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Advanced stage head and neck cancer diagnosis: HEADSpAcE consortium health systems benchmarking survey

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Creaney, G, de Aquino Goulart, M, McMahon, A, Paterson, C, McCaul, J, Perdomo, S, Mendoza, L, Alemany, L, Rebolho Arantes, L.M, Rodriguez Urrego, P.A, Dudding, T, Pring, M, Vilensky, M, Cuffini, C, Lopez de Blanc, S.A, de Oliveira, J.C, Pervez, S, Saintigny, P, Cuello, M, Betka, J, Ribeiro Pinto, L.F, Curado, M.P, Zendehdel, K, Richiardi, L, Popovic, M, de Podesta, J.R, von Zeidler, S.V, Rocha, R.M, Alwaheidi, S, Brennan, P, Virani, S, ROSS, Al and Conway, D (2025) Advanced stage head and neck cancer diagnosis: HEADSpAcE consortium health systems benchmarking survey. Head and Neck. ISSN 1097-0347 (In Press)

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Abstract or description

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 a lack of routine data available.
Conclusions: Through identifying health systems factors associated with lower proportions of advanced stage HNC, interventions can be developed, and systems redesigned, to address this significant issue.
Keywords
Health Systems, Head and Neck Cancer, Diagnostic Pathway, Stage at Diagnosis

Item Type: Article
Uncontrolled Keywords: Health systems, head and neck cancer, diagnostic pathway, stage at diagnosis.
Faculty: School of Health and Social Care > Allied Health and Paramedic Science
Depositing User: Al ROSS
Date Deposited: 17 Feb 2025 10:38
Last Modified: 17 Feb 2025 10:38
URI: https://eprints.staffs.ac.uk/id/eprint/8697

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