Sentinel node biopsy (neck dissection only if biopsy positive) vs Elective neck dissection: Disease-free survival
- Population
- Adults with oral cavity or oropharyngeal cancer
- Intervention
- Sentinel node biopsy (neck dissection only if biopsy positive)
- Comparison
- Elective neck dissection
- Outcome
- Disease-free survival
Sentinel node biopsy (neck dissection only if biopsy positive) showed no clear difference in disease-free survival (new disease, progression, and mortality) compared with elective neck dissection (low certainty).
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Sentinel node biopsy (neck dissection only if biopsy positive) vs Elective neck dissection Disease-free survival (new disease, progression, and mortality) · Adults with oral cavity or oropharyngeal cancer · 3 years Sentinel node biopsy (neck dissection only if biopsy positive) showed no clear difference in disease-free survival (new disease, progression, and mortality) compared with elective neck dissection (low certainty). Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane All outcomes | HR 0.98 [0.90, 1.07] | 1 study · 279 participants | Low |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment 2023 · Cochrane All outcomes | 2022-02 | Not listed | Not assessed |
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.