Clinical Profile and Management of Oral Cancer; Is Tobacco Ban the Need of the Hour? An ESIC Tertiary Care Hospital Experience

Abstract

In this scheme, the employee's contribution rate is 0.75% of the wages, and that of the employer's is 3.25% of the wages paid/payable in respect of the employees in every wage period, and though the contributions are based on the workers IntroductIonOral cancer is one of the commonest cancers in India, and as per the Globocan 2020 data, it is the most common cancer among Indian males and the second most common cancer in both sexes. 1 Though curable if detected in early stages and also easily accessible by virtue of site for examination, both by a patient as well as healthcare worker, most patients reach in locally advanced and late stages, leading to complex management protocols, poorer treatment outcomes, and increasing health care burden. 2 Most common risk factor is tobacco usage. [3][4][5] In India, rampant usage of various forms of smokeless tobacco like khaini, gutkha is the leading risk factor, others being alcohol consumption, low socioeconomic status, and lack of oral hygiene.This retrospective study was conducted in a tertiary care hospital and medical college and hospital of ESIC, which is a social security system aimed at the labor class population of India with a budget of 80,000 crore INR (US $11 billion). This scheme is one of the biggest social security providers in the world and is designed to provide socioeconomic protection to employees in the organized sector, with the provision of medical benefits being its major strength. As the monthly wage ceiling for coverage of an employee