Evidence map›Paper›PMID 36047597›Full record

SynthesisHead & neck2022

Diagnostic test accuracy of sentinel lymph node biopsy in squamous cell carcinoma of the oropharynx, larynx, and hypopharynx: A systematic review and meta-analysis.

Sven van den Bosch, Michal Czerwinski, Tim Govers, Robert P Takes, Remco de Bree, Abrahim Al-Mamgani, Gerjon Hannink, Johannes H A M Kaanders

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Head & neck, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05333523 (Personalized Elective Neck Irradiation Guided by Sentinel Lymph Node Biopsy in Patients With Squamous Cell Carcinoma of the Oropharynx, Larynx or Hypopharynx With a Clinically Negative Neck), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.0field-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.

NCT05333523 phase3recruitingnot on this mapstarted 2023, after this paper: background citation

Personalized Elective Neck Irradiation Guided by Sentinel Lymph Node Biopsy in Patients With Squamous Cell Carcinoma of the Oropharynx, Larynx or Hypopharynx With a Clinically Negative Neck: (Chemo)Radiotherapy to the PRIMary Tumor Only. The PRIMO Study.

TypeinterventionalSponsorRadboud University Medical CenterRan2023 to 2029Enrolled242ConditionsLaryngeal Squamous Cell Carcinoma, Hypopharynx Squamous Cell Carcinoma, Oropharyngeal Squamous Cell CarcinomaArmsSentinel lymph node biopsy guided selective elective neck irradiation, Standard elective neck irradiation
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
  4. SPECT/CT-based sentinel node procedure to guide unilateral elective nodal irradiation in patients with head and neck cancer: technical feasibility and sentinel node mapping outcomes.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. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. 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

8 authors at 3 institutions in 1 country.

Sven van den BoschDepartment of Radiation Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-0675-1847
Michal CzerwinskiDepartment of Radiation Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.
Tim GoversDepartment of Operating Rooms, Radboud University Medical Center, Nijmegen, the Netherlands.
Robert P TakesDepartment of Otolaryngology - Head and Neck Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0003-4784-0499
Remco de BreeDepartment of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0001-7128-5814
Abrahim Al-MamganiDepartment of Radiation Oncology, Netherlands Cancer Institute/Antoni van Leeuwenhoek, Amsterdam, the Netherlands.ORCID 0000-0003-0748-6640
Gerjon HanninkDepartment of Operating Rooms, Radboud University Medical Center, Nijmegen, the Netherlands.
Johannes H A M KaandersDepartment of Radiation Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLThe Netherlands Cancer Institute · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this meta-analysis was to determine the diagnostic test accuracy of sentinel lymph node biopsy (SLNB) in patients with oropharyngeal, laryngeal, and hypopharyngeal squamous cell carcinoma (SCC). For this purpose, MEDLINE, EMBASE, and Web of Science were searched from inception to March 8, 2022. Included were studies evaluating diagnostic test accuracy of SLNB to identify cervical lymph node metastases with elective neck dissection or follow-up as reference. A bivariate generalized linear mixed model approach was used for the meta-analysis. Nineteen studies were eligible, evaluating 377 cases in total. The pooled estimates of sensitivity and negative predictive value were 0.93 (95% CI: 0.86-0.96) and 0.97 (95% CI: 0.94-0.98), respectively. The excellent accuracy of SLNB justifies a place in the diagnostic workup of patients with larynx and pharynx SCC. Randomized trials are required to demonstrate oncologic safety and benefits on treatment related morbidity and quality of life when omitting elective neck treatment based on SLNB.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsLarynxDiagnostic Tests, RoutineHumansHypopharynxLymph NodesOropharynxQuality of LifeSentinel Lymph Node BiopsySquamous Cell Carcinoma of Head and Neckhypopharynxlarynxoropharynxsentinel lymph node biopsysquamous cell carcinoma

Identifiers

PMID36047597
PMCPMC9826301
OpenAlexW4294031740

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.