Evidence map›Paper›PMID 36891759›Full record

SynthesisHead & neck2023

Stratification of surgical margin distances by the millimeter on local recurrence in oral cavity cancer: A systematic review and meta-analysis.

Kurtis Young, Hannah Bulosan, Carley C Kida, Arnaud F Bewley, Marianne Abouyared, Andrew C Birkeland

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Head & neck, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Impact of surgical margins status on survival outcomes in oral cavity squamous cell carcinoma: a systematic review and meta-analysis.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Pooled it
  4. Article
  5. Article
  6. Optimizing outcomes: a decision-analysis model for oral cancer patients with surgical margins of 1 to 5 mm.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
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  8. Review
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  10. Article
  11. The impact of histology and molecular biology in refining the prognostic value of surgical margins in head and neck oncology - A narrative review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Article
  12. Article
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  14. Article
  15. Article
  16. Article
  17. Surgical Margin Definition and Assessment in Head and Neck Oncology: A Cross-Sectional Survey of Canadian Head and Neck Surgeons.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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

6 authors.

Kurtis YoungJohn A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii, USA.ORCID 0000-0003-4427-7792
Hannah BulosanJohn A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
Carley C KidaJohn A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
Arnaud F BewleyDepartment of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.
Marianne AbouyaredDepartment of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.ORCID 0000-0002-2779-5494
Andrew C BirkelandDepartment of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.

Funding

UC Davis Paul Calabresi K12 Clinical Oncology Research Career Development ProgramK12CA138464 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BIRKELAND, ANDREW CHARLES, LARA, PRIMO N. · 2011 to 2025
$11.4M
NCI NIH HHS K12 CA138464NIH HHS K12CA138464
6 · The paper itself

Abstract

There are limited data supporting the commonly suggested 5 mm margin cutoff as the optimum value in defining clear margins in oral cancer. A database search of Pubmed/Medline, Web of Science, and EBSCOhost was performed from inception to June 2022. A random-effects model was chosen for this meta-analysis. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed throughout this study. Seven studies met study criteria (2215 patients). The risk ratio was significantly higher for margins <5 mm when compared to those ≥5 mm (2.09 (95%CI: 1.53-2.86, I

Indexed as

Carcinoma, Squamous CellMouth NeoplasmsHumansMargins of ExcisionNeoplasm Recurrence, Localhead and neck surgerylocal recurrenceoral canceroral squamous cell carcinomasurgical margin

Identifiers

PMID36891759
PMCPMC10079646

What OpenQuestion holds

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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.