Evidence map›Paper›PMID 40810214›Full record

ArticleHead & neck2026

Geographic Trends and Geospatial Analysis of Head and Neck Fellowship-Trained Surgeons.

Jad Zeitouni, Harry May, Hannah Seo, Preston Thipaphay, Nosayaba Osazuwa-Peters, Mark A Varvares, Yusuf Dundar

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

7 authors.

Jad ZeitouniMassachusetts Eye and Ear, Department of Otolaryngology-Head and Neck Surgery, Boston, Massachusetts, USA.ORCID 0000-0003-3723-9018
Harry MaySchool of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Hannah SeoSchool of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Preston ThipaphaySchool of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Nosayaba Osazuwa-PetersDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0002-1390-9753
Mark A VarvaresMassachusetts Eye and Ear, Department of Otolaryngology-Head and Neck Surgery, Boston, Massachusetts, USA.
Yusuf DundarSchool of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisparities in access to otolaryngology and cancer care exist across the United States. However, little is known about the geographic distribution of fellowship-trained head and neck cancer (HNC) surgeons.

methodsA cross-sectional study of American Head and Neck Society (AHNS) fellowship graduates from July 1, 1997 to June 30, 2022 was conducted. Geospatial and statistical analysis was conducted to assess current practice location and correlations with training regions.

resultsAmong 688 graduates, 622 practice in the US or Canada. Most graduates remained in the region of their training. Geospatial analysis showed concentration of graduates in urban areas, with 152 of 3142 US counties having higher-than-expected density. Underserved regions were identified in the southeastern US, southern border, and western states.

conclusionsHead and neck surgical fellowship graduates predominantly practice in large urban areas, leaving rural and underserved regions with limited access to complex HNC care. Strategic interventions are needed to address these gaps.

Indexed as

Fellowships and ScholarshipsHead and Neck NeoplasmsOtolaryngologyProfessional Practice LocationSurgeonsCanadaCross-Sectional StudiesFemaleHumansMaleMedically Underserved AreaUnited Statesaccess to caregeospatial analysishead and neck cancerhead and neck fellowshipworkforce

Identifiers

PMID40810214
PMCPMC12703577

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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.