Evidence map›Paper›PMID 40515499›Full record

ArticleHead & neck2025

Outcomes of Reduced Elective Nodal Radiation Dose and Volume for Laryngeal, Hypopharyngeal, and p16-Negative Oropharyngeal Cancers.

Kaveh Zakeri, Steven D Wren, Trisha Shang, Yao Yu, Linda Chen, Achraf Shamseddine, Amir H Safavi, Jung Julie Kang, C Jillian Tsai, Eric J Sherman and 5 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 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. Review
  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

15 authors.

Kaveh ZakeriDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0003-3921-480X
Steven D WrenDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Trisha ShangDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0001-9687-9336
Yao YuDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Linda ChenDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Achraf ShamseddineDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Amir H SafaviDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Jung Julie KangDepartment of Radiation Oncology, Yale University, New Haven, Connecticut, USA.
C Jillian TsaiDepartment of Radiation Oncology, University of Toronto, Toronto, Canada.
Eric J ShermanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Richard J WongDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Sean M McBrideDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Daphna GelblumDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Nadeem RiazDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Nancy Y LeeDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundReducing elective nodal irradiation dose can decrease treatment toxicity and improve quality of life for head and neck cancer patients.

methodsWe determined the effectiveness of reducing elective radiotherapy doses to 40 Gy for a consecutive cohort of laryngeal, hypopharyngeal, and p16-negative oropharyngeal or unknown primary squamous cell carcinomas treated with concurrent chemoradiation. The primary outcome measure was solitary elective nodal recurrence.

resultsThe cohort included 73 consecutive patients with a median follow up of 23.3 months. There were no cases of solitary elective nodal recurrence. Six patients had locoregional recurrence, eight had distant recurrence, and two had simultaneous locoregional and distant recurrence. All locoregional recurrences occured in the 70 Gy target volume (three in the primary tumor target, three in the involved node target, and two in both).

conclusionsReduction in elective nodal radiation dose did not lead to solitary elective nodal recurrences for laryngeal, hypopharyngeal, and p16-negative oropharyngeal cancers.

Indexed as

Carcinoma, Squamous CellHypopharyngeal NeoplasmsLaryngeal NeoplasmsNeoplasm Recurrence, LocalOropharyngeal NeoplasmsAdultAgedAged, 80 and overChemoradiotherapyCohort StudiesCyclin-Dependent Kinase Inhibitor p16FemaleFollow-Up StudiesHumansLymphatic MetastasisMaleCyclin-Dependent Kinase Inhibitor p16

Identifiers

PMID40515499
PMCPMC12947948

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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.