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Advanced Stage Head and Neck Cancer Diagnosis: Headspace Consortium Health Systems Benchmarking Survey Publisher



Creaney G1, 2 ; De Aquino Goulart M1, 2 ; Mcmahon A1 ; Paterson C2, 3 ; Mccaul J4 ; Perdomo S5 ; Mendoza L6 ; Alemany L7 ; Arantes LMR8 ; Urrego PAR9 ; Dudding T10 ; Pring M10 ; Vilensky M11 ; Cuffini C12 Show All Authors
Authors
  1. Creaney G1, 2
  2. De Aquino Goulart M1, 2
  3. Mcmahon A1
  4. Paterson C2, 3
  5. Mccaul J4
  6. Perdomo S5
  7. Mendoza L6
  8. Alemany L7
  9. Arantes LMR8
  10. Urrego PAR9
  11. Dudding T10
  12. Pring M10
  13. Vilensky M11
  14. Cuffini C12
  15. De Blanc SAL13
  16. De Oliveira JC14
  17. Pervez S15
  18. Saintigny P16
  19. Cuello M17
  20. Betka J18
  21. Pinto LFR19
  22. Curado MP20
  23. Zendehdel K21
  24. Richiardi L22
  25. Popovic M22
  26. De Podesta JR23
  27. Von Zeidler SV24
  28. Rocha RM23
  29. Alwaheidi S5
  30. Brennan P5
  31. Virani S5
  32. Ross A25
  33. Conway DI1, 2
  34. De Oliveira JC14
  35. Popovic M22

Source: Head and Neck Published:2025


Abstract

Background: Globally, most people with head and neck cancers (HNCs) are diagnosed with advanced-stage disease. HNC diagnostic stage has multifactorial explanations, with the role of health system factors not yet fully investigated. Methods: HNC centres (n = 18) from the HEADSpAcE Consortium were surveyed via a bespoke health system questionnaire covering a range of factors. Centres were compared using the least square means for the presence/absence of each health system factor to their proportion of advanced-stage HNC. Results: Health system factors associated with lower proportion in advanced-stage diagnosis were formal referral triaging (14%, 95% CI-0.26, −0.03), routine monitoring of time from referral to diagnosis (16%, 95% CI-0.27, −0.05), and fully publicly funded systems (17%, 95% CI-0.29, −0.06). Several health systems factors had no routinely available data. Conclusions: Through identifying and monitoring health systems factors associated with lower proportions of advanced stage HNC, interventions could be developed, and systems redesigned, to improve early diagnosis. © 2025 The Author(s). Head & Neck published by Wiley Periodicals LLC.
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