ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2016
Investigating Patient and Physician Delays in the Diagnosis of Head and Neck Cancers: a Canadian Perspective.
Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 24 citations in OpenAlex.
- Delays in Malignant Neck Mass Diagnosis: Missed Opportunities in Clinical Decision-Making.The Permanente journal · 2026Article
- Perceptions of Interprofessional Collaboration in Managing HPV-Related Oropharyngeal Cancer: Implications for Interprofessional Education.Medical science educator · 2025Article
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- Diagnostic Delay in HPV-Related Oropharyngeal Squamous Cell Carcinoma.International archives of otorhinolaryngology · 2024Article
- Nomenclature of the symptoms of head and neck cancer: a systematic scoping review.Frontiers in oncology · 2024Article
- The collateral impact of the COVID-19 pandemic on HPV-positive oropharyngeal cancer diagnosis.Oral oncology · 2023Article
- Prospective Evaluation of Swallowing Symptoms in Human Papillomavirus-Associated Oropharynx Cancer.Dysphagia · 2022Article
- Retrospective study of factors associated with late detection of oral cancer in alberta: A qualitative study.PloS one · 2022Article
- Delay in diagnosis of patients with head-and-neck cancer in Canada: impact of patient and provider delay.Current oncology (Toronto, Ont.) · 2020Article
- Knowledge and Preferences of Primary Care Providers in Delivering Head and Neck Cancer Survivorship Care.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Diagnostic delays for head and neck cancer (HNC) patients are common. Patients often disregard symptoms for long periods before seeking help, and some family physicians may not be alert to the warning symptoms and signs of HNCs. This study evaluated the factors associated with length of delays in the diagnosis of HNCs in a Canadian population. This was a mixed-method study consisting of patient interviews and surveys in an academic health center. A questionnaire requesting demographic and disease information was completed by HNC patients followed by a 30 min semi-structured interview in a private setting. Interviews were audio recorded, transcribed, anonymized, and descriptively coded for emergent themes. Twenty-eight head and neck cancer patients participated in the study. More patients experienced physician delay (71 %) than patient delay (36 %). The median physician delay and patient delay were 108 and 31 days, respectively. Two main themes regarding these delays were (1) physician lack of knowledge and (2) lack of patient awareness. Results indicate that physician delay needs to be focused on compared to patient delay, as it is more common and has longer delays. More comprehensive training in head and neck clinical examination skills during undergraduate and residency training is recommended to reduce physician delay. Patient delay could be targeted by public education programs via both physicians and dentists.
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