancer incidence trends in the United States over 2000-2020: a population-based analysis.Archives of public health = Archives belges de sante publique · 2024
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  14. Treatment of oropharyngeal cancer during the COVID-19 lockdown - outcomes for patients treated during the pandemic.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
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  16. The COVID-19 pandemic has not changed stage at presentation nor treatment patterns of head and neck cancer: A retrospective cohort study.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2023
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  17. Prioritization of head and neck cancer patient care during the COVID-19 pandemic: a retrospective cohort study.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 1 country.

Rosanne C SchoonbeekUniversity of Groningen, University Medical Center Groningen, Department of Otorhinolaryngology and Head and Neck Surgery, Groningen, The Netherlands. Electronic address: r.c.schoonbeek@umcg.nl.
Dominique V C de JelDutch Institute for Clinical Auditing, Scientific Bureau, Leiden, The Netherlands; Netherlands Cancer Institute/Antoni van Leeuwenhoek, Department of Head and Neck Oncology and Surgery, Amsterdam, The Netherlands.
Boukje A C van DijkNetherlands Comprehensive Cancer Organisation (IKNL), Department of Research, Utrecht, The Netherlands; University of Groningen, University Medical Center Groningen, Department of Epidemiology, Groningen, The Netherlands.
Stefan M WillemsUniversity of Groningen, University Medical Center Groningen, Department of Pathology, Groningen, The Netherlands.
Elisabeth BloemenaAmsterdam University Medical Center, Vrije Universiteit Amsterdam, Department of Pathology, The Netherlands.
Frank J P HoebersMaastricht University Medical Centre Department of Radiation Oncology (MAASTRO), GROW - School for Oncology and Developmental Biology, The Netherlands.
Esther van MeertenErasmus MC Cancer Institute, Department of Medical Oncology, Rotterdam, The Netherlands.
Berit M VerbistLeiden University Medical Center, Department of Radiology, The Netherlands.
Ludi E SmeeleNetherlands Cancer Institute/Antoni van Leeuwenhoek, Department of Head and Neck Oncology and Surgery, Amsterdam, The Netherlands; Amsterdam University Medical Center, University of Amsterdam, Department of Oral and Maxillofacial Surgery, The Netherlands.
György B HalmosUniversity of Groningen, University Medical Center Groningen, Department of Otorhinolaryngology and Head and Neck Surgery, Groningen, The Netherlands.
Matthias A W MerkxNetherlands Comprehensive Cancer Organisation (IKNL), Department of Research, Utrecht, The Netherlands; Radboud University Medical Center, Department of Oral and Maxillofacial Surgery, Nijmegen, The Netherlands.
Sabine SieslingNetherlands Comprehensive Cancer Organisation (IKNL), Department of Research, Utrecht, The Netherlands; University of Twente, Department of Health Technology and Services Research, Technical Medical Centre, Enschede, The Netherlands.
Remco De BreeUniversity Medical Center Utrecht, Department of Head and Neck Surgical Oncology, The Netherlands.
Robert P TakesRadboud University Medical Center, Department of Otolaryngology/Head and Neck Surgery, Nijmegen, the Netherlands.
Dutch Head, Neck Society, the COVID, Cancer-NL consortium
Radboud University Nijmegen · NLUniversity Medical Center Groningen · NLUniversity of Groningen · NLAmsterdam University Medical Centers · NLDutch Institute for Clinical Auditing · NLErasmus MC Cancer Institute · NLLeiden University Medical Center · NLMaastricht University Medical Centre · NLThe Netherlands Cancer Institute · NLUniversity Medical Center Utrecht · NLUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInevitably, the emergence of COVID-19 has impacted non-COVID care. Because timely diagnosis and treatment are essential, especially for patients with head and neck cancer (HNC) with fast-growing tumours in a functionally and aesthetically important area, we wished to quantify the impact of the COVID-19 pandemic on HNC care in the Netherlands. MATERIAL AND

methodsThis population-based study covered all, in total 8468, newly diagnosed primary HNC cases in the Netherlands in 2018, 2019 and 2020. We compared incidence, patient and tumour characteristics, primary treatment characteristics, and time-to-treatment in the first COVID-19 year 2020 with corresponding periods in 2018 and 2019 (i.e. pre-COVID).

resultsThe incidence of HNC was nearly 25% less during the first wave (n = 433) than in 2019 (n = 595) and 2018 (n = 598). In April and May 2020, the incidence of oral cavity and laryngeal carcinomas was significantly lower than in pre-COVID years. There were no shifts in tumour stage or alterations in initial treatment modalities. Regardless of the first treatment modality and specific period, the median number of days between first visit to a HNC centre and start of treatment was significantly shorter during the COVID-19 year (26-28 days) than pre-COVID (31-32 days, p < 0.001).

conclusionThe incidence of HNC during the Netherlands' first COVID-19 wave was significantly lower than expected. The expected increase in incidence during the remainder of 2020 was not observed. Despite the overloaded healthcare system, the standard treatment for HNC patients could be delivered within a shorter time interval.

Indexed as

COVID-19Head and Neck NeoplasmsLaryngeal NeoplasmsHumansIncidencePandemicsCancer incidenceCOVID-19DelayHead and neck cancerTime-to-treatment

Identifiers

PMID34915063
PMCPMC8667560
OpenAlexW4200124479

What OpenQuestion holds

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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.