Evidence map›Paper›PMID 41008849›Full record

ArticleCancers2025

Clinical Outcome in Elderly Head and Neck Cancer Patients Treated with Concomitant Cisplatin and Radiotherapy.

Chiara Lucrezia Deantoni, Andrea Galli, Davide Valsecchi, Luca Porcu, Lucrezia Tranò, Laura Giannini, Italo Dell'Oca, Anna Chiara, Vittorio Gioffrè, Moreno Tresoldi and 3 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Chiara Lucrezia DeantoniDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-3610-0316
Andrea GalliDepartment of Otorhinolaryngology - Head and Neck Surgery, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy.ORCID 0000-0003-2677-8091
Davide ValsecchiEmergency Department, IRCCS San Raffaele Scientific Hospital, 20132 Milan, Italy.
Luca PorcuCancer Research UK Cambridge Institute, University of Cambridge, Cambridge CB2 1TN, UK.ORCID 0000-0002-0911-9775
Lucrezia TranòDepartment of Otorhinolaryngology - Head and Neck Surgery, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy.
Laura GianniniDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Italo Dell'OcaDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Anna ChiaraDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Vittorio GioffrèDepartment of Otorhinolaryngology - Head and Neck Surgery, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy.
Moreno TresoldiGeneral Medicine and Advanced Care Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0003-1541-6650
Nadia Gisella Di MuzioDepartment of Radiation Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Leone GiordanoDepartment of Otorhinolaryngology - Head and Neck Surgery, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy.ORCID 0000-0001-9094-4205
Aurora MirabileDepartment of Otorhinolaryngology - Head and Neck Surgery, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy.ORCID 0000-0002-1475-0940

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCisplatin (CDDP) concomitant to radiotherapy (RT) is one of the main treatments for locally advanced head and neck squamocellular carcinoma (LA HNSCC); nevertheless, elderly patients are underrepresented in trials and frequently receive less intensive and suboptimal treatments, which often are unimodal, even if it is well demonstrated how chemoradiotherapy (CRT) with CDDP is superior to RT alone. We aim to analyze clinical feasibility in terms of acute toxicity and treatment adherence in patients receiving concurrent high-dose CDDP and RT with curative or adjuvant intent, comparing elderly (≥65 years) with young (<65 years) patients.

methodsThis is a monocentric, observational, prospective study of consecutive LA HNSCC patients treated with high dose CDDP concomitant to RT, from January 2017 to June 2024. The primary aim is to compare the performance of elderly patients with young patients in terms treatment adherence and toxicity, while the secondary aim is to assess treatment efficacy in terms of OS and PFS endpoints. The LA HNSCC patients were selected only by treatment, so all patients who did not receive chemoradiation were excluded. No difference in terms of compliance and toxicity events >G1 in the elderly versus young population is the null hypothesis. Data were analyzed using MedCal statistical software 14.12. A

resultsA total of 170 patients were included in the study, according to the selection criteria stated. Only 7 elderly (12.3%) patients received a dose < 200 mg/m

conclusionsOur findings suggest the feasibility of curative oncological treatment for elderly individuals with LA HNSCC, if they are well selected and adequately supported. Future studies should focus on validating and expanding these results to improve patient care and outcomes.

Indexed as

chemotherapyelderlygeriatric assessmenthead and neckradiotherapy

Identifiers

PMID41008849
PMCPMC12468055

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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.