Evidence map›Paper›PMID 38672569›Full record

ArticleCancers2024

A Matter of Margins in Oral Cancer-How Close Is Enough?

Mateusz Szewczyk, Jakub Pazdrowski, Piotr Pieńkowski, Bartosz Wojtera, Barbara Więckowska, Paweł Golusiński, Wojciech Golusiński

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Impact of surgical margins status on survival outcomes in oral cavity squamous cell carcinoma: 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. Review
  4. Review
  5. Article
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  7. Tongluo Jiedu as an adjuvant therapy for oral cancer.World journal of clinical cases · 2025
    Article
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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.

Mateusz SzewczykDepartment of Head and Neck Surgery, Poznań University of Medical Sciences, 61-701 Poznań, Poland.ORCID 0000-0002-6834-5369
Jakub PazdrowskiDepartment of Head and Neck Surgery, Poznań University of Medical Sciences, 61-701 Poznań, Poland.
Piotr PieńkowskiDepartment of Head and Neck Surgery, Poznań University of Medical Sciences, 61-701 Poznań, Poland.
Bartosz WojteraDepartment of Head and Neck Surgery, Poznań University of Medical Sciences, 61-701 Poznań, Poland.ORCID 0000-0003-4677-0783
Barbara WięckowskaDepartment of Computer Science and Statistics, Poznań University of Medical Sciences, 61-701 Poznań, Poland.ORCID 0000-0002-1811-2583
Paweł GolusińskiDepartment of Otolaryngology and Maxillofacial Surgery, University of Zielona Góra, 65-417 Zielona Góra, Poland.ORCID 0000-0002-3937-5315
Wojciech GolusińskiDepartment of Head and Neck Surgery, Poznań University of Medical Sciences, 61-701 Poznań, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with oral cancer, the risk factors for local, regional, and distant recurrence according to margin status have not been well established. We aimed to determine the risk factors for recurrence by margin status and to identify a margin cut-off point for improved survival in patients with close margins. We retrospectively reviewed adult patients treated at our centre from 2009 to 2021 for primary oral cancer. Margins were classified as positive (<1 mm), close (1 to 4.9 mm), or clear (>5 mm). Univariate and multivariate analyses were performed. A total of 326 patients (210 men) were included. The mean age was 59.1 years. Margin status was close (n = 168, 51.5%), clear (n = 83, 25.4%), or positive (n = 75, 23.0%). In the univariate analysis, positive surgical margins (HR = 7.53) had the greatest impact on distant failure. Positive surgical margins-without nodal involvement-had the greatest impact on the risk of distant failure. In the close margin group, the optimal cut-off for disease-free survival (AUC = 0.58) and overall survival (AUC = 0.63) was a deep margin > 3 mm, with survival outcomes that were comparable to the clear margin group. These finding suggest that margins < 5 mm may be sufficient in certain well-defined cases. Prospective studies are warranted to confirm these findings.

Indexed as

close marginsmarginsoraloral cancer

Identifiers

PMID38672569
PMCPMC11048705

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.