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

Grant  Creaney; Mariél Aquino Goulart; Alex D McMahon; Laura Mendoza; Tom Dudding; Miranda Pring; Et Al

doi:10.1002/hed.28094

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

Grant Creaney^*, Mariél Aquino Goulart , Alex D McMahon, Laura Mendoza, Tom Dudding, Miranda Pring, Et Al

^*Corresponding author for this work

Bristol Dental School

Research output: Contribution to journal › Article (Academic Journal) › peer-review

7 Citations (Scopus)

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.

Original language	English
Pages (from-to)	1977-1988
Number of pages	12
Journal	Head and Neck
Volume	47
Issue number	7
Early online date	24 Feb 2025
DOIs	https://doi.org/10.1002/hed.28094
Publication status	Published - 24 Feb 2025

Bibliographical note

Publisher Copyright:
© 2025 The Author(s). Head & Neck published by Wiley Periodicals LLC.

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@article{0636a305144c4cd5810cd536fc20f368,

title = "Advanced Stage Head and Neck Cancer Diagnosis: HEADSpAcE Consortium Health Systems Benchmarking Survey",

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.",

author = "Grant Creaney and \{Aquino Goulart\}, Mari{\'e}l and McMahon, \{Alex D\} and Laura Mendoza and Tom Dudding and Miranda Pring and Et Al",

note = "Publisher Copyright: {\textcopyright} 2025 The Author(s). Head \& Neck published by Wiley Periodicals LLC.",

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doi = "10.1002/hed.28094",

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T1 - Advanced Stage Head and Neck Cancer Diagnosis

T2 - HEADSpAcE Consortium Health Systems Benchmarking Survey

AU - Creaney, Grant

AU - Aquino Goulart , Mariél

AU - McMahon, Alex D

AU - Mendoza, Laura

AU - Dudding, Tom

AU - Pring, Miranda

AU - Al, Et

PY - 2025/2/24

Y1 - 2025/2/24

N2 - 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.

AB - 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.

U2 - 10.1002/hed.28094

DO - 10.1002/hed.28094

M3 - Article (Academic Journal)

C2 - 39994901

SN - 1043-3074

VL - 47

SP - 1977

EP - 1988

JO - Head and Neck

JF - Head and Neck

IS - 7

ER -

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

Abstract

Bibliographical note

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