Knowledge and Confidence of Primary Care Providers in Recognizing Patients with Laryngeal Cancer: A Survey Study

Background Mississippi has the highest incidence of laryngeal cancer in the United States. Primary care providers (PCPs) play a critical role in early detection and referral of patients with head and neck cancer; however, knowledge gaps and uncertainty regarding symptom recognition and referral timing may contribute to diagnostic delays. This study evaluated PCP knowledge, confidence, and educational needs related to laryngeal and head and neck cancer detection. Methods A multiple choice survey was distributed to 545 PCPs practicing in the five Mississippi counties with the highest incidence of laryngeal cancer. Responses captured self-reported knowledge, confidence in diagnosis, and interest in further education regarding laryngeal cancer. Data was analyzed using descriptive statistics. Results Survey response rate was 10.5%. Only 36.8% of PCPs felt confident in identifying early signs of laryngeal cancer. While 100% identified voice changes as a symptom of head and neck cancer, only 52.6% recognized that ear pain can be an associated symptom. Symptoms that are not typical for head and neck cancer, such as headache and dizziness, had high erroneous response rates. 57.9% of providers were unaware of the correlation between stridor and late laryngeal cancer. Many providers were unaware that laryngectomy patients could talk (58%) or swallow (17.6%). 70% agreed that an educational program on early warning signs of head and neck cancers would benefit their practice and 77.2% of providers expressed willingness to attend programs to improve their knowledge in these areas. Conclusion This survey emphasizes the potential benefit of targeted educational initiatives geared towards PCPs to boost diagnostic confidence and improve early detection rates in high-risk populations. In Mississippi, the nation’s highest-risk state, focused efforts could reduce diagnostic delays and improve disease survival.