Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/s12903-021-01664-3 http://hdl.handle.net/11449/221788 |
Resumo: | Background: Oral and oropharyngeal cancers are considered important public health problems worldwide. This study aims to analyze the association between late diagnosis of oral and oropharyngeal cancers in Brazil and the contextual indicators of socioeconomic variables and coverage of Primary Health Care (PHC), and to assess the temporal trend of late diagnosis. Methods: In this cross-sectional observational study, secondary data were evaluated with a time series analysis. All Brazilian cities that reported at least one case of oral and oropharyngeal cancers each year in the period between 2000 and 2013 were included; and the staging was analyzed by calculating the ratio risk for late diagnosis for each municipality. The association between staging and socioeconomic variables and offer of PHC was calculated using multiple linear regression. The time trend of the risk ratio for late-stage diagnosis was calculated using the Prais–Winsten method. Results: One hundred and sixty Brazilian municipalities had at least one annual case of oral and oropharyngeal cancers notified to the INCA hospital system between 2000 and 2013. The adjusted model showed that the higher the Gini value (greater social inequality) and the lower the HDI value (less human development) was, the higher was the number of tumors diagnosed at a late stage, considering the size of the tumor. A greater risk for late diagnosis was identified, as early as at the stage of lymph node involvement, when there was a higher level of social inequality and lower level of coverage by Oral Health Teams (OHT) in PHC. The greater the social inequality, the greater was the risk of late diagnosis, as early as in the stage of metastasis. Conclusions: We concluded that, during the evaluated period, there was an increase in the number of cases diagnosed at the most advanced stage. Furthermore, there was association between higher levels of social inequality and an increase in the proportion of late diagnosis of oral and oropharyngeal cancers. In addition, the inclusion of Oral Health Teams in Primary Health Care promoted the early diagnosis of these types of cancers. |
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Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide studyEarly cancer detectionOral neoplasmsOropharyngeal neoplasmsPrimary Health CareStudy of time seriesBackground: Oral and oropharyngeal cancers are considered important public health problems worldwide. This study aims to analyze the association between late diagnosis of oral and oropharyngeal cancers in Brazil and the contextual indicators of socioeconomic variables and coverage of Primary Health Care (PHC), and to assess the temporal trend of late diagnosis. Methods: In this cross-sectional observational study, secondary data were evaluated with a time series analysis. All Brazilian cities that reported at least one case of oral and oropharyngeal cancers each year in the period between 2000 and 2013 were included; and the staging was analyzed by calculating the ratio risk for late diagnosis for each municipality. The association between staging and socioeconomic variables and offer of PHC was calculated using multiple linear regression. The time trend of the risk ratio for late-stage diagnosis was calculated using the Prais–Winsten method. Results: One hundred and sixty Brazilian municipalities had at least one annual case of oral and oropharyngeal cancers notified to the INCA hospital system between 2000 and 2013. The adjusted model showed that the higher the Gini value (greater social inequality) and the lower the HDI value (less human development) was, the higher was the number of tumors diagnosed at a late stage, considering the size of the tumor. A greater risk for late diagnosis was identified, as early as at the stage of lymph node involvement, when there was a higher level of social inequality and lower level of coverage by Oral Health Teams (OHT) in PHC. The greater the social inequality, the greater was the risk of late diagnosis, as early as in the stage of metastasis. Conclusions: We concluded that, during the evaluated period, there was an increase in the number of cases diagnosed at the most advanced stage. Furthermore, there was association between higher levels of social inequality and an increase in the proportion of late diagnosis of oral and oropharyngeal cancers. In addition, the inclusion of Oral Health Teams in Primary Health Care promoted the early diagnosis of these types of cancers.Postgraduate Program in Family Health (PPGSF) Federal University of Mato Grosso Do Sul (UFMS)Faculty of Dentistry (FAODO) Federal University of Mato Grosso Do Sul (UFMS)Piracicaba Dental School (FOP) State University of Campinas (UNICAMP)School of Dentistry Faculty of Dentistry Federal University of Rio Grande Do Sul (UFRGS)School of Dentistry (FOAr) São Paulo State University (UNESP)School of Dentistry (FOAr) São Paulo State University (UNESP)Universidade Federal de Mato Grosso do Sul (UFMS)Universidade Estadual de Campinas (UNICAMP)Federal University of Rio Grande Do Sul (UFRGS)Universidade Estadual Paulista (UNESP)Vargas, Deborah Gomes de MirandaProbst, Livia Fernandesda Cunha, Amanda RamosTagliaferro, Elaine Pereira da Silva [UNESP]Zafalon, Edílson JoséZárate-Pereira, PauloDe-Carli, Alessandro Diogo2022-04-28T19:40:24Z2022-04-28T19:40:24Z2021-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1186/s12903-021-01664-3BMC Oral Health, v. 21, n. 1, 2021.1472-6831http://hdl.handle.net/11449/22178810.1186/s12903-021-01664-32-s2.0-85108058081Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMC Oral Healthinfo:eu-repo/semantics/openAccess2022-04-28T19:40:24Zoai:repositorio.unesp.br:11449/221788Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T18:18:41.404744Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study |
title |
Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study |
spellingShingle |
Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study Vargas, Deborah Gomes de Miranda Early cancer detection Oral neoplasms Oropharyngeal neoplasms Primary Health Care Study of time series |
title_short |
Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study |
title_full |
Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study |
title_fullStr |
Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study |
title_full_unstemmed |
Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study |
title_sort |
Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study |
author |
Vargas, Deborah Gomes de Miranda |
author_facet |
Vargas, Deborah Gomes de Miranda Probst, Livia Fernandes da Cunha, Amanda Ramos Tagliaferro, Elaine Pereira da Silva [UNESP] Zafalon, Edílson José Zárate-Pereira, Paulo De-Carli, Alessandro Diogo |
author_role |
author |
author2 |
Probst, Livia Fernandes da Cunha, Amanda Ramos Tagliaferro, Elaine Pereira da Silva [UNESP] Zafalon, Edílson José Zárate-Pereira, Paulo De-Carli, Alessandro Diogo |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de Mato Grosso do Sul (UFMS) Universidade Estadual de Campinas (UNICAMP) Federal University of Rio Grande Do Sul (UFRGS) Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Vargas, Deborah Gomes de Miranda Probst, Livia Fernandes da Cunha, Amanda Ramos Tagliaferro, Elaine Pereira da Silva [UNESP] Zafalon, Edílson José Zárate-Pereira, Paulo De-Carli, Alessandro Diogo |
dc.subject.por.fl_str_mv |
Early cancer detection Oral neoplasms Oropharyngeal neoplasms Primary Health Care Study of time series |
topic |
Early cancer detection Oral neoplasms Oropharyngeal neoplasms Primary Health Care Study of time series |
description |
Background: Oral and oropharyngeal cancers are considered important public health problems worldwide. This study aims to analyze the association between late diagnosis of oral and oropharyngeal cancers in Brazil and the contextual indicators of socioeconomic variables and coverage of Primary Health Care (PHC), and to assess the temporal trend of late diagnosis. Methods: In this cross-sectional observational study, secondary data were evaluated with a time series analysis. All Brazilian cities that reported at least one case of oral and oropharyngeal cancers each year in the period between 2000 and 2013 were included; and the staging was analyzed by calculating the ratio risk for late diagnosis for each municipality. The association between staging and socioeconomic variables and offer of PHC was calculated using multiple linear regression. The time trend of the risk ratio for late-stage diagnosis was calculated using the Prais–Winsten method. Results: One hundred and sixty Brazilian municipalities had at least one annual case of oral and oropharyngeal cancers notified to the INCA hospital system between 2000 and 2013. The adjusted model showed that the higher the Gini value (greater social inequality) and the lower the HDI value (less human development) was, the higher was the number of tumors diagnosed at a late stage, considering the size of the tumor. A greater risk for late diagnosis was identified, as early as at the stage of lymph node involvement, when there was a higher level of social inequality and lower level of coverage by Oral Health Teams (OHT) in PHC. The greater the social inequality, the greater was the risk of late diagnosis, as early as in the stage of metastasis. Conclusions: We concluded that, during the evaluated period, there was an increase in the number of cases diagnosed at the most advanced stage. Furthermore, there was association between higher levels of social inequality and an increase in the proportion of late diagnosis of oral and oropharyngeal cancers. In addition, the inclusion of Oral Health Teams in Primary Health Care promoted the early diagnosis of these types of cancers. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-01 2022-04-28T19:40:24Z 2022-04-28T19:40:24Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/s12903-021-01664-3 BMC Oral Health, v. 21, n. 1, 2021. 1472-6831 http://hdl.handle.net/11449/221788 10.1186/s12903-021-01664-3 2-s2.0-85108058081 |
url |
http://dx.doi.org/10.1186/s12903-021-01664-3 http://hdl.handle.net/11449/221788 |
identifier_str_mv |
BMC Oral Health, v. 21, n. 1, 2021. 1472-6831 10.1186/s12903-021-01664-3 2-s2.0-85108058081 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMC Oral Health |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128918609199104 |