Evidence map›Paper›PMID 36460788›Full record

ArticleScientific reports2022

No survival benefit from adding chemotherapy to adjuvant radiation in advanced major salivary gland cancer.

Nai-Wen Kang, Yu-Hsuan Kuo, Hung-Chang Wu, Chung-Han Ho, Yi-Chen Chen, Ching-Chieh Yang

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Contemporary Management of Malignancies of the Parotid Gland: A State-of-the-Art Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Review
  4. Article
  5. Article
  6. Article
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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

6 authors at 2 institutions in 1 country.

Nai-Wen KangDivision of Hematology and Oncology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan, ROC.
Yu-Hsuan KuoDivision of Hematology and Oncology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan, ROC.
Hung-Chang WuDivision of Hematology and Oncology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan, ROC.
Chung-Han HoDepartment of Medical Research, Chi Mei Medical Center, Tainan, Taiwan, ROC.
Yi-Chen ChenDepartment of Medical Research, Chi Mei Medical Center, Tainan, Taiwan, ROC.
Ching-Chieh YangDepartment of Radiation Oncology, Chi Mei Medical Center, No. 901 Zhonghua Rd., Yung Kang District, Tainan City, 701, Taiwan, ROC. cleanclear0905@gmail.com.
Chi Mei Medical Center · TWSouthern Taiwan University of Science and Technology · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to compare survival of patients with advanced major salivary gland cancers treated with adjuvant chemoradiation therapy (CRT) versus radiotherapy (RT) alone, after surgical resection. The Taiwan Cancer Registry database was used to identify patients (2009-2017) with advanced (T3-4 or nodal positivity) major salivary gland cancers, treated post-surgically with adjuvant CRT or RT alone. Overall survival (OS) and disease-specific survival (DSS) evaluated using Kaplan-Meier. Stratified analyses conducted on clinicopathological features. A total of 395 patients were analyzed: 178 (45.1%) received adjuvant CRT; 217 (54.9%) received adjuvant RT alone. Median radiation dose was 66 Gy in 33 fractions. Cisplatin was most common chemotherapy regimen. After a median follow-up of 3.37 years, there was no significant difference in OS or DSS (p = 0.1354 and 0.3361, respectively) between groups. Adding chemotherapy to adjuvant RT was not significantly associated with improved OS (adjusted hazard ratio [aHR] 0.94; 95% CI 0.72-1.23) and DSS (aHR 0.96; 95% CI 0.72-1.28). Stratified analysis of clinicopathological features found no significant advantages for improved OS or DSS from adding chemotherapy to adjuvant RT. Thus, in this population database, the use of chemotherapy provided limited survival benefits in advanced major salivary gland cancers after surgical resection.

Indexed as

Radiation OncologySalivary Gland NeoplasmsChemoradiotherapy, AdjuvantCombined Modality TherapyHumansRadiotherapy, Adjuvant

Identifiers

PMID36460788
PMCPMC9718855
OpenAlexW4310576933

What OpenQuestion holds

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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.