{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T16:12:35Z","timestamp":1788797555028,"version":"build-2803163510"},"reference-count":74,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In the United States, 72,000+ adults are diagnosed with head and neck cancer (HNC) annually. Despite improving outcomes overall, place\u2010based disparities persist. While existing evidence has emphasized disparities at diagnosis, less is known about disparities in patterns of care that differ after diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Observational, repeated cross\u2010sectional design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Surveillance, Epidemiology, and End Results (SEER) case data (2018\u20102022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed our first mutually exclusive set of binary outcomes related to the type of treatment received, which were categorized as surgery only, surgery with adjuvant radiotherapy, definitive chemoradiation, radiation or chemotherapy alone, or no treatment. Our second set of binary outcomes related to time from diagnosis to treatment initiation: 0 to 29, 30 to 59, 60 to 89, and 90+ days. Linear probability and multinomial regression models adjusted for tumor site, stage, sociodemographics, and geography to estimate the association between residing in a low\u2010income county (&lt;80k median household income) and differences in the probability of each outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our sample included 70,468 HNC cases. We found no place\u2010based differences for adjuvant or definitive treatment. Compared to patients in high\u2010income counties, patients in low\u2010income counties were 1.1% points less likely to receive surgery only (\u22122.2, \u22120.1) and 1.0% points more likely to receive radiation or chemotherapy alone (0.1, 1.8); and 2.1% points less likely to begin treatment within 0 to 29 days (\u22123.7, \u22120.4) and 1.4% points more likely to delay treatment until 60 to 89 days (0.5, 2.3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings warrant implementing and evaluating system\u2010level interventions to promote access to high\u2010quality, timely HNC treatment in low\u2010income communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70214","type":"journal-article","created":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T12:04:20Z","timestamp":1774181060000},"page":"1513-1523","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Place\u2010Based Disparities in Treatment and Time\u2010to\u2010Initiation for Head and Neck Cancer"],"prefix":"10.1002","volume":"174","author":[{"given":"Anders","family":"Erickson","sequence":"first","affiliation":[{"name":"Department of Public Health Des Moines University West Des Moines Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0375-8090","authenticated-orcid":false,"given":"Jason","family":"Semprini","sequence":"additional","affiliation":[{"name":"Department of Public Health Des Moines University West Des Moines Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,22]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"NCI. Cancer of the oral cavity and pharynx\u2014cancer stat facts. SEER. Accessed July 23 2025.https:\/\/seer.cancer.gov\/statfacts\/html\/oralcav.html"},{"key":"e_1_2_8_3_1","unstructured":"NCI. Cancer of the larynx\u2014cancer stat facts. SEER. Accessed July 23 2025.https:\/\/seer.cancer.gov\/statfacts\/html\/laryn.html"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2017.05.008"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-024-01333-1"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6915a1"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12915"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32583"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820935853"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-68380-w"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.21873\/anticanres.11386"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2024.104282"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177787"},{"key":"e_1_2_8_14_1","volume-title":"StatPearls","author":"Koroulakis A","year":"2025"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semradonc.2021.02.011"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/M13-2568"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2014.01.001"},{"key":"e_1_2_8_18_1","unstructured":"NCI. Treating laryngeal and hypopharyngeal cancers by stage. June 2025. Accessed July 23 2025.https:\/\/www.cancer.org\/cancer\/types\/laryngeal-and-hypopharyngeal-cancer\/treating\/by-stage.html"},{"key":"e_1_2_8_19_1","unstructured":"ACS. Oropharyngeal (throat) cancer treatment options by stage. June 2025. Accessed July 23 2025.https:\/\/www.cancer.org\/cancer\/types\/oral-cavity-and-oropharyngeal-cancer\/treating\/oropharyngeal-options-by-stage.html"},{"key":"e_1_2_8_20_1","unstructured":"NCI. Oropharyngeal cancer treatment (PDQ\u00ae)\u2014NCI. May 14 2025. Accessed July 23 2025.https:\/\/www.cancer.gov\/types\/head-and-neck\/hp\/adult\/oropharyngeal-treatment-pdq"},{"key":"e_1_2_8_21_1","unstructured":"NCCN. Guidelines detail\u2014head and neck cancers. NCCN. April 2025. Accessed July 23 2025.https:\/\/www.nccn.org\/guidelines\/guidelines-detail?category=1&id=1437"},{"key":"e_1_2_8_22_1","unstructured":"ACS. Oral cavity (mouth) cancer treatment options by stage. June 2025. Accessed July 23 2025.https:\/\/www.cancer.org\/cancer\/types\/oral-cavity-and-oropharyngeal-cancer\/treating\/by-stage.html"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29046"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/cas.13250"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2023.106611"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/onco.13763"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818755353"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2020.7607"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26460"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2015.03.010"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.5726"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/nop\/npy025"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2014.09.004"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31999"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25768"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27042"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tipsro.2023.100205"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22029"},{"key":"e_1_2_8_39_1","unstructured":"NCI. SEER treatment data limitations (November 2023 submission)\u2014SEER data & software. SEER. November 2023. Accessed July 23 2025.https:\/\/seer.cancer.gov\/data-software\/documentation\/seerstat\/nov2023\/treatment-limitations-nov2023.html"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31954"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.27319"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.02.029"},{"key":"e_1_2_8_43_1","unstructured":"Surveillance Epidemiology and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence\u2014SEER Research Plus Limited\u2010Field Data 21 Registries (excl IL) Nov 2024 Sub (2000\u20102022) National Cancer Institute DCCPS Surveillance Research Program released April2025 based on the November 2024 submission."},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21388"},{"key":"e_1_2_8_45_1","unstructured":"ERS. Rural\u2010urban continuum codes | Economic Research Service. January 2024. Accessed July 23 2025.https:\/\/www.ers.usda.gov\/data-products\/rural-urban-continuum-codes"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12792"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oor.2024.100682"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/00491241231176850"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/02664763.2019.1706725"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200211000-00009"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/1536867X1201200209"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1093\/qje\/qjac038"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2021.08.001"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.28712"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2024.1338"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12712"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.1954"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.14337"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31990"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2017.3406"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-03500-y"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.2414"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2022.06.001"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-7954-12-5"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2023.7061"},{"key":"e_1_2_8_66_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-021-00248-0"},{"key":"e_1_2_8_67_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.1467"},{"key":"e_1_2_8_68_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-022-02234-z"},{"key":"e_1_2_8_69_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-025-14710-y"},{"key":"e_1_2_8_70_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.26633\/RPSP.2022.170","article-title":"Initiatives to reduce the waiting time to initiate oncological treatment: a scoping literature review","volume":"46","author":"Silva RGD","year":"2022","journal-title":"Rev Panam Salud P\u00fablica"},{"key":"e_1_2_8_71_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.7461"},{"key":"e_1_2_8_72_1","doi-asserted-by":"publisher","DOI":"10.1158\/2159-8290.CD-25-1244"},{"key":"e_1_2_8_73_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djac108"},{"key":"e_1_2_8_74_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2025.1552182"},{"key":"e_1_2_8_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2022.103869"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70214","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ohn.70214","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T16:03:30Z","timestamp":1788797010000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.70214"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,22]]},"references-count":74,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/ohn.70214"],"URL":"https:\/\/doi.org\/10.1002\/ohn.70214","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,22]]},"assertion":[{"value":"2025-09-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}