Evidence map›Paper›PMID 39800346›Full record

Observational studyClinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery2025

Incidence Trends in Head and Neck Cancer Subsites: A National Population-Based Study (2001-2020).

Kelten Clements, Alex D McMahon, Lesley Bhatti, Craig Smith, Claire Paterson, Catriona M Douglas, David I Conway

Abstract readObservational Study
In one paragraph

Observational study in Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Review
  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

7 authors.

Kelten ClementsSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.ORCID 0009-0001-7328-6236
Alex D McMahonSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
Lesley BhattiPublic Health Scotland, Edinburgh, UK.
Craig SmithSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
Claire PatersonSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-1691-5016
Catriona M DouglasSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
David I ConwaySchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.

Funding

Beatson Cancer Charity, NHS Greater GlasgowChief Scientist Office NRS FellowshipClyde NRS Senior FellowshipCRUK RadNet GlasgowEuropean Union's Horizon 2020 825771MRC CARP Award
6 · The paper itself

Abstract

objectivesThis descriptive epidemiological study aims to investigate trends in head and neck cancer (HNC) within the anatomical divisions of laryngeal, oropharyngeal, and oral cavity cancers over the past two decades.

designRetrospective population-based observational study.

settingScotland, a constituent country of the United Kingdom, with a population of 5.5 million.

participantsNewly diagnosed HNC patients in Scotland registered in the Scottish Cancer Registry from 2001 to 2020.

main outcome measuresTrends in age-standardised incidence rates from 2001 to 2020 for each HNC subsite, anatomical division, and individual sociodemographic using joinpoint regression analysis and Poisson regression analysis.

resultsOverall, HNC incidence rates have remained stable, with an average annual percentage change (AAPC) of 0.29% (p = 0.34). However, oropharyngeal cancer showed a significant increase in incidence rates with an AAPC of 3.76% (p < 0.001); the tonsils (C09) and the base of the tongue (C01) experienced the greatest increases in AAPC of 4.63% (p = 0.001) and 4.79% (p < 0.001), respectively. Conversely, laryngeal cancer rates declined significantly, with an AAPC of -2.56% (p < 0.001). This decline was primarily influenced by annual reductions of -2.40% (p = 0.09) in cancers affecting the glottis (C32.0). Incidence rates for oral cavity cancer remained mostly stable, with an AAPC of -0.60% (p = 0.08).

conclusionThis analysis highlights that behind a stable HNC incidence rate over the past 20 years, there are differential trends among various anatomical divisions with an overall increasing burden of oropharyngeal cancer and declining rates of laryngeal cancer.

Indexed as

Head and Neck NeoplasmsRegistriesAdultAgedAged, 80 and overFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesScotlandhead and neck cancerincidence trendslaryngeal canceroral cavity canceroropharyngeal cancer

Identifiers

PMID39800346
PMCPMC11975201

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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.