{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T10:16:24Z","timestamp":1773396984383,"version":"3.50.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cancer Causes Control"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1007\/s10552-026-02137-0","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T06:51:23Z","timestamp":1770706283000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rurality, risk factors, and stage at diagnosis in head and neck cancer: insights from a Spanish hospital"],"prefix":"10.1007","volume":"37","author":[{"given":"Andrea Puertas","family":"Cruz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Miguel R\u00edos","family":"Moreno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s Gonz\u00e1lez","family":"Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Contreras","family":"Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lourdes","family":"de la Pe\u00f1a Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"2137_CR1","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1056\/NEJMra1715715","volume":"382","author":"L Chow","year":"2020","unstructured":"Chow L (2020) Head and neck cancer. N Engl J Med 382:60\u201372","journal-title":"N Engl J Med"},{"issue":"10318","key":"2137_CR2","doi-asserted-by":"publisher","first-page":"2289","DOI":"10.1016\/S0140-6736(21)01550-6","volume":"398","author":"MD Mody","year":"2021","unstructured":"Mody MD, Rocco JW, Yom SS, Haddad RI, Saba NF (2021) Head and neck cancer. Lancet 398(10318):2289\u20132299","journal-title":"Lancet"},{"key":"2137_CR3","unstructured":"Instituto Nacional de Estad\u00edstica. Defunciones seg\u00fan la causa de muerte 2023 (2024) Resultados por grupos de causas. INE, Madrid. Disponible en: https:\/\/www.ine.es"},{"issue":"9","key":"2137_CR4","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1038\/s41415-022-5166-x","volume":"233","author":"M Gormley","year":"2022","unstructured":"Gormley M, Creaney G, Schache A, Ingarfield K, Conway DI (2022) Reviewing the epidemiology of head and neck cancer: definitions, trends and risk factors. Br Dent J 233(9):780\u2013786","journal-title":"Br Dent J"},{"key":"2137_CR5","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2025.107311","volume":"165","author":"AM Al Fadel","year":"2025","unstructured":"Al Fadel AM, Jakobsen KK, Jensen LH, Carlander ALF, Gr\u00f8nh\u00f8j C, von Buchwald C (2025) The epidemiological trends and survival of HPV-related oropharyngeal cancer other than tonsils and base of tongue\u2014a systematic review and meta-analysis. Oral Oncol 165:107311","journal-title":"Oral Oncol"},{"key":"2137_CR6","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1177\/0194599820906387","volume":"162","author":"HW Schutte","year":"2020","unstructured":"Schutte HW, Heutink F, Wellenstein DJ et al (2020) Impact of time to diagnosis and treatment in head and neck cancer: a systematic review. Otolaryngol Head Neck Surg 162:446\u2013457","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"10","key":"2137_CR7","doi-asserted-by":"publisher","first-page":"2797","DOI":"10.1002\/cncr.23889","volume":"113","author":"MA Molina","year":"2008","unstructured":"Molina MA, Cheung MC, Perez EA et al (2008) African American and poor patients have a dramatically worse prognosis for head and neck cancer: an examination of 20,915 patients. Cancer 113(10):2797\u20132806","journal-title":"Cancer"},{"issue":"4","key":"2137_CR8","doi-asserted-by":"publisher","first-page":"1046","DOI":"10.1002\/hed.25521","volume":"41","author":"NA Pagedar","year":"2019","unstructured":"Pagedar NA, Davis AB, Sperry SM, Charlton ME, Lynch CF (2019) Population analysis of socioeconomic status and otolaryngologist distribution on head and neck cancer outcomes. Head Neck 41(4):1046\u20131052","journal-title":"Head Neck"},{"issue":"4 Suppl","key":"2137_CR9","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1353\/hpu.2012.0165","volume":"23","author":"CE Moore","year":"2012","unstructured":"Moore CE, Warren R, Maclin SD Jr. (2012) Head and neck cancer disparity in underserved communities: probable causes and the ethics involved. J Health Care Poor Underserved 23(4 Suppl):88\u2013103","journal-title":"J Health Care Poor Underserved"},{"issue":"4","key":"2137_CR10","first-page":"597","volume":"37","author":"S Johnson","year":"2008","unstructured":"Johnson S, McDonald JT, Corsten MJ (2008) Socioeconomic factors in head and neck cancer. J Otolaryngol Head Neck Surg 37(4):597\u2013601","journal-title":"J Otolaryngol Head Neck Surg"},{"issue":"5","key":"2137_CR11","first-page":"617","volume":"143","author":"S Ananthakrishnan","year":"2010","unstructured":"Ananthakrishnan S, Gunther JR, Cohen DS et al (2010) Influence of provider experience on head and neck cancer diagnosis. Otolaryngol Head Neck Surg 143(5):617\u2013622","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"2","key":"2137_CR12","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/j.amjoto.2015.10.004","volume":"37","author":"AT Saini","year":"2016","unstructured":"Saini AT, Genden EM, Megwalu UC (2016) Sociodemographic disparities in choice of therapy and survival in advanced laryngeal cancer. Am J Otolaryngol 37(2):65\u201369","journal-title":"Am J Otolaryngol"},{"issue":"8","key":"2137_CR13","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/j.oraloncology.2015.05.008","volume":"51","author":"L Zhang","year":"2015","unstructured":"Zhang L, McFarlane C, Liu J et al (2015) Urban-rural disparities in survival in patients with oral cavity squamous cell carcinoma in Alberta. Oral Oncol 51(8):731\u2013737","journal-title":"Oral Oncol"},{"issue":"6","key":"2137_CR14","first-page":"762","volume":"113","author":"VA Lawrence","year":"2021","unstructured":"Lawrence VA, Hilsenbeck SG, Naylor PH (2021) Socioeconomic disparities and rurality in cancer outcomes: a review. J Natl Cancer Inst 113(6):762\u2013769","journal-title":"J Natl Cancer Inst"},{"issue":"17","key":"2137_CR15","first-page":"4160","volume":"116","author":"CM Booth","year":"2010","unstructured":"Booth CM, Li G, Zhang-Salomons J, Mackillop WJ (2010) The impact of socioeconomic status on stage of cancer at diagnosis and survival: a population-based study in Ontario. Canada Cancer 116(17):4160\u20134167","journal-title":"Canada Cancer"},{"issue":"4","key":"2137_CR16","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.clon.2005.12.010","volume":"18","author":"PA Groome","year":"2006","unstructured":"Groome PA, Schulze KM, Keller S et al (2006) Explaining socioeconomic status effects in laryngeal cancer. Clin Oncol (R Coll Radiol) 18(4):283\u2013292","journal-title":"Clin Oncol (R Coll Radiol)"},{"key":"2137_CR17","first-page":"1","volume":"0","author":"M Wierzbicka","year":"2025","unstructured":"Wierzbicka M, \u015awi\u0105tek D, Sikora J, Likus W, Pietruszewska W, Markowski J (2025) Socioeconomic disparities in head and neck cancer incidence and mortality: regional wealth-dependent analysis in seniors cohorts. Head Neck 0:1\u201311","journal-title":"Head Neck"},{"issue":"12","key":"2137_CR18","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.1200\/JCO.20.02602","volume":"39","author":"JM Unger","year":"2021","unstructured":"Unger JM, Moseley AB, Cheung CK et al (2021) Persistent disparity: socioeconomic deprivation and cancer outcomes in patients treated in clinical trials. J Clin Oncol 39(12):1339\u20131348","journal-title":"J Clin Oncol"},{"issue":"10","key":"2137_CR19","doi-asserted-by":"publisher","first-page":"3001","DOI":"10.1002\/hed.26788","volume":"43","author":"B Weizman","year":"2021","unstructured":"Weizman B, Golan N, Ronen O (2021) Effect of socioeconomic status on survival in patients with head and neck cancer. Head Neck 43(10):3001\u20133009","journal-title":"Head Neck"},{"issue":"1","key":"2137_CR20","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1089\/heq.2019.0092","volume":"4","author":"A Mukherjee","year":"2020","unstructured":"Mukherjee A, Idigo AJ, Ye Y et al (2020) Geographical and racial disparities in head and neck cancer diagnosis in South-Eastern United States: using real-world electronic medical records data. Health Equity 4(1):43\u201351","journal-title":"Health Equity"},{"key":"2137_CR21","first-page":"1","volume":"0","author":"S Fereydooni","year":"2024","unstructured":"Fereydooni S, Valdez C, Williams LC, Verma A, Judson B (2024) Racial disparities in perioperative outcomes for patients with head and neck cancer. Head Neck 0:1\u20139","journal-title":"Head Neck"},{"issue":"2","key":"2137_CR22","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1002\/hed.26945","volume":"44","author":"S Ravikumar","year":"2022","unstructured":"Ravikumar S, Casellas NJ, Shah S, Rieth K (2022) Geographic disparities in head and neck cancer survival in Upstate New York 2011\u20132019. Head Neck 44(2):472\u2013482","journal-title":"Head Neck"},{"issue":"11","key":"2137_CR23","doi-asserted-by":"publisher","first-page":"4441","DOI":"10.1002\/lary.31509","volume":"134","author":"A Tomescu","year":"2024","unstructured":"Tomescu A, Sullivan N, Davies C, Ward C, Tillett N, Darras A, Gleysteen JP, Wood CB (2024) Effect of rurality in head and neck cancer: a scoping review. Laryngoscope 134(11):4441\u20134457","journal-title":"Laryngoscope"},{"key":"2137_CR24","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.healthplace.2016.04.001","volume":"39","author":"ME Roberts","year":"2016","unstructured":"Roberts ME, Doogan NJ, Kurti AN et al (2016) Rural tobacco use across the United States: how rural and urban areas differ, broken down by census regions and divisions. Health Place 39:153\u2013159","journal-title":"Health Place"},{"key":"2137_CR25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106239","volume":"140","author":"ME Roberts","year":"2020","unstructured":"Roberts ME, Teferra AA, Keller-Hamilton B et al (2020) Shared and unique risk factors for tobacco use among rural versus urban adolescents. Prev Med 140:106239","journal-title":"Prev Med"},{"issue":"3","key":"2137_CR26","first-page":"558","volume":"37","author":"TM Davis","year":"2021","unstructured":"Davis TM, Cox SK, Nguyen KT et al (2021) Alcohol use disorder and service access: a rural\u2013urban comparison in South Dakota. J Rural Health 37(3):558\u2013566","journal-title":"J Rural Health"},{"issue":"2","key":"2137_CR27","doi-asserted-by":"publisher","first-page":"e177","DOI":"10.1016\/S2468-2667(21)00159-6","volume":"7","author":"EL Friesen","year":"2022","unstructured":"Friesen EL, Bailey J, Hyett S et al (2022) Hazardous alcohol use and alcohol-related harm in rural and remote communities: a scoping review. Lancet Public Health 7(2):e177\u2013e187","journal-title":"Lancet Public Health"},{"issue":"16","key":"2137_CR28","doi-asserted-by":"publisher","first-page":"3405","DOI":"10.1017\/S0950268817002515","volume":"145","author":"V Gar\u00e8s","year":"2017","unstructured":"Gar\u00e8s V, Panico L, Castagn\u00e9 R, Delpierre C, Kelly-Irving M (2017) The role of the early social environment on Epstein Barr virus infection: a prospective observational design using the Millennium Cohort Study. Epidemiol Infect 145(16):3405\u20133412","journal-title":"Epidemiol Infect"}],"container-title":["Cancer Causes &amp; Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10552-026-02137-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10552-026-02137-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10552-026-02137-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:59:52Z","timestamp":1773392392000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10552-026-02137-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,10]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["2137"],"URL":"https:\/\/doi.org\/10.1007\/s10552-026-02137-0","relation":{},"ISSN":["0957-5243","1573-7225"],"issn-type":[{"value":"0957-5243","type":"print"},{"value":"1573-7225","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,10]]},"assertion":[{"value":"5 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was conducted in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Hospital Regional Universitario de M\u00e1laga (Reference number: [number], date: [date]).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was waived by the Ethics Committee of Hospital Regional Universitario de M\u00e1laga due to the retrospective nature and anonymization of the data.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable. This study used anonymized retrospective data only; therefore, no individual person\u2019s data in any form (including images or videos) are included.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}}],"article-number":"50"}}