DOI QR코드

DOI QR Code

Dentists' Perception of the Role they Play in Early Detection of Oral Cancer

  • Saleh, Amyza (Oral Cancer Research Team, Cancer Research Initiatives Foundation (CARIF), Sime Darby Medical Centre) ;
  • Kong, Yink Heay (Oral Cancer Research Team, Cancer Research Initiatives Foundation (CARIF), Sime Darby Medical Centre) ;
  • Vengu, Nedunchelian (Malaysian Dental) ;
  • Badrudeen, Haja (Malaysian Dental) ;
  • Zain, Rosnah Binti (Department of Oro-Maxillofacial Surgery and Medical Sciences, Faculty of Dentistry, University of Malaya) ;
  • Cheong, Sok Ching (Oral Cancer Research Team, Cancer Research Initiatives Foundation (CARIF), Sime Darby Medical Centre)
  • 발행 : 2014.01.15

초록

Background: Dentists are typically the first professionals who are approached to treat ailments within the oral cavity. Therefore they should be well-equipped in detecting suspicious lesions during routine clinical practice. This study determined the levels of knowledge on early signs and risk factors associated with oral cancer and identified which factors influenced dentist participation in prevention and early detection of oral cancer. Materials and Methods: A survey on dentists' knowledge and their practices in prevention and early detection of oral cancer was conducted using a 26-item self-administered questionnaire. Results and Conclusions: A response rate of 41.7% was achieved. The level of knowledge on early signs and risk habits associated with oral cancer was high and the majority reported to have conducted opportunistic screening and advised patients on risk habit cessation. Factors that influenced the dentist in practising prevention and early detection of oral cancer were continuous education on oral cancer, age, nature of practice and recent graduation. Notably, dentists were receptive to further training in the area of oral cancer detection and cessation of risk habits. Taken together, the study demonstrated that the dental clinic is a good avenue to conduct programs on opportunistic screening, and continuous education in these areas is necessary to adequately equip dentists in running these programs. Further, this study also highlighted knowledge deficits and practice shortcomings which will help in planning and developing programs that further encourage better participation of dentists in prevention and early detection of oral cancer.

키워드

참고문헌

  1. Alonge OK, Narendran S (2003). Opinions about oral cancer prevention and early detection among dentists practising along the Texas-Mexico border. Oral Dis, 9, 41-5. https://doi.org/10.1034/j.1601-0825.2003.01831.x
  2. American Cancer Society (1990). 1998 survey of physicians' attitude and practises in early detection. CA Cancer J Clin, 40, 77-101. https://doi.org/10.3322/canjclin.40.2.77
  3. Applebaum E, Ruhlen TN, Kronenberg FR, Hayes C, Peters ES (2009). Oral cancer knowledge, attitudes and practices: a survey of dentists and primary care physicians in Massachusetts. J Am Dent Assoc, 140, 461-7. https://doi.org/10.14219/jada.archive.2009.0196
  4. Ariyawardana A, Ekanayake L (2008). Screening for oral cancer/ pre-cancer: knowledge and opinions of dentists employed in the public sector dental services of Sri Lanka. Asian Pac J Cancer Prev, 9, 615-8.
  5. Brocklehurst P, Kujan O, Glenny AM, et al (2010). Screening programmes for the early detection and prevention of oral cancer. Cochrane Database Syst Rev, 4150.
  6. Brownson RC, Davis JR, Simms SG, Kern TG, Harmon RG (1993). Cancer control knowledge and priorities among primary care physicians. J Cancer Educ, 8, 35-41. https://doi.org/10.1080/08858199309528205
  7. Burzynski NJ, Firriolo FJ, Butters JM, et al (1997). Evaluation of oral cancer screening. J Cancer Educ, 12, 95-9.
  8. Canto MT, Horowitz AM, Drury TF, Goodman HS (2002). Maryland family physicians' knowledge, opinions and practices about oral cancer. Oral Oncol, 38, 416-24. https://doi.org/10.1016/S1368-8375(01)00080-X
  9. Colella G, Gaeta GM, Moscariello A, Angelillo IF. (2008). Oral cancer and dentists: knowledge, attitudes, and practices in Italy. Oral Oncol, 44, 393-9. https://doi.org/10.1016/j.oraloncology.2007.05.005
  10. Cruz GD, Ostroff JS, Kumar JV, Gajendra S (2005). Preventing and detecting oral cancer. Oral health care providers' readiness to provide health behavior counseling and oral cancer examinations. J Am Dent Assoc, 136, 594-601. https://doi.org/10.14219/jada.archive.2005.0230
  11. Decuseara G, MacCarthy D, Menezes G (2011). Oral cancer: knowledge, practices and opinions of dentists in Ireland. J Ir Dent Assoc, 57, 209-14.
  12. Doss JG, Thomson WM, Drummond BK, Raja Latifah RJ (2011). Validity of the FACT-H&N (v 4.0) among Malaysian oral cancer patients. Oral Oncol, 47, 648-52. https://doi.org/10.1016/j.oraloncology.2011.04.023
  13. Elango KJ, Anandkrishnan N, Suresh A, et al (2011). Mouth self-examination to improve oral cancer awareness and early detection in a high-risk population. Oral Oncol, 47, 620-4. https://doi.org/10.1016/j.oraloncology.2011.05.001
  14. Frenandez Garrote L, Sankaranarayanan R, Lence Anta JJ, Rodriguez Salva A, Maxwell Parkin D (1995). An evaluation of the oral cancer control program in Cuba. Epidemiol, 6, 428-31. https://doi.org/10.1097/00001648-199507000-00019
  15. Gajendra S, Cruz GD, Kumar JV (2006). Oral cancer prevention and early detection: knowledge, practices, and opinions of oral health care providers in New York State. J Cancer Educ, 21, 157-62. https://doi.org/10.1207/s15430154jce2103_14
  16. Gillison ML (2007). Current topics in the epidemiology of oral cavity and oropharyngeal cancers. Head Neck, 29, 779-92. https://doi.org/10.1002/hed.20573
  17. Glass RT, Abla M, Wheatley J (1975). Teaching self-examination of the head and neck: another aspect of preventive dentistry. J Am Dent Assoc, 90, 1265-8. https://doi.org/10.14219/jada.archive.1975.0254
  18. Grabau JC, Kaufman S, Uthman AA, Scott SJ (1978). A public education program in self-examination for orofacial cancer. J Am Dent Assoc, 96, 480-4. https://doi.org/10.14219/jada.archive.1978.0084
  19. Harris SL, Kimple RJ, Hayes DN, Couch ME, Rosenman JG (2010). Never-smokers, never-drinkers: unique clinical subgroup of young patients with head and neck squamous cell cancers. Head Neck, 32, 499-503.
  20. Hertrampf K, Wiltfang J, Koller M, et al (2010). Dentists' perspectives on oral cancer: a survey in Northern Germany and a comparison with international data. Eur J Cancer Prev, 19, 144-52.
  21. Horowitz AM, Canto MT, Child WL (2002). Maryland adults' perspectives on oral cancer prevention and early detection. J Am Dent Assoc, 133, 1058-63. https://doi.org/10.14219/jada.archive.2002.0329
  22. Horowitz AM, Drury TF, Canto MT (2000). Practices of Maryland dentists: oral cancer prevention and early detection--baseline data from 1995. Oral Dis, 6, 282-8.
  23. Horowitz AM, Goodman HS, Yellowitz JA, Nourjah PA (1996). The need for health promotion in oral cancer prevention and early detection. J Public Health Dent, 56, 319-30. https://doi.org/10.1111/j.1752-7325.1996.tb02459.x
  24. Klosa K, Wiltfang J, Wenz HJ, Koller M, Hertrampf K (2011). Dentists' opinions and practices in oral cancer prevention and early detection in Northern Germany. Eur J Cancer Prev, 20, 313-9. https://doi.org/10.1097/CEJ.0b013e3283447426
  25. Kujan O, Duxbury AJ, Glenny AM, Thakker NS, Sloan P (2006a). Opinions and attitudes of the UK's GDPs and specialists in oral surgery, oral medicine and surgical dentistry on oral cancer screening. Oral Dis, 12, 194-9. https://doi.org/10.1111/j.1601-0825.2005.01188.x
  26. Kujan O, Glenny AM, Oliver RJ, Thakker N, Sloan P (2006b). Screening programmes for the early detection and prevention of oral cancer. Cochrane Database Syst Rev, 4150.
  27. LeHew CW, Epstein JB, Kaste LM, Choi YK (2010). Assessing oral cancer early detection: clarifying dentists' practices. J Public Health Dent, 70, 93-100.
  28. Lindsay C, Morrison J, Kelley E (1974). Professional Obsolescence:implications for continuing professional education. Adult Education, 25, 3-22. https://doi.org/10.1177/074171367402500101
  29. Macpherson LM, McCann MF, Gibson J, Binnie VI, Stephen KW (2003). The role of primary healthcare professionals in oral cancer prevention and detection. Br Dent J, 195, 277-81. https://doi.org/10.1038/sj.bdj.4810481
  30. Mathew B, Sankaranarayanan R, Wesley R, Nair MK (1995). Evaluation of mouth self-examination in the control of oral cancer. Br J Cancer, 71, 397-9. https://doi.org/10.1038/bjc.1995.81
  31. McCunniff MD, Barker GJ, Barker BE, Williams K (2000). Health professionals' baseline knowledge of oral/pharyngeal cancers. J Cancer Educ, 15, 79-81.
  32. Mignogna MD, Fedele S, Lo Russo L (2004). The World Cancer Report and the burden of oral cancer. Eur J Cancer Prev, 13, 139-42.
  33. Mignogna MD, Fedele S, Lo Russo L, Ruoppo E, Lo Muzio L (2002). Costs and effectiveness in the care of patients with oral and pharyngeal cancer: analysis of a paradox. Eur J Cancer Prev, 11, 205-8.
  34. Ministry of Health Malaysia (1998). Annual Report.
  35. NOHSA (2000). National oral health survey of adults 2000 (NOHSA 2000), Oral Health Division, Ministry of Health, Malaysia, eds.
  36. Parkin DM, Bray F, Ferlay J, Pisani P (2005). Global cancer statistics, 2002. CA Cancer J Clin, 55, 74-108. https://doi.org/10.3322/canjclin.55.2.74
  37. Patton LL, Ashe TE, Elter JR, Southerland JH, Strauss RP (2006). Adequacy of training in oral cancer prevention and screening as self-assessed by physicians, nurse practitioners, and dental health professionals. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 102, 758-64. https://doi.org/10.1016/j.tripleo.2005.10.072
  38. Ramadas K, Sankaranarayanan R, Jacob BJ, et al (2003). Interim results from a cluster randomized controlled oral cancer screening trial in Kerala, India. Oral Oncol, 39, 580-8. https://doi.org/10.1016/S1368-8375(03)00041-1
  39. Rodrigues VC, Moss SM, Tuomainen H (1998). Oral cancer in the UK: to screen or not to screen. Oral Oncol, 34, 454-65. https://doi.org/10.1016/S1368-8375(98)00052-9
  40. Saleh A, Yang YH, Wan Abd Ghani WM, et al (2012). Promoting oral cancer awareness and early detection using a mass media approach. Asian Pac J Cancer Prev, 13, 1217-24. https://doi.org/10.7314/APJCP.2012.13.4.1217
  41. Sankaranarayanan R, Ramadas K, Thara S, Muwonge R, et al (2013). Long term effect of visual screening on oral cancer incidence and mortality in a randomized trial in Kerala, India. Oral Oncol, 49, 314-21. https://doi.org/10.1016/j.oraloncology.2012.11.004
  42. Sankaranarayanan R, Ramadas K, Thomas G, et al (2005). Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial. Lancet, 365, 1927-33. https://doi.org/10.1016/S0140-6736(05)66658-5
  43. Scott SE, Rizvi K, Grunfeld EA, McGurk M (2010). Pilot study to estimate the accuracy of mouth self-examination in an at-risk group. Head Neck, 32, 1393-401. https://doi.org/10.1002/hed.21341
  44. Scully C, Malamos D, Levers BG, Porter SR, Prime SS (1986). Sources and patterns of referrals of oral cancer: role of general practitioners. BMJ, 293, 599-601. https://doi.org/10.1136/bmj.293.6547.599
  45. Silverman S Jr, Rankin KV (2010). Oral and pharyngeal cancer control through continuous education. J Cancer Educ, 25, 277-8. https://doi.org/10.1007/s13187-010-0044-7
  46. Speight, P., Warnakulasuriya, S., and Ogden, G., eds. (2010). Early detection and prevention of oral cancer: a management strategy for dental practice (London, British Dental Association).
  47. Stewart B, Kleihues P, eds. (2003). World Cancer Report (Lyon, IARCPress, International Agency for Research on Cancer).
  48. Sturgis EM, Cinciripini PM (2007). Trends in head and neck cancer incidence in relation to smoking prevalence: an emerging epidemic of human papillomavirus-associated cancers? Cancer, 110, 1429-35. https://doi.org/10.1002/cncr.22963
  49. Tomar, SL (2001). Dentistry's role in tobacco control. J Am Dent Assoc, 132, 30-5.
  50. Warnakulasuriya KA, Johnson NW (1999). Dentists and oral cancer prevention in the UK: opinions, attitudes and practices to screening for mucosal lesions and to counselling patients on tobacco and alcohol use: baseline data from 1991. Oral Dis, 5, 10-4.
  51. Yellowitz JA, Horowitz AM, Drury TF, Goodman HS (2000). Survey of U.S. dentists' knowledge and opinions about oral pharyngeal cancer. J Am Dent Assoc, 131, 653-61. https://doi.org/10.14219/jada.archive.2000.0239

피인용 문헌

  1. Oral Cancer: Knowledge, Practices and Opinions of Dentists in Yemen vol.15, pp.14, 2014, https://doi.org/10.7314/APJCP.2014.15.14.5627
  2. Moderating Effects of Media Exposure on Associations between Socioeconomic Position and Cancer Worry vol.15, pp.14, 2014, https://doi.org/10.7314/APJCP.2014.15.14.5845
  3. Emerging and Established Global Life-Style Risk Factors for Cancer of the Upper Aero-Digestive Tract vol.15, pp.15, 2014, https://doi.org/10.7314/APJCP.2014.15.15.5983
  4. Association of Serum and Salivary Tumor Necrosis Factor-α with Histological Grading in Oral Cancer and its Role in Differentiating Premalignant and Malignant Oral Disease vol.15, pp.17, 2014, https://doi.org/10.7314/APJCP.2014.15.17.7141
  5. Oral Cancer Knowledge of Senior Dental Students in Zahedan, South-East of Iran vol.15, pp.7, 2014, https://doi.org/10.7314/APJCP.2014.15.7.3017
  6. Attitude and Practices Among Dentists and Senior Dental Students in Iran Toward Tobacco Cessation as an Effort to Prevent Oral Cancer vol.16, pp.1, 2015, https://doi.org/10.7314/APJCP.2015.16.1.333
  7. Oral Cancer Early Detection - a Pressing Need for Continuing Education in Jordan vol.16, pp.17, 2015, https://doi.org/10.7314/APJCP.2015.16.17.7727
  8. Knowledge and Opinions Regarding Oral Cancer among Yemeni Dental Students vol.16, pp.5, 2015, https://doi.org/10.7314/APJCP.2015.16.5.1765
  9. Assessing Oral Cancer Knowledge Among Undergraduate Dental Students in Kuwait University vol.30, pp.3, 2015, https://doi.org/10.1007/s13187-014-0734-7
  10. Comportamentos e conhecimentos de cirurgiões-dentistas da atenção primária à saúde quanto ao câncer bucal vol.24, pp.2, 2016, https://doi.org/10.1590/1414-462X201600020250
  11. Oral cancer screening in private dental practices in a developing country: opportunities and challenges vol.45, pp.2, 2016, https://doi.org/10.1111/cdoe.12266
  12. Comparison of Practices, Knowledge, Confidence, and Attitude toward Oral Cancer among Oral Health Professionals between Japan and Australia pp.1543-0154, 2018, https://doi.org/10.1007/s13187-016-1086-2
  13. Tobacco Cessation Counseling: Attitudes and Practices among Yemeni Dental Professionals pp.1543-0154, 2017, https://doi.org/10.1007/s13187-017-1212-9
  14. The dental management of a mouth cancer patient vol.225, pp.9, 2018, https://doi.org/10.1038/sj.bdj.2018.932
  15. Prevention of oral carcinogenesis in rats by Dracaena cinnabari resin extracts pp.1436-3771, 2019, https://doi.org/10.1007/s00784-018-2685-6