The challenge of the approach to oral cancer in primary health care

Noro, Luiz Roberto Augusto; Landim, Jordania Rodrigues; Martins, Mychele Cavalcante de Andrade; Lima, Yuliana Castro Ponciano

doi:10.1590/1413-81232017225.12402015

Cited by 17 publications

(17 citation statements)

References 16 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They do not regularly perform an examination of the mucosa, they do an incomplete, inconsistent, and unacceptable screening, they pay more attention to dental and periodontal pathologies, and they do not establish sufficient preventive measures of any kind. [ 21 31 32 33 ] Some authors even report that the majority of dentists prefer not to investigate risk factors, nor do they advise to stop smoking or moderate the consumption of alcoholic drinks, as they consider these as indiscreet and inopportune indications. [ 31 ] However, there is scientific evidence which supports the role of doctors and dentists in this sense: they can play a key role in convincing their patients to reduce or remove such harmful health risks.…”

Section: Discussionmentioning

confidence: 99%

Screening projects for oral carcinoma in relation to health education and patients' compliance: Study on 600 participants

Leuci¹,

Amato²,

Calabria³

et al. 2017

J Int Soc Prevent Communit Dent

View full text Add to dashboard Cite

Aims and Objectives:The lack of information among the population regarding the existence of oral squamous cell carcinoma (OSCC) and the lack of attention and expertise in examining the oral cavity of dentists and clinicians still remain very worrying and could explain the high incidence of OSCC. The aim of this study is to evaluate the level of awareness of OSCC among 600 participants from Southern Italy.Materials and Methods:A 13-question survey was prepared and distributed to 600 participants divided into two subgroups, the first one of 300 patients referring to the Department of Neuroscience, Reproductive, and Odontostomatological Sciences, University Federico II of Naples, for the treatment of dental pathologies, and the second one of 300 patients referring to the Department of Internal Medicine of the Second University of Naples for the diagnosis and treatment of cardiovascular diseases. Statistical analysis consisted in the calculation of percentages related to the answers given by patients. Comparison of percentages was after performed between the two subgroups.Result:Only 175 participants (29.1%) knew about the existence of pathologies which can affect the oral mucosa, and only 46 (7.6%) were aware that carcinoma can arise in the oral cavity; 345 (57,5%) stated that they had periodical dental visits, at least once a year but none of them stated they had a visit for the identification of oral carcinomas.Conclusion:The data acquired must be taken into consideration to outline essential socio-healthcare educational projects on carcinoma and its risk factors, training programs to increase dentists and clinicians’ competences, and to evaluate the feasibility and effectiveness of oral carcinoma screening programs.

show abstract

Section: Discussionmentioning

confidence: 99%

Screening projects for oral carcinoma in relation to health education and patients' compliance: Study on 600 participants

Leuci¹,

Amato²,

Calabria³

et al. 2017

J Int Soc Prevent Communit Dent

View full text Add to dashboard Cite

show abstract

“…The scenario observed before this policy was characterized by a curative and individualized dental care model, centered on private services 23 . With its implementation, prevention started guiding oral health care, and procedures for detecting changes in the oral mucosa and biopsies started to be recommended in primary care and in the DSC 24 .…”

Section: Discussionmentioning

confidence: 99%

“…Some problems are inherent to the health system as a whole, which refer to insu cient coverage, unequal distribution of health care units and a decrease in government investments in health in recent years, with the advance of austerity policies 14,15 . The lack of training and insecurity of professionals in relation to the diagnosis of malignant lesions and biopsies should also be highlighted 24 . Furthermore, the global pandemic of Covid-19, in 2020, which required measures of social distance, as well as itslong-term impacts can contribute to the increase of cases that are diagnosed later 28 .…”

Section: Discussionmentioning

confidence: 99%

“…Taking this into account, the expansion of oral health coverage in primary and specialized care, especially in the sense of equity, prioritizing populations in socioeconomic vulnerability, are essential strategies for improving the epidemiological scenario of oral cancer in Brazil 13,24 . In this sense, some urgent measures are highlighted, such as the increase in government investments in health, the implementation of public policies to combat social inequalities, the control of behavioral risk factors for oral cancer, the training of oral health professionals in the early identi cation of precancerous lesions and the expansion of health education measures for the general population.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Public Oral Health Services Coverage and Socioeconomic Indicators’ Effect on The Number of Hospitalized Cases of Oral Cancer in Brazil

Freire

Araújo

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Oral cancer still representing one of the most frequent neoplasms worldwide, especially in developing countries. Socioeconomic factors and access to health services may be associated with the risk of oral cancer. This study analyzed the frequency of new hospitalized cases of oral cancer in Brazil, according to socioeconomic variables and data on oral health coverage in its public health system. Methods: Observational study, with a retrospective cohort design, whose sampling units was composed of all Brazilian cities that registered at least one hospitalized case of oral cancer in the National Cancer Institute database, between 2002-2017. For each city included, were collected the population size, Municipal Human Development Index (M-HDI), Gini Coefficient, as well as data regarding oral health coverage in primary care and the number of Dental Specialized Center (DSC). The COX regression was used to determine the risk ratio for a city to present a new hospitalized case of oral cancer, and the effect of the predictor variables on the incidence of cases was verified by the Hazard Ratio measure. Accumulated risk curves were obtained for the adjusted model, and for each variable. Results: All predictor variables were considered significant in the regression model (p<0.05). Cities above 50 thousand inhabitants, with high or very high M-HDI, more unequal (Gini>0.4), with less oral health coverage in primary care (<50%) and without the presence of DSC demonstrated a greater accumulated risk of having 1 or more hospitalized cases of oral cancer. Conclusions: The risk of hospitalization for oral cancer in Brazil is greater in cities with a larger population size, more developed, with greater inequality of income distribution and with less availability of public oral health services.

show abstract

“…The large number of oral soft tissue injuries found (33.1%) represents an opportunity to increase the proportion of oral cancer detected at the earliest stage. This could be achieved by referring patients with soft tissue injuries that need biopsy to specialized oral health care centers (15) .…”

Section: Discussionmentioning

confidence: 99%

Oral health of older people: tracking soft tissue injuries for the prevention of oral cancer

Saintrain

Bandeira

Pequeno

et al. 2018

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: To detect oral soft tissue injuries in older people. Method: A quantitative analytical cross-sectional study conducted in Fortaleza, Ceará. Individual interviews addressed age, gender, marital status, income, and education. The community oral health indicator was used to detect oral soft tissue injuries and their location. Results: Most of the 821 participants aged 60-100 years were women (580; 70.6%), attended school for up to 5 years (401; 48.8%), were illiterate (201; 24.5%), were retired (608; 74.1%), and received up to 2 wages (701; 85.4%). A total of 604 participants (73.6%) wore dentures. Injuries included red patches (152; 55.9%), blisters (58; 21.3%), lesions and/or wounds (39; 14.3%), and white patches (30; 11%). Locations of injuries were the roof of the mouth (167; 61.4%), gums (62; 22.8%), cheeks (39; 14.3%), tongue (15; 5.5%), lips (15; 5.5%), and the floor of the mouth (12; 4.4%). Injuries were associated with age (p<0.001), retirement (p=0.005), education (p=0.010), dentures (p<0.001) and red patches (p<0.001). Conclusion: Tracking soft tissue injuries and referring older adults with suspected malignant lesions to the health team should be included as oral cancer identification and prevention measures. Furthermore, health care providers should raise older adults’ awareness of the importance of regular preventive examinations.

show abstract

The challenge of the approach to oral cancer in primary health care

Cited by 17 publications

References 16 publications

Screening projects for oral carcinoma in relation to health education and patients' compliance: Study on 600 participants

Screening projects for oral carcinoma in relation to health education and patients' compliance: Study on 600 participants

Public Oral Health Services Coverage and Socioeconomic Indicators’ Effect on The Number of Hospitalized Cases of Oral Cancer in Brazil

Oral health of older people: tracking soft tissue injuries for the prevention of oral cancer

Contact Info

Product

Resources

About