Evidence map›Paper›PMID 41410939›Full record

ReviewHNO2026

[Treatment standards and future developments in radiotherapy for older patients with head and neck cancer].

Alexander Rühle, Nils H Nicolay

Registry-linked trialAbstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in HNO, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05337631 (Special Care Patterns for Elderly HNSCC Patients Undergoing Radiotherapy), which is not on this map. Not yet cited in PubMed.

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

NCT05337631 recruitingnot on this map

Special Care Patterns for Elderly HNSCC Patients Undergoing Radiotherapy

TypeobservationalSponsorUniversity Hospital FreiburgRan2021 to 2026Enrolled1,500ConditionsHNSCC, Oral Cavity Cancer, Oropharynx Cancer, Hypopharynx Cancer
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Alexander RühleKlinik und Poliklinik für Strahlentherapie, Universitätsklinikum Leipzig, Stephanstr. 9a, 04103, Leipzig, Deutschland. alexander.ruehle@medizin.uni-leipzig.de.
Nils H NicolayKlinik und Poliklinik für Strahlentherapie, Universitätsklinikum Leipzig, Stephanstr. 9a, 04103, Leipzig, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe proportion of older adults with head and neck cancer is steadily rising. Treatment planning in this population is often challenging due to more frequent comorbidities; reduced physiological reserves; and, at times, differing treatment goals. Additionally, older adults have been significantly underrepresented in pivotal radiotherapy trials, making evidence-based decision-making difficult.

objectiveThis article strives to present current controversies in the radiotherapeutic management of older adults with head and neck cancer.

methodsA selective literature search for studies addressing radiotherapy in elderly head and neck cancer patients was conducted via PubMed and ClinicalTrials.gov.

resultsGeriatric screening tools such as the G8 test are associated with treatment adherence and survival but are still rarely implemented in routine clinical practice. The SENIOR cohort study (NCT05337631) demonstrated a survival benefit for the combination of radiotherapy with concurrent chemotherapy in older patients with good performance status and few comorbidities, but not for the combination with cetuximab. Current studies are investigating hypofractionated radiotherapy regimens and novel agents for patients with contraindications to cisplatin. For patients ineligible for curative treatment, effective palliative radiotherapy concepts with shortened overall treatment duration are available.

conclusionThe management of older adults with head and neck cancer remains challenging and requires further prospective research. Advanced age alone should not be considered a contraindication to curative radiotherapy, including concurrent chemotherapy. For patients not eligible for curative treatment, various palliative radiotherapy regimens are available.

Indexed as

ChemoradiotherapyGeriatric AssessmentHead and Neck NeoplasmsMedical OncologyPractice Guidelines as TopicAgedAged, 80 and overEvidence-Based MedicineFemaleForecastingGermanyHumansMaleSurvival RateTreatment OutcomeChemotherapyCombined modality therapyGeriatric assessmentHead and neck squamous cell carcinomasRadiation oncology

Identifiers

PMID41410939

What OpenQuestion holds

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Registered trials

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.