{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T10:41:37Z","timestamp":1787568097570,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diagnosis and management of cervical cancer require multiple investigations and specialist reviews, with delays leading to increased mortality and morbidity. Australia's Optimal Care Pathways (OCPs) recommends that patients with suspected diagnosis of cervical cancer should have their diagnostic processes completed within certain timeframes. Despite these guidelines, there is currently no benchmarking of cervical cancer timelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aims to benchmark cervical cancer care and identify factors associated with delay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Patients who underwent radiotherapy for Stage I\u2010III cervical cancer between 2015 and 2024 at a major tertiary hospital in New South Wales (NSW) were included in the study. This hospital provides centralised gynae\u2010oncology care for all women in three NSW local health districts. Patients were stratified based on age, stage of disease, level of rurality and level of socioeconomic advantage\/disadvantage. Each step of the diagnostic timeline was benchmarked against the OCPs. Univariate and multivariate logistic regression were performed to detect factors associated with delays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study cohort comprised 155 patients. Under 60% of women were managed in\u2010line with the OCPs recommended timelines. 86% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919\/22) of women from the least disadvantaged socio\u2010economic tertile saw a gynae\u2010oncology specialist within the recommended timeframe compared to 47% (36\/76) from the most disadvantaged socio\u2010economic tertile (OR: 6.24, CI: 1.60\u201324.27,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Recommended diagnostic timelines were not met in a significant proportion of women. Women from the greatest levels of socioeconomic disadvantage were more likely to face delays. Benchmarking processes need to be implemented in cancer care, to ensure equity in outcomes\/processes for all patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70174","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T07:38:29Z","timestamp":1786433909000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Benchmarking Cervical Cancer Care Pathways\u2014Measuring Timelines and Identifying Factors Associated With Delay for Women Undergoing Definitive Radiotherapy in New South Wales, Australia"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5293-8356","authenticated-orcid":false,"given":"Shanuka","family":"Samaranayake","sequence":"first","affiliation":[{"name":"Crown Princess Mary Cancer Centre Westmead Hospital  Westmead Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niluja","family":"Thiruthaneeswaran","sequence":"additional","affiliation":[{"name":"Crown Princess Mary Cancer Centre Westmead Hospital  Westmead Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7669-8316","authenticated-orcid":false,"given":"Sandra","family":"Turner","sequence":"additional","affiliation":[{"name":"Crown Princess Mary Cancer Centre Westmead Hospital  Westmead Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney Australia"},{"name":"Research and Education Network Western Sydney Local Health District (WSLHD)  Westmead Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8075-6219","authenticated-orcid":false,"given":"Shalini","family":"Vinod","sequence":"additional","affiliation":[{"name":"Cancer Therapy Centre Liverpool Hospital, South Western Sydney Local Health District  Liverpool Australia"},{"name":"South West Sydney Clinical Campuses, School of Clinical Medicine, Faculty of Medicine and Health UNSW  Sydney Australia"},{"name":"Collaboration for Cancer Outcomes Research and Evaluation (CCORE) Ingham Institute for Applied Medical Research  Liverpool Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3823-3892","authenticated-orcid":false,"given":"Jonathan","family":"Sykes","sequence":"additional","affiliation":[{"name":"Crown Princess Mary Cancer Centre Westmead Hospital  Westmead Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7666-6659","authenticated-orcid":false,"given":"Shanley","family":"Chong","sequence":"additional","affiliation":[{"name":"Epidemiology and Health Analytics, Research and Education Network WSLHD  Westmead Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3350-1325","authenticated-orcid":false,"given":"Heather","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Cancer Australia \u201cGynaecological Cancer in Australia Statistics \u201d (2024) https:\/\/www.canceraustralia.gov.au\/cancer\u2010types\/gynaecological\u2010cancers\/statistics."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m4087"},{"key":"e_1_2_9_4_1","unstructured":"Cancer Australia \u201cHow is Cervical Cancer Diagnosed?\u201d(2024) https:\/\/www.canceraustralia.gov.au\/affected\u2010cancer\/cancer\u2010types\/cervical\u2010cancer\/how\u2010cervical\u2010cancer\u2010diagnosed."},{"key":"e_1_2_9_5_1","unstructured":"Cancer Council \u201cOptimal Care Pathway for People With Cervical Cancer \u201d (2021) https:\/\/www.cancer.org.au\/assets\/pdf\/cervical\u2010cancer\u2010optimal\u2010cancer\u2010care\u2010pathway."},{"key":"e_1_2_9_6_1","unstructured":"Cancer Australia \u201cThe Australian Cancer Plan \u201d (2025) https:\/\/www.australiancancerplan.gov.au\/ocps."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH23060"},{"key":"e_1_2_9_8_1","unstructured":"Cancer Research UK \u201cCancer Waiting Times: Latest Updates and Analysis \u201d (2024) https:\/\/news.cancerresearchuk.org\/2024\/12\/12\/cancer\u2010waiting\u2010times\u2010latest\u2010updates\u2010and\u2010analysis\/."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-017-3623-8"},{"key":"e_1_2_9_10_1","unstructured":"Targetting Cancer \u201cFind a Cancer Hospital: Treatment Centres in AU and NZ \u201d (2024) https:\/\/www.targetingcancer.com.au\/find\u2010a\u2010treatment\u2010centre\/."},{"key":"e_1_2_9_11_1","unstructured":"Department of Health Disability and Aging \u201cModified Monash Model \u201d (2025) https:\/\/www.health.gov.au\/topics\/rural\u2010health\u2010workforce\/classifications\/mmm."},{"key":"e_1_2_9_12_1","unstructured":"Australian Bureau of Statistics \u201cSocioeconomic Index for Areas (SEIFA) \u201d (2023) https:\/\/www.abs.gov.au\/statistics\/people\/people\u2010and\u2010communities\/socio\u2010economic\u2010indexes\u2010areas\u2010seifa\u2010australia\/latest\u2010release."},{"key":"e_1_2_9_13_1","unstructured":"C.Stacey D.Shackley M.Evison et\u00a0al. \u201cImplementing New Models and Standards for Earlier and Faster Diagnosis of Cancer. Lecture Presented at NHS Health and Care Innovation Expo; Manchester UK \u201d (2018) https:\/\/www.england.nhs.uk\/expo\/wp\u2010content\/uploads\/sites\/18\/2018\/09\/13.45\u2010Transforming\u2010cancer\u2010care.pdf."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15174395"},{"key":"e_1_2_9_15_1","unstructured":"Cancer Australia \u201cNational Cancer Data Framework \u201d (2025) https:\/\/www.canceraustralia.gov.au\/sites\/default\/files\/2025\u201011\/national\u2010cancer\u2010data\u2010framework\u2010november\u20102025.pdf."},{"key":"e_1_2_9_16_1","unstructured":"Victorian Integrated Cancer Services \u201cCancer Services Performance Indicator Audits \u201d (2025) https:\/\/vics.org.au\/improving\/cspi."},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51895"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u20108\u2010183"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106927"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010015\u20101972\u20108"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdz432.002"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14465"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.5737\/236880762813845"},{"key":"e_1_2_9_24_1","unstructured":"World Health Organisation \u201cPatient Navigation for Early Detection Diagnosis and Treatment of Breast Cancer: Technical Brief \u201d (2024) https:\/\/www.who.int\/publications\/i\/item\/9789240100954."},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.70138"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.70356"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2020.7797"},{"key":"e_1_2_9_28_1","unstructured":"Western Sydney Local Health District \u201cMulticultural Health Plan 2022\u20132025 \u201d (2022) https:\/\/www.wslhd.health.nsw.gov.au\/multi\u2010cultural\u2010resource\u2010hub\/multicultural\u2010health\u2010plan."},{"key":"e_1_2_9_29_1","unstructured":"NSW Government \u201cEvaluating the Effectiveness of Cancer Care Coordination \u201d (2010) https:\/\/www.cancer.nsw.gov.au\/what\u2010we\u2010do\/news\/evaluating\u2010the\u2010effectiveness\u2010of\u2010cancer\u2010care\u2010coordi."},{"key":"e_1_2_9_30_1","unstructured":"NHS \u201cGuide to NHS Waiting Times in England \u201d (2022) https:\/\/www.nhs.uk\/nhs\u2010services\/hospitals\/guide\u2010to\u2010nhs\u2010waiting\u2010times\u2010in\u2010england\/."},{"key":"e_1_2_9_31_1","unstructured":"NSW Health \u201cSingle Digital Patient Record \u201d (2025) https:\/\/www.health.nsw.gov.au\/single\u2010digital\u2010patient\u2010record\/Pages\/default.aspx."}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.70174","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.70174","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.70174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T10:13:30Z","timestamp":1787566410000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.70174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/ajo.70174"],"URL":"https:\/\/doi.org\/10.1111\/ajo.70174","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70174"}}