Evidence map›Paper›PMID 40491221›Full record

ArticleHead & neck2025

Sarcopenia Trajectories Predict Survival in Operable Head and Neck Cancer.

Marco A Mascarella, Alex Mlynarek, Keith Richardson, Karen Kost, Anthony Zeitouni, Khalil Sultanem, Christina Tsien, George Shenouda, Nathaniel Bouganim, Khashayar Esfahani and 3 more

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, 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. Article
  3. Article
  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

13 authors.

Marco A MascarellaDepartment of Biomedical Sciences, Université de Montréal, Montreal, Quebec, Canada.ORCID 0000-0002-8880-805X
Alex MlynarekDepartment of Otolaryngology, McGill University, Montreal, Quebec, Canada.
Keith RichardsonDepartment of Otolaryngology, McGill University, Montreal, Quebec, Canada.
Karen KostDepartment of Otolaryngology, McGill University, Montreal, Quebec, Canada.
Anthony ZeitouniDepartment of Otolaryngology, McGill University, Montreal, Quebec, Canada.
Khalil SultanemDepartment of Oncology, McGill University, Montreal, Quebec, Canada.
Christina TsienDepartment of Oncology, McGill University, Montreal, Quebec, Canada.
George ShenoudaDepartment of Oncology, McGill University, Montreal, Quebec, Canada.
Nathaniel BouganimDepartment of Oncology, McGill University, Montreal, Quebec, Canada.
Khashayar EsfahaniDepartment of Oncology, McGill University, Montreal, Quebec, Canada.
Michael HierDepartment of Otolaryngology, McGill University, Montreal, Quebec, Canada.
Nader SadeghiDepartment of Otolaryngology, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-3218-2668
Marie-Jeanne KergoatDepartment of Biomedical Sciences, Université de Montréal, Montreal, Quebec, Canada.

Funding

Rossy Cancer Network
6 · The paper itself

Abstract

backgroundSarcopenia is associated with increased treatment toxicity and survival in head and neck squamous cell cancer (HNSCC). This study evaluates sarcopenia trajectories and their association with overall survival (OS) and disease-free survival (DFS) in operable HNSCC.

methodsPre- and post-treatment body composition metrics of patients with stage II-IV HPV-negative HNSCC undergoing surgery were performed. Sarcopenia trajectories were categorized as remains sarcopenic, remains non-sarcopenic, recovers from sarcopenia, or progresses to sarcopenia using multiple Cox regression.

resultsOf 332 patients, 108 were sarcopenic at baseline, and 106 remained sarcopenic post-treatment. Patients who remained sarcopenic or progressed to sarcopenia demonstrated significantly worse OS (HR: 2.08, 95% CI: 1.27-3.41 and HR: 3.05, 95% CI: 1.40-6.62) and DFS (HR: 1.79, 95% CI: 1.17-2.72 and HR: 2.12, 95% CI: 1.03-4.36), compared to those who remained non-sarcopenic while adjusting for confounding factors.

conclusionSarcopenia trajectories represent dynamic biomarkers that predict oncologic outcome in patients with operable HNSCC.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsSarcopeniaAdultAgedBody CompositionDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm StagingPrognosisProportional Hazards ModelsRetrospective StudiesSquamous Cell Carcinoma of Head and Neck

Identifiers

PMID40491221
PMCPMC12541675

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.