Question · asked by 1 review

Sentinel node biopsy (neck dissection only if biopsy positive) vs Elective neck dissection: Locoregional recurrence

Population
Adults with oral cavity or oropharyngeal cancer
Intervention
Sentinel node biopsy (neck dissection only if biopsy positive)
Comparison
Elective neck dissection
Outcome
Locoregional recurrence

Sentinel node biopsy (neck dissection only if biopsy positive) showed no clear difference in locoregional recurrence compared with elective neck dissection (low certainty).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Sentinel node biopsy (neck dissection only if biopsy positive) vs Elective neck dissection
Locoregional recurrence · Adults with oral cavity or oropharyngeal cancer · 3 years
Sentinel node biopsy (neck dissection only if biopsy positive) showed no clear difference in locoregional recurrence compared with elective neck dissection (low certainty).
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane All outcomes
HR 1.04 [0.91, 1.19]1 study · 279 participantsLow

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment
2023 · Cochrane All outcomes
2022-02Not listedNot 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.