Evidence map›Paper›PMID 41276658›Full record

SynthesisEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Survival behavior of patients treated with curative and palliative electrochemotherapy for oral and oropharyngeal cancer: a systematic review.

Francesco Chiari, Daria Maria Filippini, Matteo Fermi, Livio Presutti, Claudio Donadio Caporale, Giulia Bertino, Marco Benazzo, Laura Deborah Locati, Pierre Guarino

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Inpatient morbidity and structural care burden in oropharyngeal carcinoma in Germany: a nationwide cross-institutional EHR analysis using an AI-enabled data network.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  5. Article
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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

9 authors.

Francesco ChiariOtolaryngology Head and Neck Unit - "Santo Spirito" Hospital, Via Fonte Romana 8, 65124, Pescara, Italy. francesco.chiari.med@gmail.com.ORCID http://orcid.org/0000-0001-5600-3938
Daria Maria FilippiniDivision of Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria Sant'Orsola Malpighi, 40138, Bologna, Italy.ORCID http://orcid.org/0000-0003-3328-7282
Matteo FermiDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-2727-0321
Livio PresuttiDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-2752-132X
Claudio Donadio CaporaleOtolaryngology Head and Neck Unit - "Santo Spirito" Hospital, Via Fonte Romana 8, 65124, Pescara, Italy.
Giulia BertinoDepartment of Otolaryngology Head and Neck Surgery, University of Pavia, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.ORCID http://orcid.org/0000-0003-2840-5184
Marco BenazzoDepartment of Otolaryngology Head and Neck Surgery, University of Pavia, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.ORCID http://orcid.org/0000-0002-6857-1729
Laura Deborah LocatiHead and Neck Medical Oncology Unit, University of Pavia, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.ORCID http://orcid.org/0000-0003-3315-2580
Pierre GuarinoOtolaryngology Head and Neck Unit - "Santo Spirito" Hospital, Via Fonte Romana 8, 65124, Pescara, Italy.ORCID http://orcid.org/0000-0003-3796-9483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe primary objective of this review is to assess the survival outcomes of patients affected by oral cavity and oropharyngeal squamous cell carcinoma (SCC) treated with electrochemotherapy (ECT). Secondarily, the authors aim to quantify these outcomes according to treatment intent (curative versus palliative) and to evaluate potential prognostic factors influencing survival.

methodsA systematic literature review was conducted in accordance with the PRISMA 2020 guidelines. A comprehensive search was carried out in Embase, PubMed, Scopus, and the Cochrane Library databases to identify studies published between January 1998 and April 2025.

resultsSixteen studies comprising a total of 120 patients were analysed. Overall, ECT was generally well tolerated, with acceptable and manageable adverse events. In the curative-intent cohort, a complete response was achieved in 74% of cases, with a recurrence rate of 12%. One- and two-year disease-free survival (DFS) rates were 94.8% and 77.5%, respectively. Prognostic factors associated with improved survival included early tumor stage, use of adjuvant therapy, and tumors located in the anterior oral cavity. In the palliative-intent cohort, a partial or complete response was observed in 74% of patients, with a one-year DFS of 29.3%. Negative prognostic factors included recurrent disease, prior treatments, and the presence of distant metastases.

conclusionsECT appears to be a promising therapeutic strategy for selected patients with oral cavity and oropharyngeal SCC, particularly in early-stage, treatment-naïve cases. Accurate prognostic stratification is essential to optimize patient selection and improve clinical outcomes.

Indexed as

Carcinoma, Squamous CellElectrochemotherapyMouth NeoplasmsOropharyngeal NeoplasmsPalliative CareSquamous Cell Carcinoma of Head and NeckHumansPrognosisSurvival RateElectrochemotherapyHead and neckOral cancerOropharyngeal cancer

Identifiers

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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.