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The patient interval (PI), health system diagnostic interval (HSDI), and pretreatment interval (PTI) were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Most patients were diagnosed at stage T3\/T4 for both OCSCC (74.1%) and OPSCC (77.4%). The median PI was 1\u2009month (IQR: 0\u20133), the median HSDI was 3\u2009months (IQR: 2\u20136), and the median PTI was 3\u2009months (IQR: 2\u20134). Patients with p16\u2010positive OPSCC were slightly more likely to experience a longer PI (IRR\u2009=\u20092.38; 95% CI: 1.00\u20135.67;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0499). The number of healthcare services visited showed the strongest association with progressively increased HSDI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sociodemographic and clinical factors were associated with variations in the duration of the interval from symptom onset to treatment initiation. Targeted interventions to streamline referral pathways, strengthen professional training, and increase awareness among high\u2010risk populations could substantially improve timeliness of care and patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.70171","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T08:25:33Z","timestamp":1766737533000},"page":"983-991","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["An Analysis of the Timeline to Diagnosis and Treatment in Oral Cavity and Oropharynx Cancer"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6573-9573","authenticated-orcid":false,"given":"Josefina","family":"Mart\u00ednez\u2010Ram\u00edrez","sequence":"first","affiliation":[{"name":"Oral Diagnosis Department University of Campinas  Piracicaba Brazil"},{"name":"Faculty of Dentistry University of El Salvador  San 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Natasha","family":"Toporcov","sequence":"additional","affiliation":[{"name":"Department of Epidemiology School of Public Health, University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2040-6617","authenticated-orcid":false,"given":"Alan Roger","family":"Santos\u2010Silva","sequence":"additional","affiliation":[{"name":"Oral Diagnosis Department University of Campinas  Piracicaba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0127-7998","authenticated-orcid":false,"given":"Ana Carolina Prado","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Oral Diagnosis Department University of Campinas  Piracicaba Brazil"},{"name":"Dental Oncology Service, S\u00e3o Paulo State Cancer Institute  S\u00e3o Paulo 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