Evidence map›Paper›PMID 40457636›Full record

ArticleHead & neck2025

Quad Shot-A Tertiary Hospital Experience With a Palliative Radiotherapy Regimen for Head and Neck Cancer.

Eirini Nikolaidou, Tilman Bostel, Arnulf Mayer, Daniel Wollschläger, Heinz Schmidberger, Justus Kaufmann

Abstract read
In one paragraph

Article in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  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

6 authors.

Eirini NikolaidouDepartment of Radiation Oncology, University Medical Center Mainz, Mainz, Germany.
Tilman BostelDepartment of Radiation Oncology, University Medical Center Mainz, Mainz, Germany.
Arnulf MayerDepartment of Radiation Oncology, University Medical Center Mainz, Mainz, Germany.
Daniel WollschlägerInstitute for Medical Biostatistics, Epidemiology and Informatics, University Medical Center Mainz, Mainz, Germany.
Heinz SchmidbergerDepartment of Radiation Oncology, University Medical Center Mainz, Mainz, Germany.
Justus KaufmannDepartment of Radiation Oncology, University Medical Center Mainz, Mainz, Germany.ORCID 0000-0003-0189-3499

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHead and neck cancer patients often present with locally advanced disease. For some patients, palliative treatment schedules focused on symptom control are often preferred. Perhaps the most widely used of these is the so-called Quad Shot (QS) regimen.

methodsWe evaluated 51 patients with head and neck squamous cell carcinomas treated with QS at University Medical Centre Mainz between 2017 and 2024 for response, survival, and toxicity.

resultsMedian overall survival was 5.9 (95% CI: 4.3-10.5) months. Thirty-nine patients could be evaluated for response; out of these, 16 patients had an objective response, and 21 patients had stable disease. Only two cases of toxicity Grade 3 or higher were observed and are most likely attributable to other reasons.

conclusionQS was well tolerated and showed a meaningful response in most patients. Using real-world data from a highly palliative patient cohort, we discuss several considerations for QS prescription.

Indexed as

Head and Neck NeoplasmsPalliative CareSquamous Cell Carcinoma of Head and NeckAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTertiary Care CentersTreatment Outcomeaccelerated radiotherapyhead and neck squamous cell carcinomahypofractionationpalliative caresymptom control

Identifiers

PMID40457636
PMCPMC12434552

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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.