External validation of the H-index (host index) in patients with head and neck squamous cell carcinomas

Head Neck. 2023 Jan;45(1):178-186. doi: 10.1002/hed.27224. Epub 2022 Oct 12.

Abstract

Background: The aim of the current study is to perform an external validation of the prognostic capacity of the H-index in patients with head and neck squamous cell carcinoma (HNSCC).

Methods: Retrospective study of 835 patients with HNSCC located in the oral cavity, oropharynx, hypopharynx, or larynx.

Results: When applying the cutoffs proposed in the original description of the H-index (1.5 and 3.5), we observed an orderly and significant decrease in the disease-specific survival and overall survival as H-index increased. Additionally, we were able to observe a decrease in survival as the H-index increased regardless of the location, the extension of the tumor or the type of treatment performed.

Conclusion: We have validated the prognostic capacity of the H-index in patients with HNSCC regardless of the location of the primary tumor, the extent of the disease, or the type of treatment performed.

Keywords: H-index; head and neck squamous cell carcinoma; host index; peripheral blood; prognostic factors.

MeSH terms

  • Carcinoma, Squamous Cell* / pathology
  • Head and Neck Neoplasms* / therapy
  • Humans
  • Prognosis
  • Retrospective Studies
  • Squamous Cell Carcinoma of Head and Neck