Evidence map›Paper›PMID 40293769›Full record

SynthesisPain medicine (Malden, Mass.)2025

Prevalence and characteristics of persistent pain among head and neck cancer survivors: a systematic review and meta-analysis.

Miguel Ángel Fernández-Gualda, Paula Postigo-Martin, Maria Fernandez-Gonzalez, Lydia Martin-Martin, Pilar Vargas-Arrabal, Mario Lozano-Lozano, Carolina Fernández-Lao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pain medicine (Malden, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Cancer pain.Nature reviews. Disease primers · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
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.

Miguel Ángel Fernández-GualdaBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada 18007, Spain.
Paula Postigo-MartinBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada 18007, Spain.ORCID 0000-0001-6430-5207
Maria Fernandez-GonzalezHealth Sciences Faculty, University of Granada, Granada 18007, Spain.
Lydia Martin-MartinBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada 18007, Spain.
Pilar Vargas-ArrabalDepartment of Radiation Oncology, Hospital Universitario Virgen de las Nieves, Granada 18014, Spain.
Mario Lozano-LozanoBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada 18007, Spain.ORCID 0000-0001-5854-3567
Carolina Fernández-LaoBiomedical Group (BIO277), Department of Physical Therapy, Health Sciences Faculty, University of Granada, Granada 18007, Spain.ORCID 0000-0002-9392-1532

Funding

Andalusian Regional Government PI-0171-2020Biomédica y en Ciencias de la Salud, Consejería de Salud y FamiliasCBUAFondo Europeo de Desarrollo RegionalPrograma de Proyectos de Investigación Precompetitivos para Jóvenes InvestigadoresSubvenciones para la Financiación de la Investigación, Desarrollo e InnovaciónUniversidad de GranadaUniversity of Granada
6 · The paper itself

Abstract

importanceThere are no updated systematic reviews examining the prevalence of persistent pain among head and neck cancer survivors.

objectivesThis systematic review aims to identify the prevalence and characteristics of persistent pain across locations among head and neck cancer survivors.

designA systematic review and meta-analysis.

participantsHead and neck cancer survivors with persistent pain.

methodsIt was conducted according to PRISMA guidelines on December 14th, 2023 (PROSPERO reference CRD42024494926). The MEDLINE via PubMed, Scopus, Web of Science, CINAHL, Ovid and Cochrane Library databases were searched. Studies had to report prevalence data on persistent pain in head and neck cancer survivors who completed cancer treatment at least 3 months ago. Quality of the included studies was assessed using the critical appraisal tool developed by the Joanna Briggs Institute. Statistical heterogeneity was assessed prior to perform the meta-analysis using τ2, I2, and Q. Univariate meta-regression analyses were used to examine sources of heterogeneity.

results1713 records were retrieved. After removing duplicates 1385 articles were screened. Ultimately, 182 articles were assessed for full-text screening, of which 17 manuscripts were included for review. The prevalence of the studies was 31% (95% CI, 20 to 42). The meta-regression explained approximately 40% of the observed heterogeneity (R2 = 40.57).

conclusionsThis systematic review highlights that almost third of head and neck cancer survivors are under persistent pain after finishing cancer treatment. No final conclusions can be drawn as to which extent cancer location, cancer treatment, pain measurement method and timing of pain assessments could modify this prevalence. Results should be interpreted with caution since there is considerable variability in the methods.

Indexed as

Cancer PainCancer SurvivorsChronic PainHead and Neck NeoplasmsHumansPrevalencecancer survivorshead and neck neoplasmsmeta-analysispain prevalencepersistent painsystematic review

Identifiers

PMID40293769
PMCPMC12491860

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.