Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará

Detalhes bibliográficos
Autor(a) principal: SOUSA,Fabrício Bitu
Data de Publicação: 2014
Outros Autores: SILVA,Malena Regina de Freitas e, FERNANDES,Clarissa Pessoa, SILVA,Paulo Goberlânio de Barros, ALVES,Ana Paula Negreiros Nunes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Oral Research
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200006
Resumo: The aim of this study is to share the experience of implementing a network for the diagnosis of oral cancer by integrating primary, secondary, and tertiary oral health care centers and identifying the possible weaknesses of the process. The study also investigated the risks of exposure to the main risk factors for oral and lip cancer and their most common potentially malignant lesions (PML). A quantitative cross-sectional study was conducted in two different regions, with patients seen at a primary health care facility from August 2010 to July 2011. Patients with oral lesions were referred to dental specialty centers for biopsy. Patients with PML were treated in dental specialty centers, and patients with squamous cell carcinoma (SCC) were referred to tertiary health care facilities. The dentists' knowledge of PML and SCC was assessed by an objective questionnaire. A total of 3,965 individuals were examined, 296 lesions were found, and 73 biopsies were performed, of which 13.7% were diagnosed as PML and 9.6% as SCC. Tobacco use and sunlight exposure were associated with SCC (85.7%) and PML (80%), respectively. In total, 55 dentists were assessed. The lesions most commonly recognized as PML were leukoplakia (74%), erythroplakia (57%), and actinic cheilosis (56%). Most dentists (74%) felt incapable of performing biopsies, most likely because of an anxiety towards oral cancer, and 57% had never performed one. The integration of primary and secondary health care enables the diagnosis of PML and SCC and establishes a diagnosis network. However, the inability of most primary care dentists to identify PML and perform biopsies is a weakness of the diagnostic process.
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spelling Oral cancer from a health promotion perspective: experience of a diagnosis network in CearáCarcinomaSquamous CellMouth NeoplasmsHealth PromotionDiagnosisPrecancerous ConditionsThe aim of this study is to share the experience of implementing a network for the diagnosis of oral cancer by integrating primary, secondary, and tertiary oral health care centers and identifying the possible weaknesses of the process. The study also investigated the risks of exposure to the main risk factors for oral and lip cancer and their most common potentially malignant lesions (PML). A quantitative cross-sectional study was conducted in two different regions, with patients seen at a primary health care facility from August 2010 to July 2011. Patients with oral lesions were referred to dental specialty centers for biopsy. Patients with PML were treated in dental specialty centers, and patients with squamous cell carcinoma (SCC) were referred to tertiary health care facilities. The dentists' knowledge of PML and SCC was assessed by an objective questionnaire. A total of 3,965 individuals were examined, 296 lesions were found, and 73 biopsies were performed, of which 13.7% were diagnosed as PML and 9.6% as SCC. Tobacco use and sunlight exposure were associated with SCC (85.7%) and PML (80%), respectively. In total, 55 dentists were assessed. The lesions most commonly recognized as PML were leukoplakia (74%), erythroplakia (57%), and actinic cheilosis (56%). Most dentists (74%) felt incapable of performing biopsies, most likely because of an anxiety towards oral cancer, and 57% had never performed one. The integration of primary and secondary health care enables the diagnosis of PML and SCC and establishes a diagnosis network. However, the inability of most primary care dentists to identify PML and perform biopsies is a weakness of the diagnostic process.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200006Brazilian Oral Research v.28 n.spe 2014reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/1807-3107BOR-2014.vol28.0018info:eu-repo/semantics/openAccessSOUSA,Fabrício BituSILVA,Malena Regina de Freitas eFERNANDES,Clarissa PessoaSILVA,Paulo Goberlânio de BarrosALVES,Ana Paula Negreiros Nuneseng2018-09-17T00:00:00Zoai:scielo:S1806-83242014000200006Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2018-09-17T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false
dc.title.none.fl_str_mv Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará
title Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará
spellingShingle Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará
SOUSA,Fabrício Bitu
Carcinoma
Squamous Cell
Mouth Neoplasms
Health Promotion
Diagnosis
Precancerous Conditions
title_short Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará
title_full Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará
title_fullStr Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará
title_full_unstemmed Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará
title_sort Oral cancer from a health promotion perspective: experience of a diagnosis network in Ceará
author SOUSA,Fabrício Bitu
author_facet SOUSA,Fabrício Bitu
SILVA,Malena Regina de Freitas e
FERNANDES,Clarissa Pessoa
SILVA,Paulo Goberlânio de Barros
ALVES,Ana Paula Negreiros Nunes
author_role author
author2 SILVA,Malena Regina de Freitas e
FERNANDES,Clarissa Pessoa
SILVA,Paulo Goberlânio de Barros
ALVES,Ana Paula Negreiros Nunes
author2_role author
author
author
author
dc.contributor.author.fl_str_mv SOUSA,Fabrício Bitu
SILVA,Malena Regina de Freitas e
FERNANDES,Clarissa Pessoa
SILVA,Paulo Goberlânio de Barros
ALVES,Ana Paula Negreiros Nunes
dc.subject.por.fl_str_mv Carcinoma
Squamous Cell
Mouth Neoplasms
Health Promotion
Diagnosis
Precancerous Conditions
topic Carcinoma
Squamous Cell
Mouth Neoplasms
Health Promotion
Diagnosis
Precancerous Conditions
description The aim of this study is to share the experience of implementing a network for the diagnosis of oral cancer by integrating primary, secondary, and tertiary oral health care centers and identifying the possible weaknesses of the process. The study also investigated the risks of exposure to the main risk factors for oral and lip cancer and their most common potentially malignant lesions (PML). A quantitative cross-sectional study was conducted in two different regions, with patients seen at a primary health care facility from August 2010 to July 2011. Patients with oral lesions were referred to dental specialty centers for biopsy. Patients with PML were treated in dental specialty centers, and patients with squamous cell carcinoma (SCC) were referred to tertiary health care facilities. The dentists' knowledge of PML and SCC was assessed by an objective questionnaire. A total of 3,965 individuals were examined, 296 lesions were found, and 73 biopsies were performed, of which 13.7% were diagnosed as PML and 9.6% as SCC. Tobacco use and sunlight exposure were associated with SCC (85.7%) and PML (80%), respectively. In total, 55 dentists were assessed. The lesions most commonly recognized as PML were leukoplakia (74%), erythroplakia (57%), and actinic cheilosis (56%). Most dentists (74%) felt incapable of performing biopsies, most likely because of an anxiety towards oral cancer, and 57% had never performed one. The integration of primary and secondary health care enables the diagnosis of PML and SCC and establishes a diagnosis network. However, the inability of most primary care dentists to identify PML and perform biopsies is a weakness of the diagnostic process.
publishDate 2014
dc.date.none.fl_str_mv 2014-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242014000200006
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1807-3107BOR-2014.vol28.0018
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pesquisa Odontológica - SBPqO
publisher.none.fl_str_mv Sociedade Brasileira de Pesquisa Odontológica - SBPqO
dc.source.none.fl_str_mv Brazilian Oral Research v.28 n.spe 2014
reponame:Brazilian Oral Research
instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
instacron:SBPQO
instname_str Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
instacron_str SBPQO
institution SBPQO
reponame_str Brazilian Oral Research
collection Brazilian Oral Research
repository.name.fl_str_mv Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
repository.mail.fl_str_mv pob@edu.usp.br||bor@sbpqo.org.br
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