Evidence map›Paper›PMID 38262720›Full record

ArticleBMJ case reports2024

De-escalating radiotherapy in HPV-positive oropharyngeal squamous cell carcinoma: how much is too little?

Vikash Hiteshkumar Dodhia, Fiona Penny, Ramkumar Shanmugasundaram, Nimesh Patel

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 14% 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, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Assessing the use of the novel tool Claude 3 in comparison to ChatGPT 4.0 as an artificial intelligence tool in the diagnosis and therapy of primary head and neck cancer cases.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
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

4 authors at 1 institution in 1 country.

Vikash Hiteshkumar DodhiaDepartment of ENT, University Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, UK vikashdodhia@doctors.org.uk.ORCID http://orcid.org/0000-0001-5765-2577
Fiona PennyDepartment of ENT, University Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, UK.
Ramkumar ShanmugasundaramDepartment of Clinical Oncology, University Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, UK.
Nimesh PatelDepartment of ENT, University Hospital Southampton NHS Foundation Trust, Southampton, Hampshire, UK.
University Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oropharyngeal squamous cell carcinoma (OPSCC) had a rapidly increasing incidence rate in high-income countries, with a significant increase in cases related to human papilloma virus (HPV). HPV-positive (HPV+) OPSCC has shown better survival rates compared with HPV-negative (HPV-) cases, prompting investigations into de-escalation strategies to reduce or change chemoradiotherapy protocols. We present a case of a patient with HPV+ OPSCC who discontinued chemoradiotherapy after 2 weeks, effectively receiving a de-escalated dose of 18 Gy over nine fractions and only one cycle of cisplatin, subsequently undergoing curative surgical resection with no residual disease in the radiotherapy field 14 years later. This case challenges the concept of standard radiotherapy dosing in HPV+ OPSCC and discusses the implications on future de-escalation trials.

Indexed as

Head and Neck NeoplasmsPapillomavirus InfectionsRadiation OncologyChemoradiotherapyHumansSquamous Cell Carcinoma of Head and NeckEar, nose and throat/otolaryngologyRadiotherapy

Identifiers

PMID38262720
PMCPMC10826500
OpenAlexW4391147588

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.