Evidence map›Paper›PMID 36920746›Full record

ReviewAdvances in therapy2023

Management of Older Patients with Head and Neck Cancer: A Comprehensive Review.

Leandro L Matos, Alvaro Sanabria, K Thomas Robbins, Gyorgy B Halmos, Primož Strojan, Wai Tong Ng, Robert P Takes, Peter Angelos, Cesare Piazza, Remco de Bree and 16 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Advances in therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.4field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. The impact of immunonutrition in head and neck cancer surgery: a systematic review with meta-analysis.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Pooled it
  2. The use of frailty screening measures for predicting long-term survival outcomes in head and neck cancer: a systematic review.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
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

26 authors at 20 institutions in 12 countries.

Leandro L MatosDepartment of Head and Neck Surgery, Instituto do Cancer do Estado de São Paulo (ICESP), University of São Paulo Medical School, and Faculdade Israelita de Ciências da Saúde Albert Einstein Medical School, São Paulo, Brazil.
Alvaro SanabriaDepartment of Surgery, School of Medicine, Universidad de Antioquia, Centro de Excelencia en Cirugia de Cabeza y Cuello-CEXCA, Medellin, Colombia.
K Thomas RobbinsDivision of Otolaryngology, Head and Neck Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA.
Gyorgy B HalmosDepartment of Otolaryngology, Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Primož StrojanDepartment of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia.
Wai Tong NgDepartment of Clinical Oncology, School of Clinical Medicine, The University of Hong Kong, Hong Kong SAR, China.
Robert P TakesDepartment of Otolaryngology, Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Peter AngelosDepartment of Surgery and MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL, USA.
Cesare PiazzaUnit of Otorhinolaryngology, Head and Neck Surgery, ASST Spedali Civili of Brescia, Department of Surgical and Medical Specialties, Radiological Sciences, and Public Health, School of Medicine, University of Brescia, Brescia, Italy.
Remco de BreeDepartment of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Ohad RonenDepartment of Otolaryngology, Head and Neck Surgery, Galilee Medical Center, Affiliated with Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.ORCID 0000-0001-7084-0695
Orlando Guntinas-LichiusDepartment of Otorhinolaryngology, Institute of Phoniatry/Pedaudiology, Jena University Hospital, Jena, Germany.
Avraham EisbruchDepartment of Radiation Oncology, University of Michigan, Ann Arbor, MI, USA.
Mark ZafereoDepartment of Head and Neck Surgery, MD Anderson Cancer Center, Houston, TX, USA.
Antti A MäkitieDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Helsinki and Helsinki University Hospital, Research Program in Systems Oncology, University of Helsinki, Helsinki, Finland.
Ashok R ShahaHead and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Andres Coca-PelazDepartment of Otolaryngology, Hospital Universitario Central de Asturias, University of Oviedo, ISPA, IUOPA, CIBERONC, Oviedo, Spain.
Alessandra RinaldoUniversity of Udine School of Medicine, Udine, Italy.
Nabil F SabaDepartment of Hematology and Medical Oncology, The Winship Cancer Institute of Emory University, Atlanta, GA, USA.
Oded CohenDepartment of Otolaryngology, Head and Neck Surgery, Soroka Medical Center, Israel, Affiliated with Ben-Gurion University of the Negev, Sheva, Israel.
Fernando LopezDepartment of Otolaryngology, Hospital Universitario Central de Asturias, University of Oviedo, ISPA, IUOPA, CIBERONC, Oviedo, Spain.
Juan P RodrigoDepartment of Otolaryngology, Hospital Universitario Central de Asturias, University of Oviedo, ISPA, IUOPA, CIBERONC, Oviedo, Spain.
Carl E SilverDepartment of Surgery, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA.
Timo E StrandbergUniversity of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Luiz Paulo KowalskiDepartment of Head and Neck Surgery, University of São Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, 255, 8th Floor, Room 8174, São Paulo, SP, CEP: 05403-000, Brazil. lp_kowalski@uol.com.br.
Alfio FerlitoCoordinator of the International Head and Neck Scientific Group, Padua, Italy.
Universidad de Oviedo · ESUniversidade de São Paulo · BRUniversity of Helsinki · FIAlbert Einstein College of Medicine · USBar-Ilan University · ILBen-Gurion University of the Negev · ILChinese University of Hong Kong · HKEmory University · USInstitute of Oncology Ljubljana · SIJena University Hospital · DEMemorial Sloan Kettering Cancer Center · USRadboud University Nijmegen · NLSouthern Illinois University School of Medicine · USThe University of Texas MD Anderson Cancer Center · USUniversidad de Antioquia · COUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NLUniversity of Brescia · ITUniversity of Chicago Medical Center · USUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The projected increase in life expectancy over the next few decades is expected to result in a rise in age-related diseases, including cancer. Head and neck cancer (HNC) is a worldwide health problem with high rates of morbidity and mortality. In this report, we have critically reviewed the literature reporting the management of older patients with HNC. Older adults are more prone to complications and toxicities secondary to HNC treatment, especially those patients who are frail or have comorbidities. Thus, this population should be screened prior to treatment for such predispositions to maximize medical management of comorbidities. Chronologic age itself is not a reason for choosing less intensive treatment for older HNC patients. Whenever possible, also older patients should be treated according to the best standard of care, as nonstandard approaches may result in increased treatment failure rates and mortality. The treatment plan is best established by a multidisciplinary tumor board with shared decision-making with patients and family. Treatment modifications should be considered for those patients who have severe comorbidities, evidence of frailty (low performance status), or low performance status or those who refuse the recommendations of the tumor board.

Indexed as

FrailtyHead and Neck NeoplasmsAgedComorbidityHumansComorbiditiesComplicationsHead and neck cancerOld agePrognosisTreatment

Identifiers

PMID36920746
OpenAlexW4324309738

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.