Evidence map›Paper›PMID 39093329›Full record

SynthesisJournal of cancer research and clinical oncology2024

Treatment options for cisplatin-ineligible patients with locally advanced head and neck squamous cell carcinoma: a systematic review.

Isabella Michelon, Gilca Costa Nachtigal, Maria Inez Dacoregio, Ana Cristina Beitia Kraemer Moraes, Mauricio Moraes, Lívia Silva Piva, Catiara Terra da Costa, Rafael Guerra Lund, Douver Michelon

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

9 authors.

Isabella MichelonDepartment of Medicine, Catholic University of Pelotas, Pelotas, Brazil.
Gilca Costa NachtigalDepartment of Internal Medicine, Federal University of Pelotas Teaching Hospital (EBSERH), Pelotas, Brazil.
Maria Inez DacoregioDepartment of Medicine, University of Centro Oeste, Guarapuava, Brazil.
Ana Cristina Beitia Kraemer MoraesDepartment of Surgery, Faculty of Medicine, Catholic University of Pelotas, Pelotas, Brazil.
Mauricio MoraesDepartment of Medicine, Federal University of Pelotas, Pelotas, Brazil.
Lívia Silva PivaDepartment of Medicine, Federal University of Pelotas, Pelotas, Brazil.
Catiara Terra da CostaGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, 96015560, Brazil.
Rafael Guerra LundGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, 96015560, Brazil.
Douver MichelonGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, 96015560, Brazil. douvermichelon@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is no agreed-upon standard option for patients with locally advanced head and neck squamous cell carcinoma (LA HNSCC) unfit for cisplatin-based regimens. Therefore, we performed a systematic review to explore alternative options for this population.

methodsWe searched PubMed, Cochrane, and Embase databases for observational studies and clinical trials (CTs) assessing treatment options for LA HNSCC cisplatin-ineligible patients. This study was registered in PROSPERO under the number CRD42023483156.

resultsThis systematic review included 24 studies (18 observational studies and 6 CTs), comprising 4450 LA HNSCC cisplatin-ineligible patients. Most patients were treated with cetuximab-radiotherapy [RT] (50.3%), followed by carboplatin-RT (31.7%). In seven studies reporting median overall survival (OS) in patients treated with cetuximab-RT, it ranged from 12.8 to 46 months. The median OS was superior to 40 months in two studies assessing carboplatin-RT, and superior to 15 months in two studies assessing RT alone. For other regimens such as nimotuzumab-RT, docetaxel-RT, and carboplatin-RT plus paclitaxel the median OS was 21, 25.5, and 28 months, respectively.

conclusionsOur systematic review supports the use of a variety of therapy combinations for LA HNSCC cisplatin-ineligible patients. We highlight the urgent need for clinical studies assessing treatment approaches in this population.

Indexed as

CisplatinHead and Neck NeoplasmsSquamous Cell Carcinoma of Head and NeckAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCetuximabChemoradiotherapyHumansAntineoplastic AgentsCarboplatinCetuximabCisplatinChemotherapyCisplatinHead and neck squamous cell carcinomaHNSCCIneligible

Identifiers

PMID39093329
PMCPMC11297068

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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.