Partnership to establish a practice based network to assess for head and neck cancers using a low-cost portable flexible nasopharyngoscope

合作建立基于实践的网络，使用低成本便携式柔性鼻咽镜评估头颈癌

• 批准号: 10620741
• 负责人: WALTER Tsong LEE
• 金额: $ 53.57万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-19 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10620741
• 关键词: Activities of Daily Living; Address; Adoption; Anatomy; Asia; Breathing; Cancer Detection; Caring; Clinical; Clinical effectiveness; Clinics and Hospitals; Country; Data; Databases; Detection; Developed Countries; Devices; Diagnosis; Distant; District Hospitals; Eating; Effectiveness; Electronics; Equipment; Evaluation; Feedback; Future; Goals; Head and Neck Cancer; Head and neck structure; Health; Health Personnel; Health Resources; Healthcare; Healthcare Systems; High Prevalence; Hospitals; Image; Incidence; Industrialization; Infrastructure; Larynx; Lighting; Local Therapy; Location; Malignant Neoplasms; Medical center; Modeling; Nasal cavity; Online Systems; Oral; Otolaryngology; Outcome; Pain; Patient Outcomes Assessments; Patient Triage; Patients; Pharyngeal structure; Phase; Physicians; Pilot Projects; Quality of life; Research; Research Personnel; Resource-limited setting; Resources; Safety; Site; Southeastern Asia; Specialist; Stress; Surveys; Symptoms; Techniques; Technology; Training; Training and Education; Triage; Tumor stage; Vietnam; Visualization; barrier to care; cancer care; clinical outcome measures; cost; disease prognosis; effectiveness/implementation design; flexibility; global health; head and neck cancer patient; implementation evaluation; implementation outcomes; implementation strategy; improved; low and middle-income countries; medical specialties; mortality; novel; novel diagnostics; portability; practice-based research network; public health relevance; scale up; standard of care; tertiary care; treatment center

PROJECT SUMMARY There are many barriers to the care of head and neck cancers in low and middle income countries (LMICs), notably difficult-to-visualize anatomic locations, lack of adequately trained professionals, and the need for specialized, costly equipment. Head and neck cancers, which involve the oral-nasal cavities, pharynx and larynx, present a significant global health burden and have a significant impact on quality of life and daily living activities such as speaking and eating. In Vietnam, many provincial and district hospitals lack the proper training and equipment to adequately exam patients presenting with head and neck symptoms and complaints. To this end, our partnership of academic and industrial investigators has developed a low cost, mobile flexible nasolaryngoscope (FNS) for use to exam and triage patients for treatment locally or for referral to specialists in tertiary treatment centers. Using Vietnam as a model for other resource-poor healthcare systems, the goals of the proposed project are to deliver new diagnostic and treatment capacity for head and neck cancers to health providers at local hospitals and clinics. Furthermore, the use of FNS will improve triaging to and utilization of specialized medical centers. This will be achieved through decreasing the number of patients unnecessarily seeking general care at tertiary facilities, locally treating those with early cancers, and referring only those patients needing specialized care. We will accomplish these goals through the following specific aims:1) Optimize the FNS by comparison to standard of care scopes at the main tertiary care centers; 2) Educate and train a network of local healthcare providers in FNS technique and examinations; and 3) Assess implementation of FNS within the practice research network. We will plan to achieve these aims through establishing a practice based research network of 30 hospitals sites in and around Hanoi Vietnam. Data will be collected from an estimated 120,000 subjects over 5 years via electronic web based survey. The expected outcomes will improve head and neck care by health providers at local facilities within Vietnam and provide timely diagnosis, local treatment or referral for head and neck cancer patients. These outcomes will also be the basis for expansion of training and use of the low cost FNS in other low resource settings worldwide.

项目总结

项目成果

Head and neck cancer research collaborations between the United States and low- and middle-income countries: 10-year publication analysis.

• DOI: 10.1002/hed.26703
• 发表时间: 2021-08
• 期刊: HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
• 影响因子: 2.9
• 作者: Wibonele, Benjamin K.;Smith, Blaine D.;Altonji, Samuel;Kaplan, Samantha;Cho, Junghae;Lee, Walter T.
• 通讯作者: Lee, Walter T.

A Southeast Asian collaborative Delphi consensus on surveying risk factors for head and neck cancer screening and prevention.

• 发表时间: 2022
• 期刊: Global surgery (London)
• 作者: Pan DR;Juhlin E;Tran AN;Wei Q;Tang S;Bui AT;Iyer NG;Lee WT
• 通讯作者: Lee WT