Evidence map›Paper›PMID 35681789›Full record

ReviewCancers2022

Management of Older Adults with Locally Advanced Head and Neck Cancer.

Daniel R Dickstein, Eric J Lehrer, Kristin Hsieh, Alexandra Hotca, Brianna M Jones, Ann Powers, Sonam Sharma, Jerry Liu, Vishal Gupta, Loren Mell and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. HNO · 2026
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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

16 authors at 3 institutions in 2 countries.

Daniel R DicksteinDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.ORCID 0000-0003-4606-5574
Eric J LehrerDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.ORCID 0000-0002-1216-6230
Kristin HsiehDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Alexandra HotcaDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Brianna M JonesDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.ORCID 0000-0002-3439-4840
Ann PowersDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Sonam SharmaDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Jerry LiuDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Vishal GuptaDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Loren MellDepartment of Radiation Oncology, University of San Diego, La Jolla, CA 92110, USA.
Zain HusainDepartment of Radiation Oncology, University of Toronto, Toronto, ON M5S 1A1, Canada.
Diana KirkeDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Krzysztof MisiukiewiczDepartment of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Marshall PosnerDepartment of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Eric GendenDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Richard L BakstDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Icahn School of Medicine at Mount Sinai · USUniversity of San Diego · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thirty percent of patients with head and neck squamous cell carcinoma (HNSCC) are at least 70 years of age. This number continues to rise as life expectancy continues to increase. Still, older adults with HNSCC remain underrepresented in clinical trials, resulting in ambiguity on optimal management. Older adults are a complex patient population, often requiring increased support due to issues relating to functional and performance status, medical comorbidities, and medication management. Furthermore, in older adults with HNSCC, many of these conditions are independently associated with increased toxicity and worse outcomes. Toxicity in the older adult remains difficult to predict and to understand, and as treatment decisions are based on treatment tolerability, it is essential to understand the toxicities and how to minimize them. Novel predictive scores are being developed specifically for older adults with HNSCC to understand toxicity and to assist in personalized treatment decisions. There are clinical trials presently underway that are investigating shortened radiation courses and novel, less toxic systemic treatments in this population. In the forthcoming sections, we provide a detailed overview of the clinical data, treatment paradigms, and considerations in this population. This review provides a comprehensive overview of existing clinical data and clinical considerations in the older adult head and neck cancer population. Additionally, we provide a detailed overview of pertinent current and ongoing clinical trials, as well as future areas for investigation.

Indexed as

chemotherapycomorbiditieselderlygeriatrichead and neck cancerolder adultradiation oncologysquamous cell carcinoma

Identifiers

PMID35681789
PMCPMC9179912
OpenAlexW4281986922

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.