Key points and time intervals for early diagnosis in symptomatic oral cancer: a systematic review

Varela‐Centelles, Pablo; López-Cedrún, José Luís; Sanromán, J. Fernández; Seoane-Romero, Juan M.; Melo, Nilce Santos de; Álvarez-Nóvoa, Pablo; Gómez, Isabel Neira; Seoane, Juan

doi:10.1016/j.ijom.2016.09.017

Cited by 33 publications

(39 citation statements)

References 79 publications

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“…The concept of delay in oral cancer diagnosis has been extensively reported, and is understood to be complex and nonlinear. 21 However, the conclusions drawn are limited by the heterogeneous criteria by which diagnostic delay is defined, variations in research methodology, and a lack of detail surrounding diagnosis and pathways in primary care. 8,22 Original research commonly uses a theoretical model investigating delay within a binary classification: patient delay (defined as the interval between detection of awareness of a bodily change to the first consultation with a healthcare professional), and professional delay (defined as the interval between first professional consultation and definitive histological diagnosis of malignancy).…”

Section: Resultsmentioning

confidence: 99%

“…8,22 Original research commonly uses a theoretical model investigating delay within a binary classification: patient delay (defined as the interval between detection of awareness of a bodily change to the first consultation with a healthcare professional), and professional delay (defined as the interval between first professional consultation and definitive histological diagnosis of malignancy). 21,23,24 There are a number of dynamic factors involved in the early diagnosis of oral cancer from a primary care perspective, including GP and dentist professional knowledge of oral cancer, provision of primary care services, impact of the doctor-patient relationship, and optimisation of suspected oral cancer pathways. 25 It is timely to assess the primary care component of the diagnostic journey of oral cancer in light of the 2015 updated NICE cancer guidance.…”

Section: Resultsmentioning

confidence: 99%

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Diagnosis and referral delays in primary care for oral squamous cell cancer: a systematic review

2018

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BackgroundThe incidence of oral cancer is increasing. Guidance for oral cancer from the National Institute for Health and Care Excellence (NICE) is unique in recommending cross-primary care referral from GPs to dentists.AimThis review investigates knowledge about delays in the diagnosis of symptomatic oral squamous cell carcinoma (OSCC) in primary care.Design and settingAn independent multi-investigator literature search strategy and an analysis of study methodologies using a modified data extraction tool based on Aarhus checklist criteria relevant to primary care.MethodThe authors conducted a focused systematic review involving document retrieval from five databases up to March 2018. Included were studies looking at OSCC diagnosis from when patients first accessed primary care up to referral, including length of delay and stage of disease at time of definitive diagnosis.ResultsFrom 538 records, 16 articles were eligible for full-text review. In the UK, more than 55% of patients with OSCC were referred by their GP, and 44% by their dentist. Rates of prescribing between dentists and GPs were similar, and both had similar delays in referral, though one study found greater delays attributed to dentists as they had undertaken dental procedures. On average, patients had two to three consultations before referral. Less than 50% of studies described the primary care aspect of referral in detail. There was no information on inter-GP–dentist referrals.ConclusionThere is a need for primary care studies on OSCC diagnosis. There was no evidence that GPs performed less well than dentists, which calls into question the NICE cancer option to refer to dentists, particularly in the absence of robust auditable pathways.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Diagnosis and referral delays in primary care for oral squamous cell cancer: a systematic review

2018

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“…This does question the effectiveness of guidelines and whether locally a more detailed referral form that incorporates the features of a particularly high‐risk patient with age, gender, smoking and alcohol status given greater weighting in addition to red flag symptoms. A recent paper on diagnostic delays in oral cancer has suggested identification and targeting of high‐risk population groups for educational awareness campaigns . There is some evidence that educational awareness campaigns, in turn, generate increased numbers of referrals …”

Section: Discussionmentioning

confidence: 99%

Deprivation in relation to urgent suspicion of head and neck cancer referrals in Glasgow

Zeitler

Fingland

Tikka

et al. 2018

Clinical Otolaryngology

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A link between deprivation and USOC referrals has been established. A difference in gender distribution between referrals and HNC was observed, more females are referred but a significantly higher number of patients with HNC are males. Neck lump is a very strong referral indicator for HNC and intermittent hoarseness is not. The findings from this analysis could be used to refine local referral patterns and priority of referral.

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“…Treatment compliance was monitored with an embedded microsensor in the appliance. One hundred fifty patients (86% men, mean [SD] age: 54 [10] years; median [interquartile range] apnea-hypopnea index (AHI), 41 [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53]; mean [SD] Epworth sleepiness scale (ESS), 9.3 [4.2]) were randomized to treatment with MAD (n=75) or sham (n=75). On intention-to-treat analysis, effective MAD therapy was not associated with improvement of EF compared with the sham group; blood pressure outcomes did not differ between the 2 groups.…”

Section: Sleep-related Breathing Disordersmentioning

confidence: 99%

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

Donovan

Marzola²,

Murphy³

et al. 2018

The Journal of Prosthetic Dentistry

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In 2017, professional literature germane to the clinical practice of prosthodontics was published at an astounding rate. The annual content of over 50 professional journals was searched in its entirety to arrive at this review intended to provide readers with a general clinical update. For convenience, prosthodontics has been divided into 8 subtopics: general prosthodontic considerations, conventional removable complete prosthodontics, conventional removable partial prosthodontics, conventional fixed prosthodontics, general implant prosthodontic considerations, implant removable prosthodontics, implant-fixed prosthodontics, and prosthodontic materials. In addition to the articles selected for review, a sizable volume of excellent general reviews, systematic reviews, meta-analyses, and helpful clinical descriptive materials were also published on topics of prosthodontic interest. Although it would be impractical to provide detailed comments on this voluminous additional material, it is listed here for the reader's convenience: clinical processes, 1-7 anatomy and physiology, 8-20 biomechanics, 21 bruxism, 22-25 conventional complete dentures, 26-28 conventional fixed prosthodontics, 29-33 conventional removable partial prosthodontics, 34-36 diagnosis, 37-43 digital dentistry, 44-47

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Key points and time intervals for early diagnosis in symptomatic oral cancer: a systematic review

Cited by 33 publications

References 79 publications

Diagnosis and referral delays in primary care for oral squamous cell cancer: a systematic review

Diagnosis and referral delays in primary care for oral squamous cell cancer: a systematic review

Deprivation in relation to urgent suspicion of head and neck cancer referrals in Glasgow

Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry

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