Evidence map›Paper›PMID 38497548›Full record

ArticleCancer medicine2024

The impact of multidisciplinary approaches on the outcomes of olfactory neuroblastoma treated with postoperative radiotherapy.

Yuki Tsutsumi, Kazuhiro Omura, Yoshikazu Kijima, Masao Kobayashi, Nei Fukasawa, Teppei Takeda, Teru Ebihara, Satoshi Aoki, Nobuyoshi Otori, Hiromi Kojima and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2024. 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
2.9field-weighted citation impact, top 10% 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, 5 citations in OpenAlex.

  1. Surgical margin assessment and prognostic impact in sinonasal cancers: a systematic review and meta-analysis.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025
    Pooled it
  2. 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

11 authors at 2 institutions in 1 country.

Yuki TsutsumiDepartment of Radiation Oncology, Jikei University School of Medicine, Tokyo, Japan.ORCID 0009-0001-4017-1184
Kazuhiro OmuraDepartment of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan.
Yoshikazu KijimaDepartment of Radiation Oncology, Jikei University School of Medicine, Tokyo, Japan.
Masao KobayashiDepartment of Radiation Oncology, Jikei University School of Medicine, Tokyo, Japan.
Nei FukasawaDepartment of Pathology, Jikei University School of Medicine, Tokyo, Japan.
Teppei TakedaDepartment of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan.
Teru EbiharaDepartment of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan.
Satoshi AokiDepartment of Otorhinolaryngology, Dokkyo Medical University Saitama Medical Center, Saitama, Japan.
Nobuyoshi OtoriDepartment of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan.
Hiromi KojimaDepartment of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan.
Manabu AokiDepartment of Radiation Oncology, Jikei University School of Medicine, Tokyo, Japan.
Jikei University School of Medicine · JPSocial Insurance Saitama Chuo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the outcomes of postoperative radiation therapy for olfactory neuroblastoma (ONB) and our cross-departmental collaboration to enhance the effectiveness of cancer treatment.

methodsWe retrospectively evaluated 22 patients with ONB who underwent postoperative radiotherapy after tumor resection. En bloc resection was performed; pathology specimens were prepared in coronal sections; and irradiation fields were determined after discussion with radiation oncologists, head and neck surgeons, and pathologists.

resultsThe overall survival and local control rates were 95.5% and 100%, respectively, at a median 37-month follow-up. The 3- and 5-year disease-free survival (DFS) rates were 64.4% and 56.3%, respectively. Of the 22 patients, 9 (8 Kadish C and 1 Kadish B) had disease recurrence. Of the nine patients, five had positive margins and two had closed margins; cervical lymph node recurrence occurred in six, and distant metastasis with or without cervical lymph node recurrence occurred in three. DFS analysis of risk factors showed no statistically significant differences, but positive margins were a significant recurrence factor in multivariate analysis.

conclusionsThe local control rate of ONB treated with postoperative radiation therapy was 100%. This may be attributed to cross-departmental cooperation between head and neck surgeons, pathologists, and radiation oncologists, which resulted in accurate matching of CT images for treatment planning with the location of the tumor and positive margins. Longer follow-up periods are required to evaluate the effectiveness of our strategy.

Indexed as

Esthesioneuroblastoma, OlfactoryNose NeoplasmsHumansNasal CavityNeoplasm Recurrence, LocalRetrospective StudiesHyams gradingKadish stagingmultidisciplinary approacholfactory neuroblastomarecurrencesurvival rates

Identifiers

PMID38497548
PMCPMC10945880
OpenAlexW4392913229

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.