Barriers to early detection and management of oral cancer in the Asia Pacific region

Ng, Sin Wi; Sobri, Sharifah Nur Syamim Syed Mohd; Zain, Rosnah Binti; Kallarakkal, Thomas George; Amtha, Rahmi; Wong, Felix A Wiranata; Rimal, Jyotsna; Durward, Callum; Chea, Chanbora; Jayasinghe, Ruwan Duminda; Vatanasapt, Patravoot; Tamin, Nor Saleha Binti Ibrahim; Cheng, Lee Soo; Ismail, S.M.; Chher, Tepirou; Rahman, Zainal Ariff Bin Abdul; Rajendran, Senthilmani; Kanapathy, Jananezwary; Liew, Chee Sun; Cheong, Sok Ching

doi:10.1177/13558196211053110

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Especially in low resource settings, head and neck cancers often present in advanced stages and result in poor outcomes. Challenges in low-and middleincome countries surrounding head and neck cancers include limited equipment and surgical capacity, lack of trained healthcare workers, and the paucity of organized head and neck cancer screening programs or national cancer control strategies [4,5].…”

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confidence: 99%

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

Pan¹,

Juhlin²,

Tran³

et al. 2022

Glob Surg

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The objective of this study was to determine high value questions for early detection and prevention of head and neck cancer by querying content experts on patient risk factors relevant to local communities in Southeast Asia (i.e., Vietnam, Laos, China, and Singapore). The Delphi method was employed using three rounds of asynchronous surveying which included participants among five different collaborating medical centers. 60 total survey items were assessed for consensus defined by a priori measures on the relative level of value of these questions for use in head and neck cancer screening. 77% of items reached a consensus and no items were concluded to be of low value despite differences in conclusions regarding relative importance. Survey items focused on patient demographic information and physical examination were examined across variables such as expert department affiliation, academic designation, and years of experience and found to be without statistically significant differences. However, with consensus items related to social risk factors, it was determined that participants who had 15 or more years of experience or identified as otolaryngologists rated these items at a relatively lower value than their peers with less experience (p < 0.0001, p = 0.0017) or outside the field of otolaryngology (p = 0.0101). This study explicitly identifies patient variables to consider in head and neck cancer screening that have not previously been comprehensively or methodically assessed in current literature. Increasing awareness of these risk factors may benefit the design and implementation of future head and neck cancer early detection and prevention programs in Southeast Asia and beyond as well as positively impact head and neck cancer outcomes.

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Section: Introductionmentioning

confidence: 99%

“…Social(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) vs 15+) 0.286 (0.1830 to 0.3895) <0.0001 Social (<5 vs 15+) 0.216 (0.0820 to 0.3494) 0.0017…”

mentioning

confidence: 99%

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

Pan¹,

Juhlin²,

Tran³

et al. 2022

Glob Surg

View full text Add to dashboard Cite

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Barriers to early diagnosis and management of oral cancer in Latin America and the Caribbean

Martínez‐Ramírez,

Saldivia‐Siracusa,

González‐Pérez

et al. 2024

Oral Diseases

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ObjectiveThis study aimed to explore perceived barriers to early diagnosis and management of oral cancer, as well as potential pathways for improvement in Latin America and the Caribbean (LAC).MethodsThis cross‐sectional study used a self‐administered online questionnaire created via the Research Electronic Data Capture platform. The survey was distributed to health professionals trained in Oral Medicine, Oral Pathology, Oral and Maxillofacial Surgery, and Dentists with clinical and academic expertise in oral potentially malignant disorder (OPMD) and oral cancer. Data obtained were systematically organized and analyzed descriptively using Microsoft Excel.ResultsTwenty‐three professionals from 21 LAC countries participated. Major barriers included the limited implementation of OPMD and oral cancer control plans (17.4%), low compulsory reporting for OPMD (8.7%) and oral cancer (34.8%), unclear referral pathways for OPMD (34.8%) and oral cancer (43.5%), and a shortage of trained professionals (8.7%). Participants endorsed the utility of online education (100%) and telemedicine (91.3%).ConclusionThe survey highlights major perceived barriers to early diagnosis and management of OPMD and oral cancer in LAC, as well as potential avenues for improvement.

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Novel Approach to Improving Specialist Access in Underserved Populations with Suspicious Oral Lesions

et al. 2023

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Late detection and specialist referral result in poor oral cancer outcomes globally. High-risk LRMU populations usually do not have access to oral medicine specialists, a specialty of dentistry, whose expertise includes the identification, treatment, and management of oral cancers. To overcome this access barrier, there is an urgent need for novel, low-cost tele-health approaches to expand specialist access to low-resource, remote and underserved individuals. The goal of this study was to compare the diagnostic accuracy of remote versus in-person specialist visits using a novel, low-cost telehealth platform consisting of a smartphone-based, remote intraoral camera and custom software application. A total of 189 subjects with suspicious oral lesions requiring biopsy (per the standard of care) were recruited and consented. Each subject was examined, and risk factors were recorded twice: once by an on-site specialist, and again by an offsite specialist. A novel, low-cost, smartphone-based intraoral camera paired with a custom software application were utilized to perform synchronous remote video/still imaging and risk factor assessment by the off-site specialist. Biopsies were performed at a later date following specialist recommendations. The study’s results indicated that on-site specialist diagnosis showed high sensitivity (94%) and moderate specificity (72%) when compared to histological diagnosis, which did not significantly differ from the accuracy of remote specialist telediagnosis (sensitivity: 95%; specificity: 84%). These preliminary findings suggest that remote specialist visits utilizing a novel, low-cost, smartphone-based telehealth tool may improve specialist access for low-resource, remote and underserved individuals with suspicious oral lesions.

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Barriers to early detection and management of oral cancer in the Asia Pacific region

Cited by 3 publications

References 23 publications

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

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

Barriers to early diagnosis and management of oral cancer in Latin America and the Caribbean

Novel Approach to Improving Specialist Access in Underserved Populations with Suspicious Oral Lesions

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