Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/5583 |
Resumo: | Therapeutic modalities for the treatment of oral cancer result in local adverse effects that can cause interruptions of the radiotherapy and consequently to influence in the patient survival. For the reduction and control of the adverse effects, Dental Care Protocol is applied to patients with oral cancer by dental surgeon team before, during and after radiotherapy and chemotherapy. Objective: The aim of this study was to investigate the adhesion of patients with oral cancer to a Dental Care Protocol and its Impact in the interruption and survival. Patients and methods: In this study 133 cases of oral cancer undergoing radiotherapy were selected. The patients were classified according to the period of dental adhesion: no adhesion (group I), adhesion less than or equal to 6 months (group II) and adhesion higher than 6 months (group III). Clinic and pathological aspects, occurrence of interruption of radiotherapy, disease-free survival and overall survival were investigated. Results: The incidence of radiotherapy interruption due to symptoms was statistically significant in group III compared to group I (p = 0.01). The frequency and duration of interruption due to symptoms were not statistically significant between groups. The conclusion of radiotherapy rate was statistically significant in the group that exceeded 6 months of dental adhesion (p = 0.02). Patient’s survival was higher in group III (p = 0.01) when compared to the other groups. Conclusion: The adhesion to a dental care protocol did not have any impact on the radiotherapy interruption due to the occurrence of symptoms, however, patients who had higher adhesion to the Dental Care Protocol showed a higher rate of disease-free survival and overall survival. |
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Mendonça, Elismauro Francisco dehttp://lattes.cnpq.br/2305019128015847Mendonça, Elismauro Francisco deMota, Dálete Delalibera Corrêa de FariaSilva, Maria Alves Garcia Santoshttp://lattes.cnpq.br/7356798559579355Morais, Marilia Oliveira2016-05-19T14:32:53Z2013-08-23MORAIS, M. O. Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida. 2013. 99 f. Dissertação (Mestrado em Odontologia) - Universidade Federal de Goiás, Goiânia, 2013.http://repositorio.bc.ufg.br/tede/handle/tede/5583ark:/38995/0013000006303Therapeutic modalities for the treatment of oral cancer result in local adverse effects that can cause interruptions of the radiotherapy and consequently to influence in the patient survival. For the reduction and control of the adverse effects, Dental Care Protocol is applied to patients with oral cancer by dental surgeon team before, during and after radiotherapy and chemotherapy. Objective: The aim of this study was to investigate the adhesion of patients with oral cancer to a Dental Care Protocol and its Impact in the interruption and survival. Patients and methods: In this study 133 cases of oral cancer undergoing radiotherapy were selected. The patients were classified according to the period of dental adhesion: no adhesion (group I), adhesion less than or equal to 6 months (group II) and adhesion higher than 6 months (group III). Clinic and pathological aspects, occurrence of interruption of radiotherapy, disease-free survival and overall survival were investigated. Results: The incidence of radiotherapy interruption due to symptoms was statistically significant in group III compared to group I (p = 0.01). The frequency and duration of interruption due to symptoms were not statistically significant between groups. The conclusion of radiotherapy rate was statistically significant in the group that exceeded 6 months of dental adhesion (p = 0.02). Patient’s survival was higher in group III (p = 0.01) when compared to the other groups. Conclusion: The adhesion to a dental care protocol did not have any impact on the radiotherapy interruption due to the occurrence of symptoms, however, patients who had higher adhesion to the Dental Care Protocol showed a higher rate of disease-free survival and overall survival.Modalidades de tratamentos para o câncer de cavidade oral resultam em efeitos adversos locais que podem gerar interrupções da radioterapia e consequentemente influenciar na sobrevida do paciente. Para a redução e controle dos efeitos adversos, protocolos de preparo do paciente oncológico são estabelecidos por equipes odontológicas antes, durante e pós-tratamento radioterápico e quimioterápico. Objetivo: Verificar a adesão dos pacientes portadores de câncer de cavidade oral ao protocolo preventivo odontológico e seu impacto na interrupção da radioterapia e sobrevida do paciente. Pacientes e método: Neste estudo foram selecionados 133 casos de câncer de cavidade oral submetidos à radioterapia. Os pacientes foram classificados de acordo com o tempo de adesão odontológica: sem adesão (grupo I), adesão inferior ou igual a 6 meses (grupo II) e adesão superior a 6 meses (grupo III). Foram investigadas as características clínico-patológicas, ocorrência de interrupção da radioterapia, sobrevida livre de doença e sobrevida global. Resultados: A ocorrência de interrupção por sintomas foi estatisticamente significante no grupo III quando comparado ao grupo I (p=0,01). A frequência e a duração de interrupção por sintomas não foram estatisticamente significante entre os grupos. A conclusão da radioterapia foi estatisticamente significante no grupo com adesão superior a 6 meses (p=0,02). A sobrevida dos pacientes foi maior no grupo III (p=0,01) quando comparado aos demais grupos. Conclusão: A adesão ao protocolo não teve impacto sobre interrupção da radioterapia devido ocorrência da interrupção por sintomas, no entanto, pacientes que tiveram adesão ao protocolo preventivo odontológico apresentaram um melhor índice de sobrevida livre de doença e de sobrevida global.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2016-05-19T14:31:23Z No. of bitstreams: 2 Dissertação Marilia Oliveira Morais - 2013.pdf: 1820357 bytes, checksum: f5d19dc55daf286af2de46f79df8659f (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-05-19T14:32:53Z (GMT) No. of bitstreams: 2 Dissertação Marilia Oliveira Morais - 2013.pdf: 1820357 bytes, checksum: f5d19dc55daf286af2de46f79df8659f (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2016-05-19T14:32:53Z (GMT). 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dc.title.por.fl_str_mv |
Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida |
dc.title.alternative.eng.fl_str_mv |
Adhesion of patients with oral cancer to a dental care protocol: impact in the interruption and survival |
title |
Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida |
spellingShingle |
Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida Morais, Marilia Oliveira Carcinoma espinocelular Odontologia preventiva Radioterapia Suspensão do tratamento e taxa de sobrevida Squamous cell carcinoma Preventive dentistry, Radiotherapy Withholding treatment and survival rate CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida |
title_full |
Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida |
title_fullStr |
Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida |
title_full_unstemmed |
Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida |
title_sort |
Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida |
author |
Morais, Marilia Oliveira |
author_facet |
Morais, Marilia Oliveira |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mendonça, Elismauro Francisco de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2305019128015847 |
dc.contributor.referee1.fl_str_mv |
Mendonça, Elismauro Francisco de |
dc.contributor.referee2.fl_str_mv |
Mota, Dálete Delalibera Corrêa de Faria |
dc.contributor.referee3.fl_str_mv |
Silva, Maria Alves Garcia Santos |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7356798559579355 |
dc.contributor.author.fl_str_mv |
Morais, Marilia Oliveira |
contributor_str_mv |
Mendonça, Elismauro Francisco de Mendonça, Elismauro Francisco de Mota, Dálete Delalibera Corrêa de Faria Silva, Maria Alves Garcia Santos |
dc.subject.por.fl_str_mv |
Carcinoma espinocelular Odontologia preventiva Radioterapia Suspensão do tratamento e taxa de sobrevida |
topic |
Carcinoma espinocelular Odontologia preventiva Radioterapia Suspensão do tratamento e taxa de sobrevida Squamous cell carcinoma Preventive dentistry, Radiotherapy Withholding treatment and survival rate CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Squamous cell carcinoma Preventive dentistry, Radiotherapy Withholding treatment and survival rate |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
Therapeutic modalities for the treatment of oral cancer result in local adverse effects that can cause interruptions of the radiotherapy and consequently to influence in the patient survival. For the reduction and control of the adverse effects, Dental Care Protocol is applied to patients with oral cancer by dental surgeon team before, during and after radiotherapy and chemotherapy. Objective: The aim of this study was to investigate the adhesion of patients with oral cancer to a Dental Care Protocol and its Impact in the interruption and survival. Patients and methods: In this study 133 cases of oral cancer undergoing radiotherapy were selected. The patients were classified according to the period of dental adhesion: no adhesion (group I), adhesion less than or equal to 6 months (group II) and adhesion higher than 6 months (group III). Clinic and pathological aspects, occurrence of interruption of radiotherapy, disease-free survival and overall survival were investigated. Results: The incidence of radiotherapy interruption due to symptoms was statistically significant in group III compared to group I (p = 0.01). The frequency and duration of interruption due to symptoms were not statistically significant between groups. The conclusion of radiotherapy rate was statistically significant in the group that exceeded 6 months of dental adhesion (p = 0.02). Patient’s survival was higher in group III (p = 0.01) when compared to the other groups. Conclusion: The adhesion to a dental care protocol did not have any impact on the radiotherapy interruption due to the occurrence of symptoms, however, patients who had higher adhesion to the Dental Care Protocol showed a higher rate of disease-free survival and overall survival. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-08-23 |
dc.date.accessioned.fl_str_mv |
2016-05-19T14:32:53Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MORAIS, M. O. Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida. 2013. 99 f. Dissertação (Mestrado em Odontologia) - Universidade Federal de Goiás, Goiânia, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/5583 |
dc.identifier.dark.fl_str_mv |
ark:/38995/0013000006303 |
identifier_str_mv |
MORAIS, M. O. Adesão de pacientes com câncer oral a um protocolo de preparo odontológico: impacto na interrupção da radioterapia e na sobrevida. 2013. 99 f. Dissertação (Mestrado em Odontologia) - Universidade Federal de Goiás, Goiânia, 2013. ark:/38995/0013000006303 |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/5583 |
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por |
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por |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Odontologia (FO) |
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UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Odontologia - FO (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
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MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
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Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
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1811721411580919808 |