Evidence map›Paper›PMID 36959837›Full record

ReviewClinical interventions in aging2023

Clinical and Therapeutic Considerations for Older Adults with Head and Neck Cancer.

Daniel R Dickstein, Ann E Powers, Dragan Vujovic, Scott Roof, Richard L Bakst

Open access · goldAbstract readReview
In one paragraph

Review in Clinical interventions in aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. HNO · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. The status quo of global geriatric radiation oncology education: A scoping review.Technical innovations & patient support in radiation oncology · 2024
    Article
  10. Article
  11. Efficacy of chemoradiotherapy in elderly patients with stage IV inoperable head and neck cancer.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 · 2024
    Article
  12. Review
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

5 authors at 1 institution in 1 country.

Daniel R Dickstein *Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0003-4606-5574
Ann E Powers *Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Dragan VujovicDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Scott RoofDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Richard L BakstDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approximately 30% of patients with head and neck squamous cell carcinoma (HNSCC) are at least 70 years of age, and this percentage is expected to increase as the population increases and lives longer. Elderly patients are underrepresented in head and neck oncology clinical trials, and there is minimal evidence on the management of HNSCC for this population. Subsequently, despite their best intentions, physicians may unknowingly recommend an ill-suited course of therapy, which may result in suboptimal oncological or functional outcomes or adverse events. Surgical approaches have the potential to carry a higher risk of morbidity and mortality in older adults, especially in patients with multiple comorbidities. Definitive radiation therapy treatment in patients with HNSCC frequently involves 7 weeks of daily radiation, sometimes with concurrent chemotherapy, and this demanding treatment can be difficult for older adult patients, which may lead to treatment interruptions, potential removal of concurrent systemic therapy, compromised outcomes, and diminished quality of life. There are clinical trials currently underway investigating altered fractionation regimens and novel, less toxic systemic treatments in this population. This review provides an overview of how best to approach an older adult with HNSCC, from initial work-up to treatment selection.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsAgedHumansPatient SelectionQuality of LifeSquamous Cell Carcinoma of Head and Neckelderlygeriatrichead and neck squamous cell carcinomahypofractionationolder adultoropharynx

Identifiers

PMID36959837
PMCPMC10029371
OpenAlexW4327544245

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.