Evidence map›Paper›PMID 40200206›Full record

ArticleBMC cancer2025

Hypothyroidism following immunotherapy predicts more postoperative complication in oral squamous cell carcinoma.

Wenwen Zhang, Ping Lu, Xing Li, Qigen Fang

Abstract read
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Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Wenwen ZhangDepartment of Endocrinology, Henan Provincial People's Hospital, Department of Endocrinology of Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, 450003, PR China. 13803839027@163.com.
Ping LuDepartment of Endocrinology, Henan Provincial People's Hospital, Department of Endocrinology of Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, 450003, PR China.
Xing LiDepartment of General surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, 450008, PR China.
Qigen FangDepartment of Head Neck and Thyroid, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, 450008, PR China.

Funding

Henan Research Program of Medical Education Wjlx2022031
6 · The paper itself

Abstract

objectiveTo evaluate the impact of hypothyroidism that develops following immunotherapy on surgical outcomes in patients diagnosed with oral cancer.

methodsPatients with surgically treated oral cancer following neoadjuvant immunochemotherapy were retrospectively enrolled. Impact of hypothyroidism on postoperative complication were analyzed.

resultsIn total, 303 patients were enrolled. In comparison to patients with normal thyroid function, patients with subclinical or overt hypothyroidism did not exhibit a significantly increased risk of surgical site infection, but both conditions were associated with a higher risk of fistula formation and wound debridement. The cohort suffering from subclinical hypothyroidism exhibited odds ratios (ORs) of 1.88 [95% confidence interval (CI): 1.12-5.47] for fistula development and 1.95 [95% CI: 1.27-6.98] for wound debridement. Patients with overt hypothyroidism had a 2.03-fold higher risk of fistula formation (95% CI: 1.35-6.24) and a 2.17-fold higher risk of wound debridement (95% CI: 1.20-7.53). The rate of wound debridement escalated to 40.0% when both hypothyroidism and diabetes were present simultaneously; in contrast, it diminished to 20.0% in cases of isolated hypothyroidism, 12.1% in individuals with diabetes alone, and a mere 5.2% in patients devoid of both conditions. The incidence of fistula formation was most pronounced in patients with coexisting diabetes and hypothyroidism, followed closely by 6.7% in those with solely hypothyroidism. The occurrence of fistulas was remarkably rare among patients with only diabetes or those lacking both factors.

conclusionsHypothyroidism induced by neoadjuvant immunotherapy exerts a considerable negative impact on the formation of fistulas and wound debridement in patients with locally advanced oral cancer, an effect that may be exacerbated by the presence of diabetes.

Indexed as

Carcinoma, Squamous CellHypothyroidismImmunotherapyMouth NeoplasmsPostoperative ComplicationsAdultAgedFemaleHumansMaleMiddle AgedNeoadjuvant TherapyRetrospective StudiesRisk FactorsSurgical Wound InfectionFistulaHypothyroidismNeoadjuvant immunotherapyOral cancerWound debridement

Identifiers

PMID40200206
PMCPMC11980048

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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.