Evaluating the degree of knowledge on oral cancer among general practitioners and dentists in Qazvin

Borhan-Mojabi, Katayoun; Moradi, Abouzar; Yazdabadi, Anosha

doi:10.1111/j.1365-2753.2010.01613.x

Cited by 16 publications

(29 citation statements)

References 11 publications

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“…This delay in diagnosis is probably a result of a combination of late presentation by patients and missed diagnosis. Effective theoretical and practical education on oral cancer to general dentists and students should cover the areas of recognition of pre-cancerous and cancerous lesions, etiologic factors, and accurate clinical examination of all patients in particular those aged over forty (Borhan et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Attitude and Practices Among Dentists and Senior Dental Students in Iran Toward Tobacco Cessation as an Effort to Prevent Oral Cancer

Razavi

Zolfaghari²,

Doost³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: Oral health professionals are responsible in Iran for providing a brief tobacco cessation program to smoker patients. The aim of this study was to assess Iranian dental student and dentist practice, knowledge and attitudes toward smoking cessation programs. Materials and Methods: A valid and reliable self-administered questionnaire was designed and distributed to 150 dentists working in Isfahan-Iran and 60 dental students. Some questions were developed based on the expected 5A tobacco cessation protocol. Statements on attitudes focused on professional responsibility towards smoking cessation and its effectiveness. Chi-square, ANOVA, and t test were used for statistical analysis. Results: The cessation program in dental settings covers a small group of patients (18%). Some 69.1% (n=96) of dentists reported asking their patients about tobacco use, 64% (n=83) advising their patients to quit, 33.8% (n=47) assessing their patients willingness to quit and 20% (n=28) reported helping their patients in changing their behavior. A far lower percentage reported active involvement in arranging assistance for smokers to quit (4.3%, n=5). Some 22% of students and 26% of dentists disagreed that the tobacco cessation programs should be as part of dentists' professional responsibility and 70% of them were willing to follow the protocol of tobacco cessation for patients. Conclusions: Iranian dentist performance regarding tobacco cessation is weak. Dentists and students indicated their lack of knowledge as the major reason for non-adherence to the protocol. Therefore, planning to encourage dentist to follow the protocol needs continuous educational programs.

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Section: Discussionmentioning

confidence: 99%

Attitude and Practices Among Dentists and Senior Dental Students in Iran Toward Tobacco Cessation as an Effort to Prevent Oral Cancer

Razavi

Zolfaghari²,

Doost³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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“…It is observed that five-year survival rate is 78% in cases of early diagnosis compared to advanced cases with only 19% survival rate (12). Although oral cavity is an accessible environment for dental examination, early detection rate of SCC has remained unchanged (2,13). It is mainly because SCC is usually painless in early stage (2).…”

Section: Contextmentioning

confidence: 99%

The Relationship Between Periodontal Disease and Neoplasms of the Oral Cavity: A Review Article

Nourelahi

Roshannia

Kameli

et al. 2016

Middle East J Rehabil Health

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“…GMPs are unlikely to examine patient's oral mucosa routinely, unlikely to advise patients about risk factors for oral cancer, likely to identify few risk factors, technically poor at performing the nine steps of oral cancer screening examinations, and overall not confident in diagnosing OPMLs or oral cancers. [168][169][170][171][172][173] In addition, medical students entering the workforce have been trained with even less awareness, knowledge, confidence, and skills for performing opportunistic screening for oral cancer than their more experienced colleagues.…”

Section: Discussionmentioning

confidence: 99%

“…[170][171][172][173] A recent study of 640 GDPs in Australia showed that over 90% regularly perform oral mucosal screening examinations for all patients. 31 Australian GDPs reported lack of training, confidence, time, and financial incentives as barriers to performing mucosal screening to at least some degree.…”

Section: General Medical and Dental Practitionersmentioning

confidence: 99%

“…The evidence suggests that GDPs are more skilled and confident in performing the oral cancer screening examination than their medical counterparts. 168,[170][171][172][173] However, the low attendance rate for GDPs in Australia suggests that targeting education interventions toward increasing oral cancer screening with GDPs would be less productive than that with GMPs, where the target population is more likely to attend. A recent systematic review of patient acceptance of screening for oral cancer outside the dental setting showed that GMPs should be confident that acceptance of and satisfaction with oral cancer screening is high, particularly when patients have previously been educated about oral cancer in the waiting room.…”

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confidence: 99%

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Opportunities for achieving early diagnosis of oral cancer within the medical profession in Australia

Webster¹

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Most oral cancers lack early symptoms that would prompt a patient to seek diagnosis; hence at presentation more than 60% of patients are diagnosed with stage III or IV advanced disease. Survival rates and morbidity are dramatically improved if the disease is treated at an early stage, preferably asymptomatic in stage one. Therefore, early detection of oral cancer and oral potentially malignant lesions in the asymptomatic phase via an oral cancer screening examination is important.The core objective of this thesis is to determine whether asymptomatic diagnosis of oral cancer at an early stage of disease is achievable in Australia. We achieve this by evaluating the awareness of, and attitudes toward, oral cancer and opportunistic screening held by recently-diagnosed oral cancer patients, experienced general medical practitioners, and recentlygraduated medical students. From these studies we found that participants with oral cancer had poor awareness of oral cancer and poor knowledge of risk factors prior to diagnosis. Nearly all were over 40 years of age and most consumed tobacco or alcohol or both, suggesting a target population for opportunistic screening in the primary healthcare setting. Patient, professional, and total diagnostic ii delay were better than in many other countries. In the asymptomatic phase before diagnosis, participants with oral cancer were more likely to visit a GMP over a General Dental Practitioner (GDP), and likely to do so multiple times each year, identifying significant opportunities for GMPs to perform opportunistic oral cancer screening.We also found that Australian GMPs and GMSs have an inadequate level of knowledge of oral cancer, OPMLs, risk factors, and inadequate skill in performing opportunistic oral cancer screening examinations. At the present level of knowledge and confidence, it would be unlikely for a GMP to conduct a thorough visual and tactile oral cancer screening examination even if a highrisk individual presented to his or her clinic. Only 7% of participants with oral cancer were diagnosed in the asymptomatic phase, and all were diagnosed by health practitioners with a dental qualification.We conclude that asymptomatic diagnosis of oral cancer at an early stage of disease is achievable in the primary medical healthcare setting in Australia via opportunistic oral cancer screening. Initiating a consultation with a GMP or GDP for an oral cancer screening examination would require a patient to have an improved awareness of oral cancer and knowledge of his or her personal risk factors for developing it. To increase opportunistic oral cancer screening activity from Australian GMPs, interventions need to ensure that GMPs and GMSs reach competence in risk factors for oral cancer, identifying high-risk populations, diagnostic confidence, and skill in performing the nine-step visual and tactile opportunistic oral cancer screening examination.iii

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Evaluating the degree of knowledge on oral cancer among general practitioners and dentists in Qazvin

Abstract: This study demonstrated an inadequate level of knowledge on oral cancers in both groups. Additional training in universities as well as continuing educational programmes on prevention and early detection of oral cancers is recommended.

Cited by 16 publications

References 11 publications

Attitude and Practices Among Dentists and Senior Dental Students in Iran Toward Tobacco Cessation as an Effort to Prevent Oral Cancer

Attitude and Practices Among Dentists and Senior Dental Students in Iran Toward Tobacco Cessation as an Effort to Prevent Oral Cancer

The Relationship Between Periodontal Disease and Neoplasms of the Oral Cavity: A Review Article

Opportunities for achieving early diagnosis of oral cancer within the medical profession in Australia

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