Evidence map›Paper›PMID 41467646›Full record

SynthesisJournal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology2026

Clinicopathological Analysis and Survival Outcomes of Radiation-Induced Oral Squamous Cell Carcinoma: A Systematic Review and Meta-Analysis.

Anne Evelyn Oliveira Moura, Carla Isabelly Rodrigues-Fernandes, Ana Gabriela Costa Normando, Danielle Machado Farias, Márcio Ajudarte Lopes, Pablo Agustin Vargas, Alan Roger Santos-Silva, Fábio de Abreu Alves, Luiz Paulo Kowalski, Danyel Elias da Cruz Perez

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Clinicopathological Analysis and Survival Outcomes of Radiation-Induced Oral Squamous Cell Carcinoma: A Systematic Review and Meta-Analysis.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2026
    Pooled it
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

10 authors.

Anne Evelyn Oliveira MouraDepartment of Oral Diagnosis, Semiology and Pathology Areas, Piracicaba Dental School, University of Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-0750-7181
Carla Isabelly Rodrigues-FernandesOral Pathology Unit, Department of Clinic and Preventive Dentistry, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
Ana Gabriela Costa NormandoDepartment of Oral Diagnosis, Semiology and Pathology Areas, Piracicaba Dental School, University of Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0307-4991
Danielle Machado FariasOral Pathology Unit, Department of Clinic and Preventive Dentistry, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
Márcio Ajudarte LopesDepartment of Oral Diagnosis, Semiology and Pathology Areas, Piracicaba Dental School, University of Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-6677-0065
Pablo Agustin VargasDepartment of Oral Diagnosis, Semiology and Pathology Areas, Piracicaba Dental School, University of Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-1840-4911
Alan Roger Santos-SilvaDepartment of Oral Diagnosis, Semiology and Pathology Areas, Piracicaba Dental School, University of Campinas, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-2040-6617
Fábio de Abreu AlvesDepartment of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Luiz Paulo KowalskiHead and Neck Surgery Department, Medical School, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Danyel Elias da Cruz PerezDepartment of Oral Diagnosis, Semiology and Pathology Areas, Piracicaba Dental School, University of Campinas, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadiotherapy-induced malignancies are well-documented, but the clinicopathological profile and prognostic factors of radiation-induced oral squamous cell carcinoma (R-OSCC) remain unclear.

methodsThe present review was conducted in accordance with the PRISMA guidelines and has been registered in the PROSPERO (registration number CRD42024560015). A comprehensive search was performed across electronic databases and gray literature sources. The risk of bias was assessed using the JBI tool. Meta-analysis was performed with Review Manager 5.4.

resultsFive cohort studies were included (n = 310), with four pooled in a meta-analysis. R-OSCC was significantly associated with tongue tumors (p = 0.007) and early clinical stages (p < 0.0001). Negative perineural invasion was linked to sporadic OSCC (p = 0.0008). Smoking (p = 0.0008) and radiotherapy (RT) history (p < 0.00001) were associated with decreased overall survival (OS), while RT history also reduced disease-specific survival (DSS) in R-OSCC patients (p = 0.006).

conclusionsR-OSCC predominantly affects the tongue, is diagnosed in early stages, and the history of RT is associated with reduced OS and DSS.

Indexed as

Carcinoma, Squamous CellMouth NeoplasmsNeoplasms, Radiation-InducedHumansPrognosisSurvival Analysishead and neck canceroral cancerradiation‐induced cancerradiotherapysquamous cell carcinoma

Identifiers

PMID41467646
PMCPMC13065901

What OpenQuestion holds

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LicenceCC BY
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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.