Evidence map›Paper›PMID 36765613›Full record

ArticleCancers2023

Accuracy of p16 IHC in Classifying HPV-Driven OPSCC in Different Populations.

Roberto Gallus, Irene H Nauta, Linda Marklund, Davide Rizzo, Claudia Crescio, Luca Mureddu, Paolo Tropiano, Giovanni Delogu, Francesco Bussu

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Advancements in immunotherapy for oropharyngeal cancer: Current landscape and future prospects.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2026
    Pooled it
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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

9 authors.

Roberto GallusOtolaryngology, Mater Olbia Hospital, 07026 Olbia, Italy.
Irene H NautaAmsterdam UMC, Vrije Universiteit Amsterdam, Otolaryngology/Head and Neck Surgery, Cancer Center, 1081 Amsterdam, The Netherlands.ORCID 0000-0003-0318-715X
Linda MarklundDepartment of Clinical Science, Intervention and Technology, Department of Oto-Rhinolaryngology, Head and Neck Surgery, Karolinska University Hospital, Karolinska Institute, 17164 Stockholm, Sweden.ORCID 0000-0002-2558-6576
Davide RizzoOtolaryngology Division, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Viale San Pietro, 43, 07100 Sassari, Italy.ORCID 0000-0003-1830-3731
Claudia CrescioOtolaryngology Division, Azienda Ospedaliera Universitaria, 07100 Sassari, Italy.ORCID 0000-0003-1515-1867
Luca MuredduU.O.C. Otorinolaringoiatria, Università degli Studi di Cagliari, Policlinico Universitario Duilio Casula, 09042 Monserrato, Italy.
Paolo TropianoOtolaryngology Division, Azienda Ospedaliera Universitaria, 07100 Sassari, Italy.ORCID 0000-0002-6328-1511
Giovanni DeloguDipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie (Sezione di Microbiologia), Università Cattolica del Sacro Cuore, 00168 Roma, Italy.
Francesco BussuOtolaryngology Division, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Viale San Pietro, 43, 07100 Sassari, Italy.ORCID 0000-0001-6261-2772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-risk human papillomavirus (HPV) infection is a defined etiopathogenetic factor in oropharyngeal carcinogenesis with a clear prognostic value. The P16 IHC (immunohistochemistry) is a widely accepted marker for HPV-driven carcinogenesis in oropharyngeal squamous cell carcinoma (OPSCC); in the present paper, we discuss its reliability as a standalone marker in different populations. The literature suggests that rates of p16 IHC false positive results are inversely correlated with the prevalence of HPV-driven carcinogenesis in a population. We propose a formula that can calculate such a false positive rate while knowing the real prevalence of HPV-driven OPSCCs in a given population. As it has been demonstrated that p16 positive/HPV negative cases (i.e., false positives at p16 IHC) have the same prognosis as p16 negative OPSCC, we conclude that despite the valuable prognostic value of p16 IHC, relying only on a p16 IHC positive result to recommend treatment de-intensification could be risky. For this aim, confirmation with an HPV nucleic acid detection system, especially in areas with a low prevalence of HPV-related OPSCCs, should be pursued.

Indexed as

developing countriesdiagnostic methodsfalse positivesHPV-driven carcinogenesisHPV prevalencemolecular characterizationOPSCCspecificitytreatment de-intensificationWestern countries

Identifiers

PMID36765613
PMCPMC9913822

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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.