Evidence map›Paper›PMID 41816946›Full record

ArticleHead & neck2026

Disease Site-Specific Outcomes in p16-Positive Non-Oropharyngeal Mucosal Head and Neck Cancer.

Revadhi C Chelvarajah, Lessandra Y S Chee, Jie Su, Brian O'Sullivan, Christopher M K L Yao, Enrique Sanz-Garcia, Stephen M Smith, Ilan Weinreb, Scott Bratman, B C John Cho and 12 more

Abstract read
In one paragraph

Article in Head & neck, 2026. 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

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. 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

22 authors.

Revadhi C ChelvarajahDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Lessandra Y S CheeDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Jie SuDepartment of Biostatistics, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Brian O'SullivanDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Christopher M K L YaoDepartment of Otolaryngology-Head & Neck Surgery, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.ORCID 0000-0003-0346-716X
Enrique Sanz-GarciaDivision of Medical Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Stephen M SmithDepartment of Laboratory Medicine & Pathobiology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.ORCID 0000-0003-0464-5087
Ilan WeinrebDepartment of Laboratory Medicine & Pathobiology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Scott BratmanDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
B C John ChoDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Ezra HahnDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Andrew HopeDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Ali HosniDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
John KimDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Andrew McPartlinDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Nauman MalikDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Chiaojung Jillian TsaiDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.ORCID 0009-0004-8051-0787
John de AlmeidaDepartment of Otolaryngology-Head & Neck Surgery, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.ORCID 0000-0002-1546-5033
Anna SpreaficoDivision of Medical Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Li TongDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Shao Hui HuangDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.ORCID 0000-0002-8072-4388
John N WaldronDepartment of Radiation Oncology, the Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo report disease-free survival (DFS) in p16-positive non-oropharyngeal head-and-neck squamous-cell carcinoma (HNSCC).

methodsCuratively-treated non-oropharyngeal HNSCC (2009-2021) were reviewed. DFS was compared among p16-positive, p16-negative, and p16-untested cases for the overall cohort and by disease site. Multivariable analysis estimated adjusted hazard ratio (aHR) for p16-positivity.

resultsAmong 3061 non-oropharyngeal HNSCC, 91 p16+, 375 p16-, 2595 untested; median follow-up 4.7 years. P16-positive patients had superior 5-year DFS versus p16-/untested (74% vs. 48%/59%; aHR 0.40 [0.26-0.61], p < 0.001). This advantage was evident in the larynx (86% vs. 52%/63%; aHR 0.26 [0.09-0.71], p = 0.005), hypopharynx (70% vs. 25%/37%; aHR 0.55 [0.10-0.50], p < 0.001), and nasal cavity (82% vs. 38%/66%; aHR 0.31 [0.11-0.88], p = 0.028). No significant DFS differences were seen in paranasal sinus (40% vs. 64%/41%; p = 0.39) or oral cavity (50% vs. 57%/58%; p = 0.94).

conclusionp16-positivity confers a DFS benefit in larynx/hypopharynx/nasal cavity, but not in paranasal sinus or oral SCC.

Indexed as

Cyclin-Dependent Kinase Inhibitor p16Head and Neck NeoplasmsSquamous Cell Carcinoma of Head and NeckAgedDisease-Free SurvivalFemaleHumansMaleMiddle AgedRetrospective StudiesCyclin-Dependent Kinase Inhibitor p16head and neck squamous cell carcinomaHPVnon‐oropharyngeal canceroutcomesp16 status

Identifiers

PMID41816946
PMCPMC13332559

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.