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Development of Key Performance Indicators for a National Head and Neck Cancer Audit Feasibility Study.

J Song¹, F Jashek-Ahmed², K Walker³

¹Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, WC1H 9SH, United Kingdom.

Clinical Oncology (Royal College of Radiologists (Great Britain))

|June 11, 2026

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Eight key performance indicators (KPIs) were developed to assess head and neck cancer (HNC) care quality and outcomes. Data completeness across providers presents a challenge for national HNC audits.

Area of Science:

Oncology
Health Services Research
Quality Improvement

Background:

Head and neck cancer (HNC) care requires robust evaluation metrics.
Existing frameworks may not fully capture quality, equity, and outcomes.
National audits are crucial for monitoring and improving cancer care.

Purpose of the Study:

To develop consensus-based key performance indicators (KPIs) for evaluating head and neck cancer (HNC) care.
To establish measurable and actionable metrics for quality, equity, and outcomes.
To inform the National Head and Neck Cancer Audit (NaHaNCA) Feasibility Study.

Main Methods:

A mixed-methods approach including literature review and measurability assessment.
National cancer audits, guidelines, and datasets were analyzed.

Keywords:

Head and neck cancer Healthcare equity National clinical audit Performance indicators Quality improvement

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Multi-stakeholder consultations with clinicians and patients refined the KPIs.

Main Results:

Eight high-priority, measurable, and actionable KPIs were identified.
KPIs cover treatment timeliness, staging, care types, recurrence, survival, and multidisciplinary involvement.
Significant variation in data completeness across providers was noted.

Conclusions:

The study establishes a foundation for national HNC health service performance evaluation.
A feasible and scalable national audit approach for HNC is possible.
Addressing data limitations is critical for a sustainable national audit.