Evidence map›Paper›PMID 38461656›Full record

SynthesisBrazilian journal of otorhinolaryngology

Total laryngectomy vs. non-surgical organ preservation in advanced laryngeal cancer: a metanalysis.

Elio Gilberto Pfuetzenreiter, Gabriela Feltrini Ferreron, Julia Zumerkorn Sadka, Ana Beatriz Pádua de Souza, Leandro Luongo Matos, Luiz Paulo Kowalski, Rogério Aparecido Dedivitis

Open access · goldAbstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Comparative effectiveness of total laryngectomy versus organ preservation in T3 laryngeal cancer: a systematic review and meta-analysis.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
    Pooled it
  2. Alterations in Nasal Function Following Total Laryngectomy and Their Clinical Correlates.World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  3. Article
  4. Article
  5. Predictive Modelling Using Thyroid Cartilage Segmentation and Radiomic Features: A Feasibility Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  6. Review
  7. Article
  8. Influential Factors on Survival in Laryngeal Cancer and Treatment Modalities Comparison.ORL; journal for oto-rhino-laryngology and its related specialties · 2025
    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 2 institutions in 1 country.

Elio Gilberto PfuetzenreiterFundação Lusíada (UNILUS), Departamento de Cirurgia, Santos, SP, Brazil. Electronic address: elio_junior@yahoo.com.
Gabriela Feltrini FerreronFundação Lusíada (UNILUS), Departamento de Cirurgia, Santos, SP, Brazil.
Julia Zumerkorn SadkaFundação Lusíada (UNILUS), Departamento de Cirurgia, Santos, SP, Brazil.
Ana Beatriz Pádua de SouzaFundação Lusíada (UNILUS), Departamento de Cirurgia, Santos, SP, Brazil.
Leandro Luongo MatosUniversidade de São Paulo (FMUSP), Faculdade de Medicina, Divisão de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
Luiz Paulo KowalskiUniversidade de São Paulo (FMUSP), Faculdade de Medicina, Divisão de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
Rogério Aparecido DedivitisUniversidade de São Paulo (FMUSP), Faculdade de Medicina, Divisão de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
Centro Universitário Lusíada · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the oncological results and the functional outcomes of patients undergoing Total Laryngectomy (TL) with the non-surgical treatment (organ preservation protocol) in the treatment of advanced laryngeal carcinomas through systematic review and meta-analysis.

methodsA literature survey strategy was employed in order to perform a systematic review of the available evidence. Success rate and functional outomes after oncological treatment of patients with advanced laryngeal carcinomas was evaluated through systematic review and metanalysis, comparing TL and organ preservation protocol.

resultsThe surgical treatment was associated with better survival outcomes. When stratifying by T stage, while patients with T4 staging have less risk of mortality with TL, there is no difference between the different treatments for patients with T3 tumors. Surgery is related to a lower chance of recurrence, late dysphagia and feeding tube dependence.

conclusionPatients with T4 tumors should undergo TL as their treatment of choice. For patients with T3 tumors, there is no differences on the risk of mortality according to the therapeutic option, however, there is a greater chance of recurrence and dysphagia when surgery is not performed.

Indexed as

Laryngeal NeoplasmsLaryngectomyNeoplasm StagingOrgan Sparing TreatmentsHumansNeoplasm Recurrence, LocalTreatment OutcomeLaryngectomyLarynx cancerMetanalysisOrgan preservation treatment

Identifiers

PMID38461656
PMCPMC10940891
OpenAlexW4391996147

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.