Evidence map›Paper›PMID 39548864›Full record

ArticleThe Laryngoscope2025

Nasopharynx Cancer in the United States: Racial and Ethnic Disparities in Stage at Presentation.

Edward Christopher Dee, Stephanie Wang, Frances Dominique V Ho, Roshal R Patel, Kaitlyn Lapen, Yingzhi Wu, Fan Yang, Tej A Patel, Erin Jay G Feliciano, Sean M McBride and 1 more

Abstract read
In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Impact of health insurance coverage on dentition status prior to hematopoietic cell transplant: A 10-year single-institution observational study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  4. Article
  5. Review
  6. Article
  7. 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.

Edward Christopher DeeDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.ORCID 0000-0001-6119-0889
Stephanie WangHarvard College, Cambridge, Massachusetts, U.S.A.
Frances Dominique V HoCollege of Medicine, University of the Philippines Manila, Manila, Philippines.
Roshal R PatelDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.
Kaitlyn LapenDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.
Yingzhi WuDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.
Fan YangDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.
Tej A PatelDepartment of Healthcare Management and Policy, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
Erin Jay G FelicianoDepartment of Medicine, NYC Health + Hospitals/Elmhurst, Icahn School of Medicine at Mount Sinai, Queens, New York, U.S.A.
Sean M McBrideDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.
Nancy Y LeeDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, U.S.A.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748Prostate Cancer Foundation (Young Investigator Award)
6 · The paper itself

Abstract

introductionAlthough nasopharynx cancer (NPC) is rare in the United States, global epidemiology varies greatly. Therefore, understanding NPC disparities in the diverse US setting is critical. METHODS AND MATERIALS: Data from the National Cancer Database (NCDB, 2004-2021) identified patients with NPC; NCDB allows disaggregation by Asian American (AA) subgroups. Multivariable ordinal logistic regression adjusting for demographic and socioeconomic factors defined adjusted odds ratios (aORs).

resultsOf 15,862 patients, 11,173 (70.4%) were male (median age 59). Commonest groups included 10,034 (63.3%) White, 2,272 (14.3%) Black, 1,103 (7.0%) Chinese, 442 (2.8%) Filipino, and 338 (2.1%) Vietnamese patients. Prior to disaggregation, the proportion of stage IV disease at presentation was 43.2% among White (ref), 50.0% among Black (aOR 1.12, p = 0.012), 52.0% among Native American (aOR 1.18, p > 0.05), 41.9% among AA (aOR 0.97, p > 0.05), and 55.1% among Native Hawaiian and Other Pacific Islander patients (aOR 1.47, p = 0.021). Upon disaggregation, the proportion of stage IV disease was the greatest (>50%) among Black (50.0%, aOR 1.12, p = 0.012), Laotian (61.5%, aOR 2.21, p = 0.001), Hmong (73.2%, aOR 2.92, p < 0.001), and Other Pacific Islander patients (60.9%, aOR 1.83, p = 0.004); 44.2% of Filipino patients also presented with stage IV disease (aOR 1.21, p = 0.033). Odds of presenting with advanced stage disease were lower among Chinese patients (35.7% stage IV, aOR 0.72, p < 0.001).

conclusionsAlthough most NPC patients were Chinese, White, or Black, stage IV disease at presentation was most common among Hmong, Laotian, non-Hawaiian Pacific Islander, and Black patients. Efforts are needed to improve awareness of NPC among less canonically affected groups. LEVEL OF EVIDENCE: 4 Laryngoscope, 135:1113-1119, 2025.

Indexed as

EthnicityHealth Status DisparitiesNasopharyngeal NeoplasmsAdultAgedAsianDatabases, FactualFemaleHumansMaleMiddle AgedNeoplasm StagingRacial GroupsUnited StatesYoung Adultcancer disparitieshead and neck cancerhealth servicesnasopharyngeal cancernasopharynx cancerracial disparities

Identifiers

PMID39548864
PMCPMC12333929

What OpenQuestion holds

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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.