- Email: [email protected]
P3.86. Oral cancer diagnosis and prognosis: Accessibility to dental clinical examination
Materials and methods: In this study we collected oral cancer information from cancer registry center of Qazvin and Dental faculty of Qazvin Medical University. Results: Eighty-six cases of oral Cancer were found through the investigated total samples which 43 patients (50%) were male and 43 patients (50%) were female. Average age of patients were (59.0 ± 21.5). The most age incidence of oral Cancer was the seventh decades of life. In pathology, Carcinoma with 67 cases (77.9%) was the most common one. The second rank belonged to Salivary gland with 12 cases (14%) and Sarcoma with 4 cases (4.7%) was the third. Tongue with 29 cases (34.5%), Lip with 9 cases (10.7%) and finally Buccal with 8 cases (9.5%), were 1st, 2nd and 3rd sites of involvement in this study. Conclusion: Most of the information in this study is similar to previous studies. We need more accurate statistics to recognize the risk factors of suffering oral Cancer in different parts of country, which require integrated system of cancer register. doi:10.1016/j.oos.2009.06.610
P3.85. Oral self-examination for increase in awareness of oral cancers in a high-risk population J.K. Elango, S. Iyer, M.A. Kuriakose * Amrita Institute of Medical Sciences, Kochi, India Objective: The objective of the study is to evaluate effectiveness of oral self-examination to increase awareness and early detection of oral cancer. Methods: The study population consists of a high-risk coastal community in India with a total population of 57,000. Thirty thousand five hundred and thirty above 10 years formed the study group. Oral self-examination brochure to demonstrating the technique was distributed by health volunteer. Health workers were trained in oral cancer clinical diagnosis. They completed validated questionnaire on oral cancer awareness and referred the screen positive subjects to the screening clinic. SPSS 11.0 software was used for data analysis. Results: Eighty four percent practiced oral self-examination. The program identified 219 precancerous cases and 4 cancer cases in T1/ T2 stage. Data of 19,608 persons of this ongoing study was analyzed. Of the surveyed group 97% have heard about oral cancer. Ninety four percent correctly identified the risk habits as causes of oral cancer. Eighty nine percent considered oral cancer as a curable disease and 94% believed that early detection could improve the chances of cure. Forty-one percent males and 12% females had one or multiple high-risk habits. Among the habitués, 94% of smokers, 95% of chewers and 97% of those who consumed alcohol were aware that their habits could cause oral cancer. In a previous study in an adjacent population without the use of mouth examination brochure, the awareness was considerably lower than the study population. (86% have heard about oral cancer, 61% correctly identified the risk habits as causes of oral cancer, 58% considered oral cancer as a curable disease. Among those who consumed alcohol were aware that their habits could cause oral cancer.) Conclusions: Oral self-examination may be used as an effective tool to improve awareness of oral cancer and for early detection of lesions in a high-risk population. doi:10.1016/j.oos.2009.06.611
229
P3.86. Oral cancer diagnosis and prognosis: Accessibility to dental clinical examination E. Michel-Crosato *, L.M. Souza, J.L.F. Antunes, M.G.H. Biazevic School of Dentistry, University of São Paulo (FOUSP), Brazil Introduction: Oral cancer constitutes a public health problem, considering its high prevalence, incidence, mortality and low survival. Objective: The objective of the study was to verify the accessibility to dental examinations in public, private and health plan offices in the city of São Paulo, Brazil. Methods: A cross-sectional study was carried out. The data collection was performed telephone conversation simulating two clinical conditions: case (suggesting neoplasm suspect) and control (with prosthesis needs). We used t test and Poisson regression analysis to verify the association between variables. The adopted level of significance was of 95%. Results: Among the 600 selected dental offices, 575 (95.8%) participated of the study. The average number of waiting days to consultation was 2.83 (SD = 2.7) in the case group; the corresponding number in the control group was 4.27 (SD = 5.93) (p = 0.007). The average number of waiting days was lower in private offices (2.46; SD = 3.85) comparing with health plan offices (4.45, SD = 5.22) (p = 0.001). Time to the appointment, when fixed by the dentist was lower than when fixed by the dental assistant in private and health plan offices (p = 0.001). In public dental offices, cases were able to fix more urgent appointments than controls (rate ratio = 1.87; p = 0.002). Discussion: Cases had better access to dental offices than controls. Dental offices access should be improved in health plan offices and continued education to dental assistants could improve patients’ accessibility to dental offices. doi:10.1016/j.oos.2009.06.612
P3.87. Oral visual screening reduces mortality in high risk individuals – Trivandrum experience K. Ramadas a,*, G. Thomas a, T. Somanathan a, R. Muwonge b, B. Mathew a, R. Sankaranarayanan b a
Regional Cancer Centre, Trivandrum, India International Agency for Research on Cancer, Lyon, French Southern Territories, France b
Oral Cancer is an important public health problem, world wide, especially in South – East Asian countries like India, Pakistan, Hong Kong and some parts of Europe. In spite of the advances in diagnosis and treatment most of these cancers present in advanced stages and the survival rates continue to remain low. Though oral cavity can be examined easily and treatment results of these cancers in early stages are good, the benefit of screening and early detection in reducing oral cancer mortality has not been established. The Trivandrum Oral Cancer Screening, a collaborative project between the Regional Cancer Centre, Trivandrum, India and the International Agency for Research on Cancer, Lyon, France is a community based controlled cluster randomizesd trial, initiated in 1995 to test the efficacy of oral visual inspection in reducing mortality from oral cancer. Thirteen panchayaths were randomised into intervention (7 Panchayaths) and control groups (6 panchayaths). A total of 167,915 subjects aged 35 years and above, participated in this study. Three rounds of screening, each lasting for three years were carried out using trained health workers. Oral visual examination was offered to those living in the intervention group and routine
Poster Abstracts Oral AbstractsPoster ListOrals ListPan. Disc. & Symp. Abs.Keynote Abs.Keynote Bios.ProgramIAOOWelcomeCommittee Listings
Poster session III / Oral Oncology Supplement 3 (2009) 201–236
P3.85. Oral self-examination for increase in awareness of oral cancers in a high-risk population J.K. Elango, S. Iyer, M.A. Kuriakose * Amrita Institute of Medical Sciences, Kochi, India Objective: The objective of the study is to evaluate effectiveness of oral self-examination to increase awareness and early detection of oral cancer. Methods: The study population consists of a high-risk coastal community in India with a total population of 57,000. Thirty thousand five hundred and thirty above 10 years formed the study group. Oral self-examination brochure to demonstrating the technique was distributed by health volunteer. Health workers were trained in oral cancer clinical diagnosis. They completed validated questionnaire on oral cancer awareness and referred the screen positive subjects to the screening clinic. SPSS 11.0 software was used for data analysis. Results: Eighty four percent practiced oral self-examination. The program identified 219 precancerous cases and 4 cancer cases in T1/ T2 stage. Data of 19,608 persons of this ongoing study was analyzed. Of the surveyed group 97% have heard about oral cancer. Ninety four percent correctly identified the risk habits as causes of oral cancer. Eighty nine percent considered oral cancer as a curable disease and 94% believed that early detection could improve the chances of cure. Forty-one percent males and 12% females had one or multiple high-risk habits. Among the habitués, 94% of smokers, 95% of chewers and 97% of those who consumed alcohol were aware that their habits could cause oral cancer. In a previous study in an adjacent population without the use of mouth examination brochure, the awareness was considerably lower than the study population. (86% have heard about oral cancer, 61% correctly identified the risk habits as causes of oral cancer, 58% considered oral cancer as a curable disease. Among those who consumed alcohol were aware that their habits could cause oral cancer.) Conclusions: Oral self-examination may be used as an effective tool to improve awareness of oral cancer and for early detection of lesions in a high-risk population. doi:10.1016/j.oos.2009.06.611
229
P3.86. Oral cancer diagnosis and prognosis: Accessibility to dental clinical examination E. Michel-Crosato *, L.M. Souza, J.L.F. Antunes, M.G.H. Biazevic School of Dentistry, University of São Paulo (FOUSP), Brazil Introduction: Oral cancer constitutes a public health problem, considering its high prevalence, incidence, mortality and low survival. Objective: The objective of the study was to verify the accessibility to dental examinations in public, private and health plan offices in the city of São Paulo, Brazil. Methods: A cross-sectional study was carried out. The data collection was performed telephone conversation simulating two clinical conditions: case (suggesting neoplasm suspect) and control (with prosthesis needs). We used t test and Poisson regression analysis to verify the association between variables. The adopted level of significance was of 95%. Results: Among the 600 selected dental offices, 575 (95.8%) participated of the study. The average number of waiting days to consultation was 2.83 (SD = 2.7) in the case group; the corresponding number in the control group was 4.27 (SD = 5.93) (p = 0.007). The average number of waiting days was lower in private offices (2.46; SD = 3.85) comparing with health plan offices (4.45, SD = 5.22) (p = 0.001). Time to the appointment, when fixed by the dentist was lower than when fixed by the dental assistant in private and health plan offices (p = 0.001). In public dental offices, cases were able to fix more urgent appointments than controls (rate ratio = 1.87; p = 0.002). Discussion: Cases had better access to dental offices than controls. Dental offices access should be improved in health plan offices and continued education to dental assistants could improve patients’ accessibility to dental offices. doi:10.1016/j.oos.2009.06.612
P3.87. Oral visual screening reduces mortality in high risk individuals – Trivandrum experience K. Ramadas a,*, G. Thomas a, T. Somanathan a, R. Muwonge b, B. Mathew a, R. Sankaranarayanan b a
Regional Cancer Centre, Trivandrum, India International Agency for Research on Cancer, Lyon, French Southern Territories, France b
Oral Cancer is an important public health problem, world wide, especially in South – East Asian countries like India, Pakistan, Hong Kong and some parts of Europe. In spite of the advances in diagnosis and treatment most of these cancers present in advanced stages and the survival rates continue to remain low. Though oral cavity can be examined easily and treatment results of these cancers in early stages are good, the benefit of screening and early detection in reducing oral cancer mortality has not been established. The Trivandrum Oral Cancer Screening, a collaborative project between the Regional Cancer Centre, Trivandrum, India and the International Agency for Research on Cancer, Lyon, France is a community based controlled cluster randomizesd trial, initiated in 1995 to test the efficacy of oral visual inspection in reducing mortality from oral cancer. Thirteen panchayaths were randomised into intervention (7 Panchayaths) and control groups (6 panchayaths). A total of 167,915 subjects aged 35 years and above, participated in this study. Three rounds of screening, each lasting for three years were carried out using trained health workers. Oral visual examination was offered to those living in the intervention group and routine
Poster Abstracts Oral AbstractsPoster ListOrals ListPan. Disc. & Symp. Abs.Keynote Abs.Keynote Bios.ProgramIAOOWelcomeCommittee Listings
Poster session III / Oral Oncology Supplement 3 (2009) 201–236