Evidence map›Paper›PMID 39648885›Full record

ArticleHead & neck2025

Impact of Close Margins on Oral Cancer Outcomes According to the Oral Subsite.

Patrick Sheahan, Deirdre Callanan, Nadia van den Berg, Justin Hintze, David Brinkman, Hadeel Jawad, Ryan O'Sullivan, Ross O'Shea, Andrew Dias, Linda Feeley

Abstract read
In one paragraph

Article in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. 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
  3. Heterogeneity in Survival Over Time by Age, Sex, and Subsite in Early-Onset Oral Cavity Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  4. 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

10 authors.

Patrick SheahanDept of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland.ORCID 0000-0002-9153-8951
Deirdre CallananDept of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland.
Nadia van den BergDept of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland.
Justin HintzeDept of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland.ORCID 0000-0002-7837-4032
David BrinkmanDept of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland.
Hadeel JawadDepartment of Pathology, Cork University Hospital, Cork, Ireland.
Ryan O'SullivanDept of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland.
Ross O'SheaDept of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland.
Andrew DiasDept of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland.
Linda FeeleyENTO Research Unit, College of Medicine and Health, University College Cork, Cork, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic significance of close margins in oral squamous cell carcinoma (OSCC) is controversial. We wished to investigate the impact of close margins on the risk of local recurrence (LR) in OSCC according to the oral subsite.

methodsA retrospective cohort study of 342 OSCC patients undergoing primary surgical treatment was conducted. Surgical margins were based on the main specimen and defined as positive (SCC at margins), close (< 5 mm), or clear (≥ 5 mm).

resultsAmong tongue SCC cases, both positive (hazard ratio 13.48, 95% CI 2.03, 32.91) and close margins (hazard ratio 3.87, 95% CI 1.31, 11.34) were significantly associated with LR. Tongue margins < 4 mm were associated with higher LR. Among non-tongue SCC cases, only positive margins (hazard ratio 4.10, 95% CI 1.19, 14.21) were associated with LR. Close margins were not significant (hazard ratio 1.59, 95% CI 0.46, 5.42).

conclusionsClose margins appear to have a differential impact on LR in OSCC according to the oral subsite.

Indexed as

Carcinoma, Squamous CellMargins of ExcisionMouth NeoplasmsNeoplasm Recurrence, LocalAdultAgedAged, 80 and overCohort StudiesDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm StagingPrognosisProportional Hazards Modelsclosemarginsoral cavitysquamous cell carcinomatongue

Identifiers

PMID39648885
PMCPMC11907674

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.