Evidence map›Paper›PMID 38436503›Full record

Observational studyThe Laryngoscope2024

Impact of Adjuvant Radiotherapy Setting on Quality-of-Life in Head and Neck Squamous Cell Carcinoma.

Rahul Alapati, Sarah F Wagoner, Amelia Lawrence, Antonio Bon Nieves, Atharva Desai, Yelizaveta Shnayder, Chelsea Hamill, Kiran Kakarala, Prakash Neupane, Gregory Gan and 2 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The Laryngoscope, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

12 authors at 4 institutions in 1 country.

Rahul AlapatiDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, U.S.A.ORCID 0000-0003-1283-382X
Sarah F WagonerDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, U.S.A.ORCID 0000-0003-1534-4394
Amelia LawrenceDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, U.S.A.
Antonio Bon NievesDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, U.S.A.
Atharva DesaiSchool of Medicine, University of Missouri-Kansas City, Kansas City, Missouri, U.S.A.
Yelizaveta ShnayderDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, U.S.A.ORCID 0000-0001-8972-175X
Chelsea HamillDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, U.S.A.
Kiran KakaralaDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, U.S.A.
Prakash NeupaneDepartment of Medical Oncology, University of Kansas, Kansas City, Kansas, U.S.A.
Gregory GanDepartment of Radiation Oncology, University of Kansas, Kansas City, Kansas, U.S.A.
Kevin J SykesBaylor Scott & White, Health and Wellness Center, Dallas, Texas, U.S.A.
Andrés M BurDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, U.S.A.ORCID 0000-0001-6879-6453
University of Kansas · USBaylor Scott & White Health · USUniversity of Kansas Medical Center · USUniversity of Missouri–Kansas City · US

Funding

Using Integrated Omics to Identify Dysfunctional Genetic Mechanisms Influencing Schizophrenia and Sleep DisturbancesP20GM130423 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Diane E Mahoney · 2019 to 2026
$21.5M
NIGMS NIH HHS P20 GM130423
6 · The paper itself

Abstract

objectiveTo determine differences in post-treatment QoL across treatment settings in patients receiving adjuvant radiation therapy for head and neck squamous cell carcinoma (HNSCC).

methodsThis was a prospective observational cohort study of patients with HNSCC initially evaluated in a head and neck surgical oncologic and reconstructive clinic at an academic medical center (AMC). Participants were enrolled prior to treatment in a prospective registry collecting demographic, social, and clinical data. Physical and social-emotional QoL (phys-QoL and soc-QoL, respectively) was measured using the University of Washington-QoL questionnaire at pre-treatment and post-treatment visits.

resultsA cohort of 177 patients, primarily male and White with an average age of 61.2 ± 11.2 years, met inclusion criteria. Most patients presented with oral cavity tumors (n = 132, 74.6%), had non-HPV-mediated disease (n = 97, 61.8%), and were classified as Stage IVa (n = 72, 42.8%). After controlling for covariates, patients treated at community medical centers (CMCs) reported a 7.15-point lower phys-QoL compared with those treated at AMCs (95% CI: -13.96 to -0.35, p = 0.040) up to 12 months post-treatment. Additionally, patients who were treated at CMCs had a 5.77-point (-11.86-0.31, p = 0.063) lower soc-QoL score compared with those treated at an AMC, which was not statistically significant.

conclusionThis study revealed that HNSCC patients treated with radiation at AMCs reported significantly greater phys-QoL in their first-year post-treatment compared to those treated at CMCs, but soc-QoL did not differ significantly. Further observational studies are needed to explore potential factors, including treatment planning and cancer resource engagement, behind disparities between AMCs and CMCs. LEVEL OF EVIDENCE: 3 Laryngoscope, 134:3645-3655, 2024.

Indexed as

Head and Neck NeoplasmsQuality of LifeSquamous Cell Carcinoma of Head and NeckAgedFemaleHumansMaleMiddle AgedProspective StudiesRadiotherapy, AdjuvantSurveys and Questionnaireshead and neckquality‐of‐liferadiation therapy

Identifiers

PMID38436503
PMCPMC12375221
OpenAlexW4392376372

What OpenQuestion holds

Textmetadata
LicenceTDM
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.