Evidence map›Paper›PMID 42146115›Full record

ReviewLaryngoscope investigative otolaryngology2026

Patient Perceptions and Type 1 Delay in Head and Neck Cancer: A Scoping Review of High- and Low-/Middle-Income Countries.

Meredith A Anderson, Connor Mayes, Atharva Desai, Kyle Polen, Jeffrey L Black, Isabella Reitz, Gamaliel Taengwa, Gordon Buhwa, Jose Chacon, Anna Davide and 1 more

Abstract readReview
In one paragraph

Review in Laryngoscope investigative otolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Meredith A AndersonMayo Clinic Alix School of Medicine Mayo Clinic Arizona Scottsdale Arizona USA.ORCID https://orcid.org/0000-0002-4868-2309
Connor MayesMayo Clinic Alix School of Medicine Mayo Clinic Arizona Scottsdale Arizona USA.
Atharva DesaiUniversity of Missouri Kansas City School of Medicine Kansas City Missouri USA.
Kyle PolenPerelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania USA.ORCID https://orcid.org/0009-0003-7775-111X
Jeffrey L BlackTexas Tech University Health Sciences Center School of Medicine Lubbock Texas USA.ORCID https://orcid.org/0009-0005-5181-7488
Isabella ReitzMayo Clinic Alix School of Medicine Mayo Clinic Arizona Scottsdale Arizona USA.
Gamaliel TaengwaMayo Graduate School of Biomedical Sciences Mayo Clinic Rochester Minnesota USA.
Gordon BuhwaDepartment of Ear, Nose and Throat Makerere University Kampala Uganda.
Jose ChaconAmerican University of Integrative Sciences School of Medicine Bridgetown Barbados.
Anna DavideJohn A. Burns School of Medicine University of Hawaii at Mānoa Honolulu Hawaii USA.
Joshua P WiedermannDepartment of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To identify and compare how patient perceptions contribute to Type 1 Delays, defined as delays in deciding to seek care, among individuals with head and neck cancer (HNC) in high-income countries (HICs) and low- and middle-income countries (LMICs). Methods: We conducted a scoping review and systematic search of MEDLINE, Embase, Cochrane Library, and Scopus from inception through November 20, 2023. Eligible studies included patients with HNC in HICs or LMICs who reported patient perceptions contributing to Type 1 Delays. Data extraction was performed in duplicate, and barriers were categorized thematically. Fisher's exact test was used to compare the frequency of reported barriers between HIC and LMIC studies. Results: Seventeen studies met inclusion criteria, of which 64.7% ( Conclusion: Type 1 Delays in HNC are common across both HICs and LMICs, with overlapping and region-specific contributors. Tailored interventions, such as patient education, stigma reduction, and improved access to diagnostic services, may promote earlier detection and improve global HNC outcomes. Level of Evidence: 3.

Indexed as

global oncologyhead and neck cancer (HNC)health disparitiesThree Delays ModelType 1 Delay

Identifiers

PMID42146115
PMCPMC13175917

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.