Evidence map›Paper›PMID 40799173›Full record

ArticleHead & neck2026

Fuel for Recovery: Predicting G-Tube Dependence in HPV-Negative Operable HNSCC.

Marie-Michelle McNicoll, Alex M Mlynarek, Keith Richardson, Michael Hier, Nader Sadeghi, Anna Casola, Nathaniel Bouganim, Khashayar Esfahani, Christina Tsien, George Shenouda and 2 more

Abstract read
In one paragraph

Article in Head & neck, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Marie-Michelle McNicollUndergraduate Medical Education, McGill University, Montréal, Quebec, Canada.ORCID 0009-0004-2369-8680
Alex M MlynarekDepartment of Otolaryngology-Head and Neck Surgery, McGill University, Montréal, Quebec, Canada.
Keith RichardsonDepartment of Otolaryngology-Head and Neck Surgery, McGill University, Montréal, Quebec, Canada.
Michael HierDepartment of Otolaryngology-Head and Neck Surgery, McGill University, Montréal, Quebec, Canada.
Nader SadeghiDepartment of Otolaryngology-Head and Neck Surgery, McGill University, Montréal, Quebec, Canada.ORCID 0000-0002-3218-2668
Anna CasolaDepartment of Clinical Nutrition-Jewish General Hospital, McGill University, Montréal, Quebec, Canada.
Nathaniel BouganimGerald Bronfman Department of Oncology, McGill University, Montréal, Quebec, Canada.
Khashayar EsfahaniGerald Bronfman Department of Oncology, McGill University, Montréal, Quebec, Canada.
Christina TsienGerald Bronfman Department of Oncology, McGill University, Montréal, Quebec, Canada.
George ShenoudaGerald Bronfman Department of Oncology, McGill University, Montréal, Quebec, Canada.
Khalil SultanemGerald Bronfman Department of Oncology, McGill University, Montréal, Quebec, Canada.
Marco A MascarellaDepartment of Otolaryngology-Head and Neck Surgery, McGill University, Montréal, Quebec, Canada.ORCID 0000-0002-8880-805X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHPV-negative head and neck squamous cell carcinoma (HNSCC) patients can face prolonged gastrostomy tube (g-tube) dependence, affecting quality of life and delaying treatment. Existing models lack key health metrics like sarcopenia; this study develops a risk model to enhance preoperative assessment.

methodsThis study analyzed 265 HNSCC patients. Sarcopenia was assessed via cervical paraspinal skeletal muscle mass (C3) on CT scans. Patients requiring g-tube support > 28 days were identified. Risk models were developed and compared to the PEG Score. A 50-patient validation cohort assessed model performance.

resultsKey predictors included male sex, sarcopenia, prior radiotherapy, and adjuvant therapy. Logistic regression (LR) model had the highest AUC (0.78); followed by Recursive Partitioning analysis (RPA) model (0.76), both outperforming the PEG Score (0.67). RPA model maintained superior accuracy in validation (AUC = 0.79).

conclusionRPA model outperformed PEG Score, offering a more precise risk tool for preoperative planning and early intervention.

Indexed as

Enteral NutritionGastrostomyHead and Neck NeoplasmsSarcopeniaSquamous Cell Carcinoma of Head and NeckAdultAgedCohort StudiesFemaleHumansLogistic ModelsMaleMiddle AgedRetrospective StudiesRisk AssessmentTomography, X-Ray Computedhead and neck cancerHNSCCPEG dependencerisk stratificationsarcopenia

Identifiers

PMID40799173
PMCPMC12703559

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.