Evidence map›Paper›PMID 37425068›Full record

ArticleOTO open

Disentangling Social Determinants of Health and Rurality in Head and Neck Cancer 2-Year Mortality.

Celina Virgen, Bryan Renslo, Tuleen Sawaf, Yelizaveta Shnayder, Kiran Kakarala, Andrés M Bur, Kevin J Sykes

Open access · goldAbstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Disparities in Survival of Head and Neck Cancer in the Hispanic Population: Systematic-Review and Meta-analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Pooled it
  2. Social Determinants of Health Impact Complications Following Free-Flap Reconstruction for Head and Neck Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  3. 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

7 authors at 1 institution in 1 country.

Celina VirgenDepartment of Otolaryngology-Head and Neck Surgery University of Kansas Medical Center Kansas City Kansas USA.ORCID 0000-0002-6393-7525
Bryan RensloDepartment of Otolaryngology-Head and Neck Surgery University of Kansas Medical Center Kansas City Kansas USA.
Tuleen SawafDepartment of Otolaryngology-Head and Neck Surgery University of Kansas Medical Center Kansas City Kansas USA.
Yelizaveta ShnayderDepartment of Otolaryngology-Head and Neck Surgery University of Kansas Medical Center Kansas City Kansas USA.
Kiran KakaralaDepartment of Otolaryngology-Head and Neck Surgery University of Kansas Medical Center Kansas City Kansas USA.
Andrés M BurDepartment of Otolaryngology-Head and Neck Surgery University of Kansas Medical Center Kansas City Kansas USA.
Kevin J SykesDepartment of Otolaryngology-Head and Neck Surgery University of Kansas Medical Center Kansas City Kansas USA.ORCID https://orcid.org/0000-0001-9379-3406
University of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Social determinants of health (SDoH) and rurality are known factors that may influence outcomes in head and neck squamous cell carcinoma (HNSCC). Patients residing in remote locations or those with multiple SDoH may encounter barriers to initial diagnosis, adherence to multidisciplinary treatments, and posttreatment surveillance, which may impact their overall survival. However, previous studies have shown mixed results associated with rural residence. The aim of this study is to identify the impact of rurality and SDoH on 2-year survival in HNSCC. The study was conducted using a Head and Neck Cancer Registry at a single institution from June 2018 through July 2022. Rurality, defined by US census scores, and individual measures of SDoH were used. Our results indicate that each additional adverse SDoH factor results in 1.5 times the odds of mortality at 2 years. Individualized measures of SDoH, rather than rurality alone, better reflect patient prognosis in HNSCC.

Indexed as

head and neck cancerhealth disparitiesruralsocial determinants of health

Identifiers

PMID37425068
PMCPMC10327873
OpenAlexW4383558736

What OpenQuestion holds

Textmetadata
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.