Evidence map›Paper›PMID 39467971›Full record

ArticleAnnals of surgical oncology2025

Impact of Surgeon-Radiation Oncology Dyads in Oral Cavity Cancer Outcomes.

Jacob Wihlidal, Alex O Esemezie, Shao Hui Huang, Erin Watson, Ralph W Gilbert, John Waldron, Patrick J Gullane, Andrew Hope, Jonathan C Irish, Brian O'Sullivan and 15 more

Abstract read
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

25 authors.

Jacob WihlidalDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Alex O EsemezieDepartment of Otolaryngology - Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, Toronto, ON, Canada.
Shao Hui HuangDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Erin WatsonDepartment of Dental Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Ralph W GilbertDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
John WaldronDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Patrick J GullaneDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Andrew HopeDepartment of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Jonathan C IrishDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Brian O'SullivanDepartment of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Douglas B ChepehaDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, MI, USA.
John J H KimDepartment of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Dale BrownDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
B C John ChoDepartment of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Ian J WitterickDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Eric MonteiroDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Joel C DaviesDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Jolie RingashDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
David P GoldsteinDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Scott BratmanDepartment of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Andrew BayleyDepartment of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
John R de AlmeidaDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
Timothy C Y ChanDepartment of Mechanical and Industrial Engineering, University of Toronto, Toronto, ON, Canada.
Ali HosniDepartment of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Christopher M K L YaoDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, ON, Canada. christophermkl.yao@uhn.ca.ORCID http://orcid.org/0000-0003-0346-716X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultidisciplinary care is paramount in patient-specific decision making, especially as pertaining to oral cavity squamous cell cancer (OCSCC) treatment. Protracted surgery-postoperative-radiation (S-PORT) has a detrimental impact on OCSCC patients' outcomes. This study examined the impact of surgeon-radiation oncologist dyads on the treatment of OCSCC, focusing on S-PORT interval and disease specific outcomes.

methodsAll OCSCC patients treated in a tertiary cancer center between 2009 to 2017 were included. Patients were categorized into "dyad" and "nondyad" groups defined as whether they were treated by a paired surgeon-radiation oncology team with joint multidisciplinary clinic or shared >30% patient volumes. Univariate and multivariate logistic regression were performed to identify factors associated with a prolonged S-PORT time interval (≥8 weeks). Overall survival and locoregional recurrence were estimated and compared.

resultsA total of 444 OCSCC were eligible. Treatment by a dyad was significantly less likely associated with S-PORT ≥ 8 weeks (odds ratio [OR]

conclusionsSurgeon-radiation oncology dyads significantly minimized time from surgery to postoperative radiation in OCSCC. While improvement in overall survival or locoregional recurrence was not observed, these findings support close knit collaborative multidisciplinary treatment care models, including dyad-based care.

Indexed as

Mouth NeoplasmsNeoplasm Recurrence, LocalRadiation OncologySurgeonsAgedCarcinoma, Squamous CellCombined Modality TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Care TeamPrognosisRadiation OncologistsRadiotherapy, AdjuvantModels of CareMultidisciplinary TeamsOral CancerPost-op Radiation TreatmentSurgeon Radiation Oncology DyadsTreatment Package Time

Identifiers

PMID39467971

What OpenQuestion holds

Textmetadata
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.