Medical practitioners’ educational competence about oral and oropharyngeal carcinoma: a systematic review and meta-analysis

Papadiochou, Sofia; Papadiochos, Ioannis; Perisanidis, Christos; Papadogeorgakis, Nikolaos

doi:10.1016/j.bjoms.2019.08.007

Cited by 12 publications

(9 citation statements)

References 81 publications

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“…A recent systematic review stated that there was a low level of awareness among medical practitioners regarding common potential malignant oral lesions involving leukoplakia (56%), erythroplakia (30%) and oral lichen planus (13%) and a moderate knowledge about frequent sites of oral cancer development involving the tongue (48%) and floor of the mouth (37%). Moreover, only 27% of medical practitioners performed an intraoral examination as a routine [34]. This point to the key importance of recognition of abnormality; as without this, no further action would be taken [7].…”

Section: Causes Influencing the Diagnostic Intervalmentioning

confidence: 99%

Time-to-Treatment in Oral Cancer: Causes and Implications for Survival

Saka-Herrán

Jané‐Salas

Marí-Roig

et al. 2021

Cancers

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The purpose of this review was to identify and describe the causes that influence the time-intervals in the pathway of diagnosis and treatment of oral cancer and to assess its impact on prognosis and survival. The review was structured according to the recommendations of the Aarhus statement, considering original data from individual studies and systematic reviews that reported outcomes related to the patient, diagnostic and pre-treatment intervals. The patient interval is the major contributor to the total time-interval. Unawareness of signs and/or symptoms, denial and lack of knowledge about oral cancer are the major contributors to the process of seeking medical attention. The diagnostic interval is influenced by tumor factors, delays in referral due to higher number of consultations and previous treatment with different medicines or dental procedures and by professional factors such as experience and lack of knowledge related to the disease and diagnostic procedures. Patients with advanced stage disease, primary treatment with radiotherapy, treatment at an academic facility and transitions in care are associated with prolonged pre-treatment intervals. An emerging body of evidence supports the impact of prolonged pre-treatment and treatment intervals with poorer survival from oral cancer.

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Section: Causes Influencing the Diagnostic Intervalmentioning

confidence: 99%

Time-to-Treatment in Oral Cancer: Causes and Implications for Survival

Saka-Herrán

Jané‐Salas

Marí-Roig

et al. 2021

Cancers

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“…The knowledge possessed by a medical community refers to its OSCC understanding; attitude refers to its feelings towards the disease, as well as to any preconceived ideas that it may have towards it; practice refers to the ways in which it demonstrates its knowledge and attitude through actions [ 10 ]. Understanding the levels of KAP would allow pre- and post-graduate training programs to be modified according to the needs of the medical community, focusing on the fields where there is a greater need for training [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Current Knowledge, Attitudes, and Practice among Health Care Providers in OSCC Awareness: Systematic Review and Meta-Analysis

Coppola

Mignogna

Rivieccio

et al. 2021

IJERPH

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OSCC remain a global health problem. Lack of awareness leads to inadequate watchfulness regarding early signs/symptoms despite the ease of visual oral inspection. What clinicians know and feel, and how they behave on OSCC is crucial to understand the feasibility and effectiveness of screening programs. The aim of this systematic review was to assess knowledge, attitudes, and practice (KAP) regarding OSCC among health care providers (HCPs). Therefore, a systematic review was conducted with SPIDER and PICO as major tools. A meta-analysis was structured through common items in two comparison groups of medical and dental practitioners. Descriptive statistics and a Mantel–Haenszel test were used to validate data. Sixty-six studies were selected for systematic review, eight of which are useful for meta-analysis. A statistically significant difference was recorded between dentists and medical practitioners for questions regarding: Alcohol (p < 0.001); Elderly (p < 0.012); Sun exposure (p < 0.0001); Erythroplakia (p < 0.019); Red patch (p < 0.010); White patch (p < 0.020); Tobacco consultation (p < 0.0001); Intraoral examination (p < 0.0001) and Up-to-date knowledge (p < 0.002). Overall, the incidence of OSCC screening is low. Most HCPs feel the need to increase KAP. Data confirmed gaps in KAP, highlighting the need for a more efficient pre- and post-graduation training, necessary to increase competence worldwide.

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“…It has been studied how referral delay directly affects TNM at diagnosis and survival [45]. General practitioners' educational competence in diagnosis is a key factor to detect such cases at an early stage, and improvement of their training at a primary-care level is necessary to achieve the goal of early diagnosis and prevention [46]. The study by Varela-Centelles highlighted that the factor that most delayed treatment was time lapse between the moment when patient presented symptoms for the first time and the moment when he/she decided to seek medical care [47].…”

Section: Early Diagnosismentioning

confidence: 99%

Overview of Oral Potentially Malignant Disorders: From Risk Factors to Specific Therapies

Lorini

Bescós‐Atín

Thavaraj

et al. 2021

Cancers

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Oral squamous cell carcinoma (OSCC) is a very aggressive cancer, representing one of the most common malignancies worldwide. Oral potentially malignant disorders (OPMDs) regroup a variegate set of different histological lesions, characterized by the potential capacity to transform in OSCC. Most of the risk factors associated with OSCC are present also in OPMDs’ development; however, the molecular mechanisms and steps of malignant transformation are still unknown. Treatment of OSCC, including surgery, systemic therapy and radiotherapy (alone or in combination), has suffered a dramatic change in last years, especially with the introduction of immunotherapy. However, most cases are diagnosed during the advanced stage of the disease, decreasing drastically the survival rate of the patients. Hence, early diagnosis of premalignant conditions (OPMDs) is a priority in oral cancer, as well as a massive education about risk factors, the understanding of mechanisms involved in malignant progression and the development of specific and more efficient therapies. The aim of this article is to review epidemiological, clinical, morphological and molecular features of OPMDs, with the purpose to lay the foundation for an exhaustive comprehension of these lesions and their ability of malignant transformation and for the development of more effective and personalized treatments.

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Medical practitioners’ educational competence about oral and oropharyngeal carcinoma: a systematic review and meta-analysis

Cited by 12 publications

References 81 publications

Time-to-Treatment in Oral Cancer: Causes and Implications for Survival

Time-to-Treatment in Oral Cancer: Causes and Implications for Survival

Current Knowledge, Attitudes, and Practice among Health Care Providers in OSCC Awareness: Systematic Review and Meta-Analysis

Overview of Oral Potentially Malignant Disorders: From Risk Factors to Specific Therapies

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