Regionalization of Health Care in Head and Neck Cancer: Concept and Considerations

Abstract

Introduction

Head and neck cancer are rare and require complex medical and surgical management. Regionalization or centralization of care, defined as the concentration of patients with complex diseases from a specific area in institutions with more experienced and highly functional multidisciplinary teams, may be an alternative to achieve better oncologic outcomes.

Objective

To systematize the current knowledge regarding the centralization of care in head and neck oncology and its consequences in the practice of related surgeries.

Data Synthesis

Currently, there is evidence that this strategy shows better oncologic outcomes in centers with greater volumes, greater adherence to evidence-based clinical guidelines and quality indicators, and a multidisciplinary team in charge of decision-making. The center in Ontario, Canada, is framed as an example of this strategy, achieving improved outcomes while maintaining a high level of quality.

Conclusion

Although more high-quality studies are needed to support this strategy, we believe that the evidence already available is sufficient to consider it a valid option to improve the oncologic outcomes of patients.

Keywords

squamous cell carcinoma of head and neck - quality indicators - health care - patient care team

Publikationsverlauf

Eingereicht: 28. August 2023

Angenommen: 18. November 2024

Artikel online veröffentlicht:
20. August 2025

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