Evidence map›Paper›PMID 40185843›Full record

ArticleScientific reports2025

Neck dissection improves the prognosis of patients with early-stage oral squamous cell carcinoma.

Yungang He, Haonan Shui, Jia Liu, Yuehang He, Jian Wu, Qiuzhi Chen

Abstract 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. 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. Article
  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

6 authors.

Yungang He *Head and Neck Surgery, Chongqing University Cancer Hospital, No.181 Hanyu Road, Shapingba District, Chongqing, 400000, China.
Haonan Shui *Department of Obstetrics, The First Clinical Medical College, Chongqing Medical University, Chongqing, China.
Jia LiuDepartment of Nuclear Medicine, Chongqing University Cancer Hospital, Chongqing, China.
Yuehang HeHead and Neck Surgery, Chongqing University Cancer Hospital, No.181 Hanyu Road, Shapingba District, Chongqing, 400000, China.
Jian WuHead and Neck Surgery, Chongqing University Cancer Hospital, No.181 Hanyu Road, Shapingba District, Chongqing, 400000, China. wujianos@cqu.edu.cn.
Qiuzhi ChenDepartment of Radiology, Chongqing University Cancer Hospital, Chongqing, China. 17830663986@163.com.

Funding

Technological Innovation Project Assignment of Shapingba District, Chongqing 2024115
6 · The paper itself

Abstract

For early-stage oral squamous cell carcinoma (OSCC), the primary treatment modality generally entails surgical resection. However, the role of neck dissection in early-stage OSCC remains controversial. The aim of this study was to evaluate the effect of neck dissection on the prognosis of patients with early-stage OSCC. We identified patients with early-stage OSCC from the Surveillance, Epidemiology, and End Results database spanning from 2004 to 2021. We collected demographic and clinical data, including age, sex, tumor site, marital status, race, residence, income, grade, records of radiotherapy and chemotherapy, neck management modality, survival time, disease-specific survival (DSS), and overall survival (OS). A retrospective cohort study design was employed to differentiate between the neck observation and neck dissection group. Kaplan-Meier survival analysis and Cox regression were utilized to evaluate the association between neck dissection and survival outcome. The study included 12,606 patients, of whom 5135 died (available for OS analysis), and 2477 died from OSCC (available for DSS analysis). Kaplan-Meier survival analysis revealed statistically differences between the observation and neck dissection group in OS (p < 0.0001) and DSS (p = 0.00067). Multivariate analysis confirmed that neck dissection was associated with improved survival, after adjusting for multiple factors such as, age, sex, tumor site, marital status, race, residence, income, grade, records of radiotherapy and chemotherapy, neck dissection was associated with a decreased risk of both DSS (hazard ratio [HR] = 0.73, 95% confidence interval [CI] = 0.66-0.8; p < 0.001) and OS (HR = 0.76, 95% CI = 0.71-0.81; p < 0.001). Patients with early-stage OSCC may derive significant clinical benefit from neck dissection; therefore, neck dissection is recommended for such patients.

Indexed as

Carcinoma, Squamous CellMouth NeoplasmsNeck DissectionAdultAgedAged, 80 and overFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesSEER ProgramDisease-specific survivalEarly-stageneck dissectionneck observationOral squamous cell carcinoma (OSCC)Overall survival

Identifiers

PMID40185843
PMCPMC11971466

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.