Evidence map›Paper›PMID 35999273›Full record

SynthesisBritish journal of cancer2022

Post-diagnosis smoking cessation and survival of patients with head and neck cancer: a systematic review and meta-analysis.

Saverio Caini, Marco Del Riccio, Virginia Vettori, Oriana D'Ecclesiis, Pierluigi Bonomo, Luca Giovanni Locatello, Viola Salvestrini, Oreste Gallo, Marta Tagliabue, Sara Raimondi and 4 more

Open access · greenAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
4.6field-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, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Journal of clinical medicine · 2026
    Article
  4. No Smoker Left Behind: Evaluation of a Population-Based, Opt-Out Smoking Cessation Program for Patients With Cancer Who Smoke.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  5. Article
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  14. Tobacco Cessation Following Laryngeal Cancer Diagnosis Predicts Response to Treatment and Laryngectomy-Free Survival.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024
    Article
  15. Review
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

14 authors at 6 institutions in 2 countries.

Saverio CainiCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy. s.caini@ispro.toscana.it.ORCID http://orcid.org/0000-0002-2262-1102
Marco Del RiccioPostgraduate School in Hygiene and Preventive Medicine, University of Florence, Florence, Italy.
Virginia VettoriDepartment of Health Sciences, University of Florence, Florence, Italy.
Oriana D'EcclesiisDepartment of Experimental Oncology, European Institute of Oncology (IEO), IRCCS, Milan, Italy.
Pierluigi BonomoRadiation Oncology, Careggi University Hospital, Florence, Italy.
Luca Giovanni LocatelloDepartment of Otorhinolaryngology, Careggi University Hospital, Florence, Italy.
Viola SalvestriniRadiation Oncology, Careggi University Hospital, Florence, Italy.
Oreste GalloDepartment of Otorhinolaryngology, Careggi University Hospital, Florence, Italy.
Marta TagliabueDepartment of Otolaryngology and Head and Neck Surgery, European Institute of Oncology (IEO), IRCCS, Milan, Italy.
Sara RaimondiDepartment of Experimental Oncology, European Institute of Oncology (IEO), IRCCS, Milan, Italy.
Calogero SaievaCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Flavia CozzolinoCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Benedetta BendinelliCancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Sara GandiniDepartment of Experimental Oncology, European Institute of Oncology (IEO), IRCCS, Milan, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITEuropean Institute of Oncology · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversity of Florence · ITPrevention Institute · USUniversity of Sassari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cigarette smoking is the main risk factor for head and neck cancer (HNC) and many HNC patients are active smokers at diagnosis. We conducted a systematic literature review and meta-analysis to quantify the survival impact of smoking cessation at or around the time of HNC diagnosis. We searched studies published until December 31, 2021, and used random-effects meta-analysis to pool study-specific estimates into summary hazard ratio (SHR) and corresponding 95% confidence intervals (CI). Sixteen studies were published between 1983 and 2021, and over 2300 HNC patients were included. Studies were diverse in terms of design, patients, tumours and treatment characteristics, and criteria used to discriminate quitters from continued smokers. HNC patients who quit smoking at or around diagnosis had significantly better overall survival than continued smokers (SHR 0.80, 95% CI 0.70-0.91, n studies = 10). A beneficial effect of post-diagnosis smoking cessation was suggested for other survival endpoints as well, but the results were based on fewer studies (n = 5) and affected by publication bias. Cessation counselling should be offered to all smokers who start a diagnostic workup for HNC and should be considered standard multidisciplinary oncological care for HNC patients. PROSPERO registration number CRD42021245560.

Indexed as

Head and Neck NeoplasmsSmoking CessationHumansProportional Hazards ModelsRisk Factors

Identifiers

PMID35999273
PMCPMC9681856
OpenAlexW4292794481

What OpenQuestion holds

Textmetadata
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.