Evidence map›Paper›PMID 40470665›Full record

ArticleHead & neck2025

Geographic and Socioeconomic Landscape of Veterans With Head and Neck Cancer.

Kristen L Zayan, Jennifer L McCoy, Monique Y Boudreaux-Kelly, Chad Brenner, Zachary Hahn, Jose P Zevallos, Matthew E Spector, John Hotchkiss, Jessica H Maxwell

Abstract read
PubMed Full text at PMC Publisher
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Kristen L ZayanDepartment of Otolaryngology-Head & Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-7945-3285
Jennifer L McCoyOffice of Research and Development, Veteran's Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Monique Y Boudreaux-KellyOffice of Research and Development, Veteran's Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Chad BrennerDepartment of Otolaryngology, University of Michigan Hospital, Ann Arbor, Michigan, USA.
Zachary HahnDepartment of Medicine, Togus Veteran's Affairs Medical Center, Augusta, Maine, USA.
Jose P ZevallosDepartment of Otolaryngology-Head & Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-9111-6767
Matthew E SpectorDepartment of Otolaryngology-Head & Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-7646-6075
John HotchkissDepartment of Medicine, Veteran's Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Jessica H MaxwellDepartment of Otolaryngology-Head & Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUS Veterans experience higher rates and worse outcomes for head and neck squamous cell carcinoma (HNSCC) compared to civilians. Geographic and socioeconomic barriers remain unclear.

methodsThis retrospective descriptive study analyzed VA data nationwide (2012-2022), identifying Veterans with HNSCC using ICD codes. Subsites included oral cavity, oropharynx (OPC), hypopharynx, larynx, and nasopharynx. Rurality, deprivation, and travel distances were assessed.

resultsAmong 75,453 Veterans with HNSCC, 36% lived in rural areas, with travel times of 94 min to tertiary VA facilities. Approximately 32% had high deprivation (area deprivation indices [ADI] ≥ 75). OPC cases increased from 26.3% in 2012 to 46% in 2022, while laryngeal cancers declined. OPC patients were less deprived (p < 0.001) but had similar travel distances and rurality compared to non-OPC patients.

conclusionOverall, Veterans experience high deprivation, long travel times, and over one-third live in rural communities, highlighting potential barriers to access and equity among Veterans with HNSCC.

Indexed as

Head and Neck NeoplasmsSquamous Cell Carcinoma of Head and NeckVeteransAgedFemaleHealth Services AccessibilityHumansMaleMiddle AgedRetrospective StudiesRural PopulationSocioeconomic FactorsUnited Statesarea deprivationhead and neck squamous cell carcinomahealthcare accessruralitysocioeconomic barriersVeterans

Identifiers

PMID40470665
PMCPMC12434562

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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.