Understanding Transitions in Head and Neck Cancer Care
TRANSITIONS in care for patients with head and neck cancer remain a critical challenge, with new research revealing substantial evidence gaps in how care continuity is managed across treatment stages.
This scoping review mapped and analyzed existing studies on transitions in care (TiC) for individuals living with and beyond head and neck cancer. The analysis included 57 studies published globally between 2001 and 2024, most originating from the United States. Researchers found that TiC most frequently involved the shift from diagnosis to treatment, as well as from surgery to radiation therapy—two crucial stages where delays or miscommunication can negatively impact patient outcomes.
Evidence Gaps in Multidisciplinary Cancer Care Coordination
The review identified that the majority of available evidence focuses on system-level outcomes, such as wait times and care coordination, while fewer studies assess patient-centered outcomes like satisfaction or quality of life. Only eight studies evaluated specific interventions to improve care transitions, underscoring the limited attention given to actionable strategies.
These findings highlight persistent barriers in multidisciplinary coordination among surgeons, oncologists, and radiation specialists, where fragmented communication may contribute to inefficiencies and patient dissatisfaction.
Improving Outcomes Through Better Care Transition Strategies
Authors emphasized the urgent need for further investigation into transitions during active treatment phases. Developing and testing targeted interventions could reduce care delays, enhance communication, and ultimately improve survival and quality of life for patients with head and neck cancer. Strengthening multidisciplinary pathways may also optimize resource use and minimize the risk of medical error during these critical transitions.
Reference: Fillo L et al. Exploring Transitions in Care Among Patients With Head and Neck Cancer: A Scoping Review. Head Neck. 2025; doi: 10.1002/hed.70061.
