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Functional outcomes after TORS for oropharyngeal cancer: a systematic review

Overview of attention for article published in European Archives of Oto-Rhino-Laryngology, March 2014
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70 Mendeley
Title
Functional outcomes after TORS for oropharyngeal cancer: a systematic review
Published in
European Archives of Oto-Rhino-Laryngology, March 2014
DOI 10.1007/s00405-014-2985-7
Pubmed ID
Authors

Katherine A. Hutcheson, F. Christopher Holsinger, Michael E. Kupferman, Jan S. Lewin

Abstract

Summarize functional outcomes after transoral robotic surgery (TORS) ± adjuvant therapy for oropharyngeal cancer (OPC). A systematic review was conducted. The MEDLINE database was searched (MeSH terms: TORS, pharyngeal neoplasms, oropharyngeal neoplasms). Peer-reviewed human subject papers published through December 2013 were included. Exclusion criteria were as follows: (1) case report design (n < 10), (2) review article, or (3) technical, animal, or cadaver studies. Functional outcomes extracted included feeding tube dependence, swallow examination findings, speech ratings, velopharyngeal insufficiency, pneumonia, and oral intake measures. Twelve papers comprising 441 patients with OPC treated with TORS ± adjuvant therapy were included. Feeding tube rates were the most commonly reported functional outcome. Excluding prophylactic placement, 18-39 % of patients required gastrostomy placement, typically during adjuvant therapy. Chronic gastrostomy dependence ranged from 0 to 7 % (mean follow-up 11-26 months), regardless of disease stage. Composite MD Anderson Dysphagia Inventory (MDADI) scores ranged from 65.2 to 78 (89 patients, 3 series, mean follow-up 12-13 months). Videofluoroscopic swallowing studies were not systematically reported. Incidence of postoperative pneumonia was 0-7 %. Predictors of swallowing function included baseline function, T-stage, N-stage, tongue base primary tumors, and adjuvant chemoradiation. Rates of transient hypernasality were 4-9 %. A single study suggested dose-dependent effects of adjuvant therapy (none, radiation alone, chemoradiation) on diet scores at 6 and 12 months. Crude end points of functional recovery after TORS ± adjuvant therapy suggest promising swallowing outcomes, depending on the functional measure reported.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 70 100%

Demographic breakdown

Readers by professional status Count As %
Other 11 16%
Student > Master 9 13%
Researcher 8 11%
Student > Ph. D. Student 8 11%
Student > Doctoral Student 7 10%
Other 27 39%
Readers by discipline Count As %
Medicine and Dentistry 46 66%
Unspecified 13 19%
Nursing and Health Professions 4 6%
Neuroscience 2 3%
Agricultural and Biological Sciences 1 1%
Other 4 6%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 March 2014.
All research outputs
#10,383,577
of 13,017,746 outputs
Outputs from European Archives of Oto-Rhino-Laryngology
#855
of 1,657 outputs
Outputs of similar age
#129,008
of 190,796 outputs
Outputs of similar age from European Archives of Oto-Rhino-Laryngology
#22
of 40 outputs
Altmetric has tracked 13,017,746 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,657 research outputs from this source. They receive a mean Attention Score of 2.0. This one is in the 34th percentile – i.e., 34% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 190,796 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 40 others from the same source and published within six weeks on either side of this one. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.