Evidence map›Paper›PMID 39966526›Full record

ArticleScientific reports2025

Survival and data-driven phenotypes in head and neck cancer.

Anni Heinolainen, Bruce Nguyen, Suvi Silén, Risto Renkonen, Miika Koskinen

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07739771 (Retrospective Evaluation of Severe Oral Mucositis Incidence, Time to Onset and Functional Impact in Quality of Life in Head and Neck Cancer Radiated and Chemo-radiated Patients. Part of the Stop Oral Mucositis Project), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT07739771 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Retrospective Evaluation of Severe Oral Mucositis Incidence, Time to Onset and Functional Impact in Quality of Life in Head and Neck Cancer Radiated and Chemo-radiated Patients. Part of the Stop Oral Mucositis Project (STOPOMP)

TypeobservationalSponsorMucosa Innovations, S.L.Ran2026 to 2026Enrolled60ConditionsOral Mucositis, Quality of Life, Mucositis, Pain
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
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  4. Review
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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

5 authors.

Anni HeinolainenFaculty of Medicine, University of Helsinki, Helsinki, Finland. anni.heinolainen@helsinki.fi.ORCID 0009-0007-0690-8844
Bruce NguyenFaculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0009-0001-5723-7004
Suvi Silén *Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-1240-0661
Risto RenkonenFaculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4455-2918
Miika Koskinen *Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-7267-5811

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Head and neck cancer (HNC) is the seventh most common cancer worldwide, with a 5-year overall survival of 50-60%. Despite known survival factors, unexpected deaths underscore the need to refine pre-treatment survival predictions. This study aimed to identify novel data-driven HNC patient phenotypes, associated features and predict overall survival using deep survival clustering model VaDeSC. We used a retrospective cohort of 1341 HNC patients from Helsinki University Hospital, utilizing their pre-treatment clinical and demographic data from electronic health records. We identified six previously unrecognized HNC phenotypes with distinct survival patterns, highlighting the significance of BMI, sleep apnoea, TNM stage, tumour site, treatment intention, gender, and age-related treatment modalities. VaDeSC demonstrated strong predictive accuracy, clustering performance and generalizability, achieving C-index of 0.895 ± 0.015 on training and 0.782 ± 0.013 on test data. The phenotype purity was 0.102 ± 0.11 on training-validation data and 0.143 ± 0.006 on test data. Our findings demonstrated that clustering pre-treatment clinical survival data offers intuitively interpretable results with accurate individualised predictions. This approach holds significant potential for novel phenotype discovery across various diseases and endpoints.

Indexed as

Head and Neck NeoplasmsAdultAgedAged, 80 and overCluster AnalysisFemaleHumansMaleMiddle AgedPhenotypePrognosisRetrospective StudiesSurvival Analysis

Identifiers

PMID39966526
PMCPMC11836055

What OpenQuestion holds

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Registered trials

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.