Cost-effectiveness of population-based screening for oral cancer in India: an economic modelling study

Dwivedi, Pooja; Lohiya, Ayush; Bahuguna, Pankaj; Singh, Ankita; Sulaiman, Dahy; Singh, Manish Kumar; Rajsekar, Kavitha; Rizwan, Sadia

doi:10.1016/j.lansea.2023.100224

Cited by 6 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The good news is that OC screening can be very effective with a simple visual examination (Sciubba, 2001 ). This can occur at a routine dental check or, in underserved areas, by screening that targets high‐risk populations (Dwivedi et al, 2023 ). Sadly, research shows that general dentists feel ill‐equipped and perform poorly when it comes to addressing suspicious lesions (Grafton‐Clarke et al, 2019 ), and our study is in line with previous research.…”

Section: Discussionmentioning

confidence: 99%

General dentists' knowledge, perceptions, and practices regarding oral potentially malignant disorders and oral cancer in Indonesia

Sari,

Hidayat,

Dewi

et al. 2023

Clinical & Exp Dental Res

View full text Add to dashboard Cite

IntroductionThe most effective means for reducing oral cancer (OC) mortality is by preventing late‐stage disease. Early diagnosis can be improved by increasing awareness among healthcare providers, specifically general dental practitioners (GDP). Therefore, our study aimed to assess GDPs' knowledge of OC risk factors and perceived competence in performing conventional oral examination (COE) in routine dental practice.Material and MethodsThis was a cross‐sectional study conducted in five provinces of Indonesia, namely: Aceh, Banda Aceh (BA); Bandung, West Java (WJ); special district Jakarta (JKT), JKT; Pontianak, West Kalimantan (WK); and Sorong, West Papua (WP). The local Dental Association or Faculty of Dentistry invited the GDPs to attend an education program and complete the survey.ResultsOne hundred seventy‐seven GDPs completed the survey (WJ, n = 63; BA, n = 44, JKT, n = 27; WP, n = 23; and WP, n = 20). A large proportion (164 out of 177, 92.66%) of GDPs felt they had received insufficient training to equip them to diagnose OC and as many as 22.6% (n = 40) did not refer to specialists when they found suspicious mucosal lesions. Notwithstanding the significant regional variations, the majority of Indonesian GDPs self‐reported inadequate knowledge and awareness of OC and scarce confidence in performing COE.ConclusionGDP knowledge of OC risk factors and COE is key to improving early diagnosis of OC at a community level. Therefore, it is suggested that the lack of knowledge and confidence of GDPs reported here should be addressed through the national dental curriculum in Indonesia.

show abstract

Section: Discussionmentioning

confidence: 99%

General dentists' knowledge, perceptions, and practices regarding oral potentially malignant disorders and oral cancer in Indonesia

Sari,

Hidayat,

Dewi

et al. 2023

Clinical & Exp Dental Res

View full text Add to dashboard Cite

show abstract

Needs assessment for interprofessional education module on prevention and early detection of oral cancer among dental interns: a cross- sectional survey

Sujir,

Ahmed,

Ramakrishna

et al. 2024

BMC Oral Health

View full text Add to dashboard Cite

Background The challenges associated with ensuring widespread system changes to enable early diagnosis and prevention of oral cancer could benefit from interprofessional practice. A needs assessment study was conducted to inform the Interprofessional Education and Collaborative Practice (IPECP) course related to oral cancer. The primary objectives of this study were 1) to establish a tool assess the knowledge attitude and practice (KAP) related to prevention and early detection of oral cancer of health professional students, and 2) to assess the same KAP of pre-licensure dental students. Additional objectives were to consider the possibility that dental students would demonstrate good scores related to early detection and prevention of oral cancer thus indicating their readiness for interprofessional learning and collaborative practice. Methods Two questionnaires were utilized for this study which included 1) Readiness for interprofessional learning was assessed using the pre- validated tool of Readiness for Interprofessional Learning Scale (RIPLS) 2) A questionnaire to assess the KAP related to early diagnosis and prevention of oral cancer which was developed, validated, and evaluated. Statistical analysis includes, descriptive statistics, Mann–Whitney U test, Ordered logistic regression and Probit analysis. p value was set at < 0.05. Results A total of 130 dental students (74.6% female) were included in the study. Mean scores related to KAP were 15.96 ± 1.394, 4.70 + 1.146, 7.02 ± 1.019 respectively. The mean score of RIPLS was 73.15 ± 15.961. The probability of overall samples to have good RIPLS scores was around 0.68 to 0.76 (Male 0.68—0.82 & Female 0.68 -0.74). The percentage of students having good knowledge score was 93.8%, good attitude score was around 54.6% and good practice score was around 90%. Conclusion Knowledge and practice related to prevention and early detection of oral cancer were scored highly. Attitude scores were lower in a relatively higher proportion of participants and needed to be addressed in the curriculum. RIPLS score indicates a positive attitude towards interprofessional learning.

show abstract

Effect of the oral examinations in the national health screening program on preventive oral health care and treatments: a 19-year follow-up study

Go,

Kuboniwa,

Choi

2024

BMC Oral Health

View full text Add to dashboard Cite

Objectives The national health screening (NHS) program in Korea serves as primary prevention by detecting oral diseases early for easier management. Dental scaling helps prevent oral disease and treat early periodontal disease. This study evaluated the effects of national oral examinations (NOE) in NHS on preventive oral hygiene care and dental treatments for a 19-year follow-up study. Methods We conducted a longitudinal observation of Korean adults ≥ 19 years between 2002 and 2003 from the Korean National Health Insurance Service ( n = 4,669,107; men = 2,518,704; women = 2,150,403). The independent variable involved tracking the number of people who underwent the NOE recruited between 2002 and 2003 from 2002 to 2013. The dependent variables pertained to the number of dental scaling and the presence or absence of periodontal and dental caries treatments from 2014 to 2020. Results Individuals receiving 6 to 7 dental scaling during the follow-up exhibited an adjusted odds ratio (AOR) of 2.91 in the NOE-middle (3–4 times) and 3.30 in the NOE-high (5–6 times) ( p < 0.001). The adjusted rate ratios were 1.69 in the NOE-middle and 1.77 in the NOE-high ( p < 0.001). The AOR for periodontal treatment was 1.23 in the NOE-middle and NOE-high ( p < 0.001). Conclusion Frequent NOEs lead to undergoing dental scaling and dental treatment, highlighting the importance of encouraging NOE attendance to improve population oral health. Expanding the scope of dental coverage for preventive intervention combined with NOE could help encourage greater participation and promote preventive oral healthcare.

show abstract

Cost-effectiveness of population-based screening for oral cancer in India: an economic modelling study

Cited by 6 publications

References 17 publications

General dentists' knowledge, perceptions, and practices regarding oral potentially malignant disorders and oral cancer in Indonesia

General dentists' knowledge, perceptions, and practices regarding oral potentially malignant disorders and oral cancer in Indonesia

Needs assessment for interprofessional education module on prevention and early detection of oral cancer among dental interns: a cross- sectional survey

Effect of the oral examinations in the national health screening program on preventive oral health care and treatments: a 19-year follow-up study

Contact Info

Product

Resources

About