Socio-demographic characteristics are related to the advanced clinical stage of oral cancer

Lins, Larissa Suelen da Silva; Bezerra, Natanael Victor Furtunato; Freire, Aldelany Ramalho; Almeida, Leopoldina de Fátima Dantas de; Lucena, Edson Hilan Gomes de; Cavalcanti, Yuri Wanderley

doi:10.4317/medoral.23105

Cited by 13 publications

(16 citation statements)

References 29 publications

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“…Individuals diagnosed with oral cancer have a higher frequency of clinical stage IV ( 13 , 16 ), due to the late search for care, considering that initial injuries, in most cases, have no symptoms, being underestimated by the individual himself and by health professionals ( 15 ). Among these individuals, this study shows that men are the majority affected by stage IV cancer, as well as those who abuse of alcohol and tobacco, corroborating previous findings in the literature ( 1 , 8 , 13 ).…”

Section: Discussionsupporting

confidence: 91%

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Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017

Raymundo¹,

Freire²,

Gomes-Freire³

et al. 2021

Med Oral

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Background This study aimed to analyze the trend in the number of hospitalized cases of oral cancer in Brazil, according to the coverage of oral health services in public health system, and also investigate the influence of healthcare and clinical characteristics on the severity of oral cancer cases. Material and Methods This retrospective study considered the period between 2009 and 2017. Data from the Hospital Registry of Cancer from the National Cancer Institute were used, considering the primary locations C00 to C06. Detailed information including sex, age, alcohol and tobacco use, year of first consultation, and the clinical stage of the cases were also collected. The frequency of hospitalized cases was correlated with the coverage of Primary Care Oral Health Teams (ESB) and the number of Dental Specialty Centers (CEO). It was also estimated the chance of advanced oral cancer cases, according to healthcare and clinical characteristics. Data were analyzed using Tweedie's multiple regression and multiple binary logistic regression (α<0.05). Results There was an increasing trend in the number of hospitalized cases of oral cancer in Brazil between 2009 and 2017 (B=0.043, p<0.001, PR=1.044). The increase in ESB coverage was associated with small increase in the number of hospitalized cases of oral cancer (B=0.001, p =0.003, PR=1.001). The increase in the number of CEO was associated with decrease in the number of hospitalized cases of oral cancer (B=-0.085, p <0.001, PR =0.918). The increase of ESB (OR=0.998) and CEO (OR=0.974) contributed for reducing the number of stage IV cases, whilst the history of alcohol and tobacco use (OR=1.574) was associated with an increase in the number of stage IV cases. Conclusions Although an increasing trend was detected, the expansion of the public health system reduced the number of hospitalized cases and the frequency of advanced oral cancer cases in Brazil. Key words: Mouth neoplasms, squamous cell carcinoma, oral diagnosis.

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Section: Discussionsupporting

confidence: 91%

“…The incidence of oral cancer in Brazil is considered one of the highest in the world, with high rates of morbidity and mortality, which highlights its relevance in public health ( 1 - 3 ). Oral cancer is among the six most common types of cancer in males and among the eight most prevalent in females ( 2 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017

Raymundo¹,

Freire²,

Gomes-Freire³

et al. 2021

Med Oral

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“…This analysis revealed that cities with strong inequality in the income distribution have a higher risk of presenting hospitalized cases of oral cancer. Socioeconomically disadvantaged individuals are often diagnosed with lesions in advanced clinical stages and with cervical metastases, which require complex treatments performed in the hospital setting [ 8 , 16 ]. Previous studies that used regions and states as sample units found no association between the Gini coefficient and oral cancer rates [ 13 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other aspects such as human papillomavirus infection, solar radiation and genetics are also part of its complex etiology [ 2 , 5 , 6 ]. In addition, socioeconomic factors are strongly associated with the risk of oral cancer [ 7 , 8 ]. In general, individuals with worse socioeconomic status are more exposed to behavioral risk factors (such as tobacco and alcohol consumption) and have limited access to health services throughout their lives, which contributes to less prevention and late diagnosis of oral cancer [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Nonetheless individual factors such as sex, age, alcohol and tobacco consumption are remarkably associated to the incidence of oral cancer [ 7 , 8 , 9 , 10 ], other environmental socioeconomic variables should be investigated with regards their role on oral cancer incidence. Recent investigations from our research group have demonstrated the impact of socioeconomic factors and public oral health services on the rate of oral cancer hospitalization in Brazil [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Influence of Public Oral Health Services and Socioeconomic Indicators on the Frequency of Hospitalization and Deaths due to Oral Cancer in Brazil, between 2002–2017

Freire

Araújo

et al. 2020

IJERPH

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Background: Oral cancer is a frequent neoplasm worldwide, and socioeconomic factors and access to health services may be associated with its risk. Aim: To analyze effect of socioeconomic variables and the influence of public oral health services availability on the frequency of new hospitalized cases and mortality of oral cancer in Brazil. Materials and Methods: This observational study analyzed all Brazilian cities with at least one hospitalized case of oral cancer in the National Cancer Institute database (2002–2017). For each city were collected: population size, Municipal Human Development Index (MHDI), Gini Coefficient, oral health coverage in primary care, number of Dental Specialized Centers (DSC) and absolute frequency of deaths after one year of the first treatment. The risk ratio was determined by COX regression, and the effect of the predictor variables on the incidence of cases was verified by the Hazard Ratio measure. Poisson regression was used to determine factors associated with higher mortality frequency. Results: Cities above 50,000 inhabitants, with high or very high MHDI, more unequal (Gini > 0.4), with less oral health coverage in primary care (<50%) and without DSC had a greater accumulated risk of having 1 or more cases (p < 0.001). Higher frequency of deaths was also associated with higher population size, higher MHDI, higher Gini and lower oral health coverage in primary care (p < 0.001). Conclusions: The number hospitalization and deaths due to oral cancer in Brazil was influenced by the cities’ population size, the population’s socioeconomic status and the availability of public dental services.

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Clinical and Pathological Features of Oral Cancer in a High-Risk Community in Vietnam

Do,

Bui,

Nguyen

et al. 2023

J. Maxillofac. Oral Surg.

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Socio-demographic characteristics are related to the advanced clinical stage of oral cancer

Abstract: Socio-demographic characteristics are related to the advanced clinical stage of oral cancer

Cited by 13 publications

References 29 publications

Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017

Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017

Influence of Public Oral Health Services and Socioeconomic Indicators on the Frequency of Hospitalization and Deaths due to Oral Cancer in Brazil, between 2002–2017

Clinical and Pathological Features of Oral Cancer in a High-Risk Community in Vietnam

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