Evidence map›Paper›PMID 35248020›Full record

ArticleBMC cancer2022

Different inflammatory blood markers correlate with specific outcomes in incident HPV-negative head and neck squamous cell carcinoma: a retrospective cohort study.

Paolo Boscolo-Rizzo, Andrea D'Alessandro, Jerry Polesel, Daniele Borsetto, Margherita Tofanelli, Alberto Deganello, Michele Tomasoni, Piero Nicolai, Paolo Bossi, Giacomo Spinato and 15 more

Abstract readMulticenter Study
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Machine learning prognostication in nasopharyngeal carcinoma: a european multicentre analysis of survival and risk of second malignancy.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
  2. Review
  3. Article
  4. Blood biomarkers of response to concomitant intratympanic and systemic corticosteroids treatment for idiopathic sudden sensorineural hearing loss.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
  5. Article
  6. Article
  7. The Host-index in patients undergoing upfront surgery and free flap reconstruction for head and neck squamous cell carcinoma.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  8. Review
  9. Prognostic value of changes in pre- and postoperative inflammatory blood markers in HPV-negative head and neck squamous cell carcinomas.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  10. Article
  11. Review
  12. A predictive survival model for patients with stage IV oropharyngeal squamous cell carcinoma treated with chemoradiation.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 · 2024
    Article
  13. Prognostic value of the systemic immune-inflammation index, systemic inflammation response index, and prognostic nutritional index in head and neck cancer.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

25 authors.

Paolo Boscolo-RizzoDepartment of Medical, Surgical and Health Sciences, Section of Otolaryngology, University of Trieste, Trieste, Italy.
Andrea D'AlessandroDepartment of Medical, Surgical and Health Sciences, Section of Otolaryngology, University of Trieste, Trieste, Italy.
Jerry PoleselUnit of Cancer Epidemiology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy. polesel@cro.it.ORCID http://orcid.org/0000-0001-9381-1520
Daniele BorsettoDepartment of ENT, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Margherita TofanelliDepartment of Medical, Surgical and Health Sciences, Section of Otolaryngology, University of Trieste, Trieste, Italy.
Alberto DeganelloDepartment of Otolaryngology, Head and Neck Surgery, University of Brescia, Brescia, Italy.
Michele TomasoniDepartment of Otolaryngology, Head and Neck Surgery, University of Brescia, Brescia, Italy.
Piero NicolaiDepartment of Otolaryngology, Head and Neck Surgery, University of Brescia, Brescia, Italy.
Paolo BossiDepartment of Medical Oncology, University of Brescia, Brescia, Italy.
Giacomo SpinatoUnit of Otolaryngology, AULSS 2 - Marca Trevigiana, Treviso, Italy.
Anna MenegaldoUnit of Otolaryngology, AULSS 2 - Marca Trevigiana, Treviso, Italy.
Andrea CiorbaENT Department, University Hospital of Ferrara, Ferrara, Italy.
Stefano PelucchiENT Department, University Hospital of Ferrara, Ferrara, Italy.
Chiara BianchiniENT Department, University Hospital of Ferrara, Ferrara, Italy.
Diego CazzadorDepartment of Neurosciences, Section of Otolaryngology, University of Padova, Padova, Italy.
Giulia RamaciottiDepartment of Neurosciences, Section of Otolaryngology, University of Padova, Padova, Italy.
Valentina LupatoUnit of Otolaryngology, Azienda Ospedaliera "S. Maria Degli Angeli", Pordenone, Italy.
Vittorio GiacomarraUnit of Otolaryngology, Azienda Ospedaliera "S. Maria Degli Angeli", Pordenone, Italy.
Gabriele MolteniDepartment of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Section of Otolaryngology, University of Verona, Verona, Italy.
Daniele MarchioniDepartment of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Section of Otolaryngology, University of Verona, Verona, Italy.
Cristoforo FabbrisDepartment of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Section of Otolaryngology, University of Verona, Verona, Italy.
Antonio OcchiniDepartment of Otolaryngology, University of Pavia, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Giulia BertinoDepartment of Otolaryngology, University of Pavia, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Jonathan FusseyDepartment of ENT/Head and Neck Surgery, Elizabeth University Hospital Birmingham, Birmingham, Queen, UK.
Giancarlo TirelliDepartment of Medical, Surgical and Health Sciences, Section of Otolaryngology, University of Trieste, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory blood markers have been associated with oncological outcomes in several cancers, but evidence for head and neck squamous cell carcinoma (HNSCC) is scanty. Therefore, this study aims at investigating the association between five different inflammatory blood markers and several oncological outcomes.

methodsThis multi-centre retrospective analysis included 925 consecutive patients with primary HPV-negative HNSCC (median age: 68 years) diagnosed between April 2004 and June 2018, whose pre-treatment blood parameters were available. Neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), lymphocyte to monocyte ratio (LMR), systemic inflammatory marker (SIM), and systemic immune-inflammation index (SII) were calculated; their associations with local, regional, and distant failure, disease-free survival (DFS), and overall survival (OS) was calculated.

resultsThe median follow-up was 53 months. All five indexes were significantly associated with OS; the highest accuracy in predicting patients' survival was found for SIM (10-year OS = 53.2% for SIM < 1.40 and 40.9% for SIM ≥ 2.46; c-index = 0.569) and LMR (10-year OS = 60.4% for LMR ≥ 3.76 and 40.5% for LMR < 2.92; c-index = 0.568). While LMR showed the strongest association with local failure (HR = 2.16; 95% CI:1.22-3.84), PLR showed the strongest association with regional (HR = 1.98; 95% CI:1.24-3.15) and distant failure (HR = 1.67; 95% CI:1.08-2.58).

conclusionDifferent inflammatory blood markers may be useful to identify patients at risk of local, regional, or distant recurrences who may benefit from treatment intensification or intensive surveillance programs.

Indexed as

Blood Cell CountHealth Status IndicatorsAgedBiomarkers, TumorFemaleHead and Neck NeoplasmsHumansInflammation MediatorsMaleMiddle AgedRetrospective StudiesRisk AssessmentSquamous Cell Carcinoma of Head and NeckBiomarkers, TumorInflammation MediatorsBlood markersHead and neck cancerInflammatory systemLocal recurrenceOverall survival

Identifiers

PMID35248020
PMCPMC8897882

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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.