{"id":"https://openalex.org/W7225614007","doi":"https://doi.org/10.3399/bjgpo.2026.0262","title":"The general practice burden of oral symptom management and subsequent upper aerodigestive tract cancer diagnosis","display_name":"The general practice burden of oral symptom management and subsequent upper aerodigestive tract cancer diagnosis","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225614007","doi":"https://doi.org/10.3399/bjgpo.2026.0262"},"language":"en","primary_location":{"id":"doi:10.3399/bjgpo.2026.0262","doi":"https://doi.org/10.3399/bjgpo.2026.0262","is_oa":true,"landing_page_url":"https://doi.org/10.3399/bjgpo.2026.0262","pdf_url":null,"source":{"id":"https://openalex.org/S4210226469","display_name":"BJGP Open","issn_l":"2398-3795","issn":["2398-3795"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311776","host_organization_name":"Royal College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310311776"],"host_organization_lineage_names":["Royal College of General Practitioners"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJGP Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3399/bjgpo.2026.0262","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090362881","display_name":"Tami Yap","orcid":"https://orcid.org/0000-0001-8412-1114","observed_orcids":["https://orcid.org/0000-0001-8412-1114"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tami Yap","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-8412-1114","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030917366","display_name":"Olivia Wawryk","orcid":"https://orcid.org/0000-0002-8242-870X","observed_orcids":["https://orcid.org/0000-0002-8242-870X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Olivia Wawryk","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085775648","display_name":"Nadia Kaunein","orcid":"https://orcid.org/0000-0001-5621-8568","observed_orcids":["https://orcid.org/0000-0001-5621-8568"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nadia Kaunein","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161322656","display_name":"Adrian Deangelis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Adrian Deangelis","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021307074","display_name":"Nidhi Saraswat","orcid":"https://orcid.org/0000-0003-1484-7889","observed_orcids":["https://orcid.org/0000-0003-1484-7889"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nidhi Saraswat","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161328091","display_name":"Tim Iseli","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tim Iseli","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161327651","display_name":"Sally Phillip","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sally Phillip","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018903101","display_name":"Ankur Singh","orcid":"https://orcid.org/0000-0001-5547-368X","observed_orcids":["https://orcid.org/0000-0001-5547-368X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ankur Singh","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161329119","display_name":"Jon Emery","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jon Emery","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161305157","display_name":"Michael Mccullough","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michael Mccullough","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020312456","display_name":"Leanne Teoh","orcid":"https://orcid.org/0000-0002-9138-813X","observed_orcids":["https://orcid.org/0000-0002-9138-813X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Leanne Teoh","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009089516","display_name":"Shaoke Lei","orcid":"https://orcid.org/0000-0002-6772-0649","observed_orcids":["https://orcid.org/0000-0002-6772-0649"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shaoke Lei","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-6772-0649","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5060687609","display_name":"Silja Schrader","orcid":"https://orcid.org/0000-0003-1776-6152","observed_orcids":["https://orcid.org/0000-0003-1776-6152"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Silja Schrader","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1000,"currency":"GBP","value_usd":1226},"apc_paid":{"value":1000,"currency":"GBP","value_usd":1226},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"BJGPO.2026.0262","last_page":"BJGPO.2026.0262"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.8198000192642212,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10307","display_name":"Head and Neck Cancer Studies","score":0.8198000192642212,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11452","display_name":"Oral Health Pathology and Treatment","score":0.13570000231266022,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.018799999728798866,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9301999807357788},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.7132999897003174},{"id":"https://openalex.org/C2781318095","wikidata":"https://www.wikidata.org/wiki/Q33127638","display_name":"General practice","level":2,"score":0.640999972820282},{"id":"https://openalex.org/C2909289247","wikidata":"https://www.wikidata.org/wiki/Q1143025","display_name":"Oral Cancers","level":3,"score":0.5788000226020813},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5238999724388123},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4814000129699707},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4632999897003174},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.374099999666214},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.35269999504089355},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.34929999709129333},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.34610000252723694},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.32850000262260437},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.32589998841285706},{"id":"https://openalex.org/C2778527826","wikidata":"https://www.wikidata.org/wiki/Q1787017","display_name":"Cancer registry","level":3,"score":0.32589998841285706},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3142000138759613},{"id":"https://openalex.org/C106347477","wikidata":"https://www.wikidata.org/wiki/Q5384228","display_name":"Equating","level":3,"score":0.3018999993801117},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.301800012588501},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.29910001158714294},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.2856000065803528},{"id":"https://openalex.org/C2992547766","wikidata":"https://www.wikidata.org/wiki/Q7099387","display_name":"Oral examination","level":3,"score":0.26919999718666077},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.2676999866962433},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2655999958515167},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.25940001010894775}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3399/bjgpo.2026.0262","doi":"https://doi.org/10.3399/bjgpo.2026.0262","is_oa":true,"landing_page_url":"https://doi.org/10.3399/bjgpo.2026.0262","pdf_url":null,"source":{"id":"https://openalex.org/S4210226469","display_name":"BJGP Open","issn_l":"2398-3795","issn":["2398-3795"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311776","host_organization_name":"Royal College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310311776"],"host_organization_lineage_names":["Royal College of General Practitioners"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJGP Open","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3399/bjgpo.2026.0262","doi":"https://doi.org/10.3399/bjgpo.2026.0262","is_oa":true,"landing_page_url":"https://doi.org/10.3399/bjgpo.2026.0262","pdf_url":null,"source":{"id":"https://openalex.org/S4210226469","display_name":"BJGP Open","issn_l":"2398-3795","issn":["2398-3795"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311776","host_organization_name":"Royal College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310311776"],"host_organization_lineage_names":["Royal College of General Practitioners"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJGP Open","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Background":[0],"The":[1,78],"signs":[2],"and":[3,38,69,94,111],"symptoms":[4,35,154,171,257],"of":[5,41,62,129,133,148,166,181,198,210,220],"upper":[6],"aerodigestive":[7],"tract":[8],"(UADT)":[9],"cancer":[10,48,174,183,212,222],"may":[11],"lead":[12],"to":[13,16,25,102,123,152,159],"patients":[14,30,42,138,167,184,213,223],"presenting":[15,168],"medical":[17],"general":[18],"practitioners":[19],"(GPs).":[20],"Aim":[21],"This":[22,247],"study":[23,58],"aimed":[24],"identify":[26],"the":[27,39,60,70,87,190,204,230],"frequency":[28],"which":[29],"seek":[31],"care":[32,66,140,228],"for":[33,89,141,215,244],"oral":[34,113,124,153,170,205,216,245,250],"from":[36,75],"GPs":[37],"proportion":[40],"who":[43,238],"subsequently":[44],"developed":[45],"a":[46,83,127,187],"UADT":[47,173,182,211,221],"in":[49,99,117,189,203,229],"Victoria,":[50],"Australia.":[51],"Design":[52],"&":[53],"setting":[54],"A":[55],"retrospective":[56],"cohort":[57],"utilising":[59],"University":[61],"Melbourne\u2019s":[63],"Patron":[64],"primary":[65],"data":[67],"repository":[68],"Victorian":[71,90],"Cancer":[72],"Registry":[73],"(VCR)":[74],"2008-2022.":[76],"Method":[77],"datasets":[79],"were":[80,97],"linked":[81,137],"using":[82],"deterministic":[84],"approach":[85],"by":[86,106,256],"Centre":[88],"Data":[91],"Linkage.":[92],"Descriptive":[93],"comparative":[95],"analyses":[96],"performed":[98],"R":[100],"(v4.3.1)":[101],"assess":[103],"subgroups":[104],"defined":[105],"presentation":[107],"over":[108],"time,":[109],"with":[110,126,169,196,200],"without":[112],"symptoms.":[114,143,217,246],"Results":[115],"One":[116],"200":[118],"GP":[119,188,227],"visits":[120,150],"was":[121,145,241],"related":[122,151],"symptoms,":[125],"total":[128],"81":[130],"492":[131],"(0.3%)":[132],"25":[134],"635":[135],"768":[136],"seeking":[139],"these":[142],"There":[144],"an":[146],"average":[147],"8463":[149],"per":[155,179],"year":[156],"across":[157],"equating":[158],"approximately":[160],"2116":[161],"practice":[162],"hours.":[163],"Only":[164],"0.1%":[165],"develop":[172],"within":[175],"12":[176,191,231],"months.":[177],"Forty":[178],"cent":[180],"had":[185],"visited":[186],"months":[192,232],"preceding":[193,233],"their":[194,234],"diagnosis":[195],"majority":[197],"those":[199,237],"cancers":[201],"visible":[202],"cavity.":[206],"However,":[207],"only":[208],"7%":[209],"presented":[214],"Conclusion":[218],"Majority":[219],"did":[224],"not":[225,242,253],"utilise":[226],"diagnosis.":[235],"For":[236],"did,":[239],"it":[240],"commonly":[243],"suggests":[248],"opportunistic":[249],"examination":[251],"should":[252],"be":[254],"driven":[255],"alone.":[258]},"counts_by_year":[],"updated_date":"2026-11-10T13:44:29.811591","created_date":"2026-11-10T00:00:00"}