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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
Show Affiliations
Authors Affiliations
  1. 1. School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, United Kingdom
  2. 2. Glasgow Head and Neck Cancer (GLAHNC) Research Group, Glasgow, United Kingdom
  3. 3. Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom
  4. 4. Queen Elizabeth University Hospital, Glasgow, United Kingdom
  5. 5. International Agency for Research on Cancer (IARC), Lyon, France
  6. 6. Universidad Nacional de Asuncion, Asuncion, Paraguay
  7. 7. Institut Catala D'oncologia, Barcelona, Spain
  8. 8. Hospital de Cancer de Barretos, Barretos, Brazil
  9. 9. Department of Pathology and Laboratories, Fundacion Santa Fe de Bogota, Bogota, Colombia
  10. 10. Bristol Dental School, University of Bristol, Bristol, United Kingdom
  11. 11. Universidad De Buenos Aires, Buenos Aires, Argentina
  12. 12. Virology Institute, School of Medicine.Universidad Nacional de Cordoba, Cordoba, Argentina
  13. 13. Facultad de Odontologia, Universidad Nacional de Cordoba, Cordoba, Argentina
  14. 14. Araujo Jorge Hospital Brasil Goiania Cancer Registry, Goiania, Brazil
  15. 15. Aga Khan University, Karachi, Pakistan
  16. 16. Centre Leon Berard, Lyon, France
  17. 17. Service of Oncology, Manuel Quintela Hospital, Montevideo, Uruguay
  18. 18. Department of Otorhinolaryngology and Head and Neck Surgery, 1st. Faculty of Medicine, Charles University in Prague, Faculty Hospital Motol, Prague, Czech Republic
  19. 19. Brazilian Ministry of Health/Instituto National De Cancer, Rio De Janeiro, Brazil
  20. 20. A. C. Camargo Centre, Sao Paulo, Brazil
  21. 21. Tehran University of Medical Sciences, Tehran, Iran
  22. 22. Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, and CPO-Piemonte, Turin, Italy
  23. 23. Servico de Cirurgia de Cabeca e Pescoco, Associacao Feminina de Educacao e Combate ao Cancer, Vitoria, Brazil
  24. 24. Pathology Department, Federal University of Espirito Santo, Vitoria, Brazil
  25. 25. School of Health, Education, Policing and Sciences, Staffordshire University, Stafford, United Kingdom

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.