Evidence map›Paper›PMID 40960779›Full record

ArticleEinstein (Sao Paulo, Brazil)2025

Overall and disease-free survival in patients with HPV-positive and HPV-negative oropharyngeal cancer.

Matheus de Abreu, Dandara Menezes de Araujo Oliveira, Bartolomeu Conceição Bastos Neto, Janaina Naiara Germano, Luiz Paulo Kowalski, Maria Paula Curado

Abstract read
In one paragraph

Article in Einstein (Sao Paulo, Brazil), 2025. 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

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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

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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

6 authors.

Matheus de AbreuEpidemiology and Statistics Nucleus, International Research Center, A. C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-3914-3108
Dandara Menezes de Araujo OliveiraEpidemiology and Statistics Nucleus, International Research Center, A. C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-7523-7980
Bartolomeu Conceição Bastos NetoEpidemiology and Statistics Nucleus, International Research Center, A. C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-1744-1569
Janaina Naiara GermanoEpidemiology and Statistics Nucleus, International Research Center, A. C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-8208-6092
Luiz Paulo KowalskiDepartment of Head and Neck Surgery and Otorhinolaryngology, A. C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5865-9308
Maria Paula CuradoEpidemiology and Statistics Nucleus, International Research Center, A. C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-8172-2483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the overall and disease-free survival of patients with oropharyngeal squamous cell carcinoma.

methodsSociodemographic and clinical data, HPV status, and alcohol/tobacco consumption were assessed among patients treated at AC Camargo Cancer Center, São Paulo, Brazil. Absolute and relative frequencies, overall survival, and disease-free survival at 5 and 7 years were calculated using Kaplan-Meier analysis, and Cox regression was used to estimate the risk of death.

resultsThe 7-year overall survival rate was 61.6% for patients with oropharyngeal squamous cell carcinoma (67.5% for HPV-positive cases and 51.1% for HPV-negative cases). Among HPV-positive cases, the risk of death was 5.29-fold higher for smokers than that for non-smokers (p<0.001) and 4.42-fold higher for patients with metastasis than that for those without (p=0.108). Among HPV-cases, those with clinical stage T3/T4 disease had a 1.8-fold higher risk of death than those with T1/T2 disease (p=0.039), and those with metastasis exhibited a 4.62-fold higher risk than those without (p<0.001). The 7-year disease-free survival rate for oropharyngeal squamous cell carcinoma was 88.6% (90.1% for HPV-positive cases and 85.9% for HPV-negative cases). Among HPV-positive cases, patients with metastasis had an 11.75-fold higher risk of recurrence than those without (p<0.001); among HPV-negative cases, patients with metastasis had a 4.62-fold higher risk than those without (p=0.004).

conclusionPatients with HPV-positive oropharyngeal squamous cell carcinoma had higher overall survival and increased recurrence rates within the first 3 years but lower recurrence rates beyond 5 years than patients with HPV-negative disease. More frequent follow-ups after 5 years are recommended for patients with HPV-positive disease. Tobacco and alcohol consumption negatively affect the overall survival of patients with HPV-positive oropharyngeal squamous cell carcinoma.

Indexed as

Carcinoma, Squamous CellOropharyngeal NeoplasmsPapillomavirus InfectionsAdultAgedAlcohol DrinkingBrazilDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingPapillomaviridaeRisk Factors

Identifiers

PMID40960779
PMCPMC12539820

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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.