Evidence map›Paper›PMID 40339433›Full record

ReviewOral oncology2025

Defining response-adapted surgery after neoadjuvant therapy in oral cavity cancer.

Jennifer R Cracchiolo, Michael T Starc, Richard J Wong, Alan Ho, Ian Ganly, David G Pfister, Nancy Lee, Winston Wong, Kenric Tam, Marc A Cohen and 1 more

Abstract readReview
In one paragraph

Review in Oral oncology, 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. Review
  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

11 authors.

Jennifer R CracchioloHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States. Electronic address: cracchij@mskcc.org.
Michael T StarcDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Richard J WongHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Alan HoHead and Neck Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Ian GanlyHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
David G PfisterHead and Neck Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Nancy LeeHead and Neck Radiation Oncology Service, Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Winston WongHead and Neck Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Kenric TamHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Marc A CohenHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Lara DunnHead and Neck Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Integrating Electronic Patient-Reported Outcomes into Discharge PlanningK08CA283306 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Jennifer R Cracchiolo · 2024 to 2026
$630k
NCI NIH HHS K08 CA283306NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundResponse-adapted surgery in oncology refers tosurgical planning that considers a patient's response to neoadjuvant therapy. To advance the study of this strategy and for integration into routine clinical care, rigorous documentation of any response-adapted changes in surgery performed is needed. METHODS AND

resultsWe searched the medical literature and identified a gap in research into response-adapted surgery. We set out to describe a classification for documentation of the proposed resection at initial presentation and following neoadjuvant treatment at time of resection of locoregionally advanced oral cavity cancers. We based this classification upon the surgical anatomy of the oral cavity. We have divided the adaptations into structures resected, exposure lymph node basin management, and reconstruction. Using expert opinion, we developed the surgical morbidity score. This classification was reviewed and endorsed by the head and neck disease management team at our institution for use in all patients with oral cavity cancer treated with neoadjuvant strategies.

conclusionsThe proposed classification will allow for the use of consistent terminology to define response-adapted surgery in patients with locoregionally advanced oral cavity cancer treated with a neoadjuvant approach prior to definitive surgery. This uniform classification will facilitate improved communication between head and neck oncologists, comparison between published studies, and consistency in the development of clinical trial endpoints incorporating organ preservation as a vital health-related quality of life outcome.

Indexed as

Mouth NeoplasmsNeoadjuvant TherapyHumansNeoadjuvant therapyOral cavity cancerOrgan preservation

Identifiers

PMID40339433
PMCPMC12893622

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Registered trials

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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.