Brazilian Oral health teams in primary care and oral cancer: Results of a national evaluation

Galante, Mariana; Silva, Dorival Pedroso da; Gabriel, Mariana; Crosato, Edgard Michel; Pucca, Gilberto Alfredo; Biazevic, María Gabriela Haye; Carrer, Fernanda Campos de Almeida

doi:10.1590/1807-3107bor-2021.vol35.0116

Cited by 6 publications

(11 citation statements)

References 29 publications

(26 reference statements)

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“…Effective nursing interventions are very important. Some data show that [17][18][19] effective nursing intervention after oral tumor surgery has a significant effect on improving prognosis and improving the quality of life of patients.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Intervention Effect and Satisfaction of Holistic Nursing after Oral Tumor Resection

Yin

Zhao

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the intervention effect and satisfaction analysis of holistic nursing after oral tumor resection. Methods. A total of 70 oral tumor patients who underwent surgical treatment in our hospital from April 2020 to September 2021 were randomly divided into two groups, with 35 patients in each group. The control group was given basic oral care, the observation group was given overall oral care, and the actual effects of the two groups of care were compared, including the emotional status, compliance and nursing satisfaction, hospital stay and nursing quality scores, pain level, quality of life, and complications occurred. Results. After nursing, the patients in the observation group had good mood, higher compliance and nursing satisfaction, shorter hospital stay, higher nursing quality and quality of life scores, lower pain level, and lower incidence of complications, when compared with the control group. Conclusion. Holistic nursing has obvious effects on patients after oral tumor surgery, which can relieve patients’ negative emotions, improve patients’ compliance with treatment, improve their quality of life, and effectively reduce the degree of pain and the occurrence of complications, which is worthy of clinical promotion.

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Section: Discussionmentioning

confidence: 99%

Analysis of Intervention Effect and Satisfaction of Holistic Nursing after Oral Tumor Resection

Yin

Zhao

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Regarding oral cancer actions, the results reveal that, although oral cancer OHTs report procedures for prevention and early detection, few teams perform lesion biopsies. Results similar were founded by Galante et al [28] using data of second cycle of PMAQ-AB. The presence of the dentist in primary care, had a positive impact on campaign actions, follow-up, referral to specialists, and registration of suspected cases of oral cancer However, actions to perform lesion biopsies are done on secondary care.…”

Section: Plos Onesupporting

confidence: 87%

“…This policy benefited the North and Northeast regions, with increased access and improved infrastructure. However, the impact of this policy on service use was not enough, since the proportion of procedures is still higher among regions with higher HDIs [28,35].…”

Section: Plos Onementioning

confidence: 99%

Oral health in Brazil: What were the dental procedures performed in Primary Health Care?

et al. 2022

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This cross-sectional study aims to describe the primary dental care procedures performed by Oral Health Teams (OHTs), adhering to the third cycle of the "National Program for Improving Access and Quality of Primary Care" (PMAQ-AB) in Brazil. A descriptive analysis was performed through 26 dental procedures, including spontaneous, preventive, restorative/prosthetic and surgical procedures, and actions of cancer monitoring. Each conducted procedure assigned a score to the OHT, the final score being the sum of the number of procedures performed by the OHTs. These scores were then compared among the geographic regions of the country. Most OHTs perform basic dental procedures, such as supragingival scaling, root planning and coronal polishing (98.1%), composite filling (99.0%), and permanent tooth extraction (98.6%). The frequency related to dental prosthesis and monitoring of oral cancer decreased. Only 12.9% of the OHTs carries out biopsies, 30.9% monitor patients undergoing biopsy, 15.1% carry out impression for prostheses, and 13.6% carry out prostheses’ installation. The scores reveal that OHT’s performed, on average, 19.45 (±3.16) dental procedures. The OHTs in the South, Southeast, and Northeast had a higher number of primary dental procedures, while the teams in the North and Midwest performed, on average, fewer procedures. The Brazilian regions with the highest dental need have the lowest number of dental procedures. It is necessary to increase the range of procedures offered by OHT and reduce regional inequalities, adapting to the needs of the population in order to achieve comprehensive oral health.

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“…Increased PHC coverage is associated with reduced mortality rates for OC and oropharynx (17). It is important to note that there was an increase in the number of OHTs after the implementation of the NOHP; however, the tertiary care network did not expand in the same manner (7). The present study also showed that from 2007 to 2019 there was an expansion of oral health coverage in PHC and an increase in the number of CEO that may contribute to the increase in the resolvability rate of OC cases, thereby reducing the hospital demand for patients in advanced stages of lesions (4,5).…”

Section: Discussionmentioning

confidence: 99%

“…This policy allowed for the implementation of prevention strategies, early diagnosis, and control of OC by means of the Family Health Strategy (FHS) and Oral Health Teams (OHT) as interventions of Primary Health Care (PHC) (5), as well as enabled the implementation of specialized dental care services throughout the country, through the creation of the Specialized Dental Centers (CEO, in Portuguese) in Oral Health (6). Thus, the significant expansion of PHC in the poorest regions of the country sought to overcome social and geographic inequalities of access to health services, considering the principle of equity (7). However, despite the advances, especially in relation to the expansion of population coverage and the expansion of access to dental services, it is still possible to observe the presence of entry barriers in primary care, such as non-coverage of the Family Health Program, or the lack of doctors in basic health units and the long wait for secondary care, which reflects negatively on the morbidity and mortality indicators of OC (5).…”

Section: Introductionmentioning

confidence: 99%

Spatial-temporal analysis of hospitalizations with death caused by oral cancer in Brazil and its correlation with the expansion of healthcare coverage

Lima¹,

Costa²,

Andrade³

et al. 2023

Med Oral

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Background: Oral cancer (OC) is a growing public health problem worldwide. In Brazil, the National Oral Health Policy, implemented in 2004, expanded access to oral health services and prioritized OC care. However, it is not known whether this expansion resulted in a reduction in hospital admissions with death. This study aimed to analyze the proportion of hospital admissions who progressed to death due to OC in Brazil from 2007 to 2019 and its correlation with the coverage of health services. Material and Methods: This study is an ecological, longitudinal, and analytical study of hospital admissions with death due to OC recorded in the Brazilian Hospital Information System. The following analyses were performed: descriptive, spatial (choropleth maps and Moran index), and negative binomial regression, with a hierarchical approach, estimating crude and adjusted regression coefficients (β) and respective 95% confidence intervals (95% CI) (alpha=5%). Results: In 2019, Moran's index (I) of spatial autocorrelation showed a negative association between hospital admissions with death and dentist surgeon/inhabitant rate (I=-0.176), physician/inhabitant rate (I=-0.157), family health strategy (FHS) coverage (I=-0.080), oral health team (OHT) coverage (I= -0.129), dental specialty centers (DSC)/inhabitant rate (I= -0.200), and oncology bed/inhabitant rate (I= -0.101). In the adjusted regression analysis, the proportion of hospitalizations with deaths caused by OC was higher in Brazilian states with a lower medical ̸ inhabitant ratio (β= -0.014; p=0.040), a lower dentists/inhabitant ratio (β= -0.720; p=0.045), a lower number of DSC (β= -0.004; p<0.000), a lower amount paid per hospitalization (β= -10.350; p<0.001), and a lower number of biopsies (β= -0.00008; p=0.010). The proportion of hospitalizations that progressed to death showed a positive association with the number of days of hospitalization (β= 0.00002; p=0.002).

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Brazilian Oral health teams in primary care and oral cancer: Results of a national evaluation

Cited by 6 publications

References 29 publications

Analysis of Intervention Effect and Satisfaction of Holistic Nursing after Oral Tumor Resection

Analysis of Intervention Effect and Satisfaction of Holistic Nursing after Oral Tumor Resection

Oral health in Brazil: What were the dental procedures performed in Primary Health Care?

Spatial-temporal analysis of hospitalizations with death caused by oral cancer in Brazil and its correlation with the expansion of healthcare coverage

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