{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T04:28:18Z","timestamp":1787113698942,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diagnostic work\u2010up for head and neck cancer requires is a complex process that can cause delay and lead to poorer outcomes. Utilizing multilayer pre\u2010clinic risk\u2010stratification, direct\u2010to\u2010test ultrasonography, parallel investigations, and local anesthetic (LA) throat biopsy can expedite treatment decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      All suspected head and neck cancer referrals before (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009802) and after (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091417) implementing a one\u2010stop throat\/virtual neck lump clinic were analyzed for changes in time from referral to cancer treatment decision.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean referral\u2010to\u2010decision time improved from 52.4 to 34.8\u2009days (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Time to diagnostic ultrasonography improved (mean 23 to 11\u2009days from referral). General anesthetic throat biopsies decreased by 35%. Sixty\u2010eight percent of patients with throat lesions underwent LA biopsies on the same day. Fourteen percent of patients were safely downgraded for slower reviews with no missed cancer.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A multilayer risk\u2010stratified one\u2010stop throat\/virtual neck lump clinic expedites treatment decisions for head and neck cancer and improves resource utilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70844","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T04:22:07Z","timestamp":1787113327000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["One\u2010Stop Throat and Virtual Neck Lump Clinic Shortens Diagnostic Work\u2010Up for Head and Neck Cancer"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9833-2866","authenticated-orcid":false,"given":"Woo\u2010Young","family":"Yang","sequence":"first","affiliation":[{"name":"ENT Department, New Cross Hospital Royal Wolverhampton NHS Trust  Wolverhampton West Midlands UK"},{"name":"ENT Department, Russells Hall Hospital Dudley Group NHS Trust  Dudley West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakariya","family":"Sattar","sequence":"additional","affiliation":[{"name":"ENT Department, New Cross Hospital Royal Wolverhampton NHS Trust  Wolverhampton West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celine Iswarya Partha","family":"Sarathi","sequence":"additional","affiliation":[{"name":"ENT Department, Russells Hall Hospital Dudley Group NHS Trust  Dudley West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Wadood","sequence":"additional","affiliation":[{"name":"Radiology Department Russells Hall Hospital, Dudley Group NHS Trust  Dudley West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Hall","sequence":"additional","affiliation":[{"name":"Radiology Department Russells Hall Hospital, Dudley Group NHS Trust  Dudley West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayeshea","family":"Shenton","sequence":"additional","affiliation":[{"name":"Radiology Department Russells Hall Hospital, Dudley Group NHS Trust  Dudley West Midlands UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6081-9307","authenticated-orcid":false,"given":"Max Sallis","family":"Osborne","sequence":"additional","affiliation":[{"name":"ENT Department, Russells Hall Hospital Dudley Group NHS Trust  Dudley West 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