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Transoral laser microsurgery for the treatment of oropharyngeal cancer: the Dalhousie University experience

Overview of attention for article published in Journal of Otolaryngology -- Head & Neck Surgery, September 2015
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Title
Transoral laser microsurgery for the treatment of oropharyngeal cancer: the Dalhousie University experience
Published in
Journal of Otolaryngology -- Head & Neck Surgery, September 2015
DOI 10.1186/s40463-015-0093-3
Pubmed ID
Authors

Jonathan C. Melong, Matthew H. Rigby, Martin Bullock, Robert D. Hart, Jonathan R.B. Trites, S. Mark Taylor

Abstract

The optimal treatment strategy for oropharyngeal squamous cell carcinoma is highly debated. However, growing evidence supports the use of minimally invasive techniques, such as transoral laser microsurgery (TLM), as a first-line treatment modality for these carcinomas. The purpose of our study was to assess the efficacy and safety of TLM for the treatment of primary and recurrent oropharyngeal carcinomas. All patients with oropharyngeal carcinoma undergoing TLM at the QEII Health Sciences Centre in Halifax, Nova Scotia were identified within a prospective database monitoring TLM outcomes. Kaplan-Meier survival analysis was used to evaluate the following end points at 36 months: local control (LC), disease-specific survival (DSS), and disease-free survival (DFS). Safety endpoints included complications following surgery and long term morbidity related to TLM. Between 2003 and 2014, 39 patients with oropharyngeal carcinoma underwent TLM resection. Twenty-eight (72 %) patients had primary carcinoma, nine (23 %) were radiation/chemoradiation (RT/CRT) failures, and two (5 %) had second primaries following previous RT/CRT. Three patients had stage I disease, 8 stage II, 5 stage III, and 23 stage IV disease. HPV status was available for 26 patients, of which 23 (88 %) had HPV positive disease. Kaplan-Meier estimates of 36-month LC, DSS, and DFS for primary oropharyngeal carcinomas were 85.5 % (SE 10.6 %), 85.7 % (SE 13.2 %) and 77.7 % (SE 12.5 %) respectively. Thirty-six-month outcomes for RT/CRT failures were 66.76 % (SE 15.7 %) for LC and 55.6 % (SE 16.6 %) for DSS and DFS. Three patients developed complications following surgery. Observed 36-month efficacy and safety outcomes support the use of TLM for the treatment of primary and recurrent oropharyngeal carcinoma.

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Mendeley readers

The data shown below were compiled from readership statistics for 36 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 36 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 19%
Student > Postgraduate 4 11%
Student > Master 4 11%
Researcher 3 8%
Other 2 6%
Other 7 19%
Unknown 9 25%
Readers by discipline Count As %
Medicine and Dentistry 17 47%
Nursing and Health Professions 4 11%
Pharmacology, Toxicology and Pharmaceutical Science 2 6%
Unspecified 2 6%
Biochemistry, Genetics and Molecular Biology 1 3%
Other 0 0%
Unknown 10 28%

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 01 October 2015.
All research outputs
#3,028,082
of 6,422,619 outputs
Outputs from Journal of Otolaryngology -- Head & Neck Surgery
#51
of 168 outputs
Outputs of similar age
#108,377
of 201,222 outputs
Outputs of similar age from Journal of Otolaryngology -- Head & Neck Surgery
#6
of 18 outputs
Altmetric has tracked 6,422,619 research outputs across all sources so far. This one is in the 29th percentile – i.e., 29% of other outputs scored the same or lower than it.
So far Altmetric has tracked 168 research outputs from this source. They receive a mean Attention Score of 1.7. This one is in the 15th percentile – i.e., 15% 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 201,222 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 18 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.