Social inequalities in oral cancer literacy in an adult population in a multicultural deprived area of the UK

Al-Kaabi, R.; Gamboa, A; Williams, David; Marcenes, Wagner

doi:10.1093/pubmed/fdv116

Cited by 11 publications

(13 citation statements)

References 28 publications

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“…23,26,31 Reports from India 34 and Iran 32 describe longer patient interval potentially linked to an insufficient awareness. 39 An "alarming lack of public awareness," particularly in vulnerable subpopulations, 40 has also been detected in high-income countries, 41,42 which may justify the finding of wide patient intervals in developed countries. 22,27 This phenomenon may be related to cognitive/psycho-F I G U R E 2 Time intervals in the route from first symptom until start of treatment social determinants, such as fate, symptom interpretation, misattribution (to infection or dental problems), to a belief that the symptom is trivial, stoicism, fear and lack of knowledge on oral cancer.…”

Section: Summary and Discussion Of Main Resultsmentioning

confidence: 99%

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The length of patient and primary care time interval in the pathways to treatment in symptomatic oral cancer. A quantitative systematic review

Varela‐Centelles

Seoane

López-Cedrún

et al. 2017

Clinical Otolaryngology

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Objectives: To examine the relative length of the patient and primary care intervals in symptomatic oral cancer.Design: Quantitative systematic review. Search strategy: Oral cancer OR oral squamous cell carcinoma OR oropharyngeal cancer AND time interval OR diagnostic delay.Setting: Primary and secondary care.Participants: Oral and oropharyngeal cancer patients. Main outcome measures:We computed five measures (patient, primary care, diagnosis, total diagnosis and total treatment intervals). Most studies did not provide any dispersion measure. We then used the sample size of each study to compute a weighted average of the mean intervals. When the median was provided, we assumed normality of the distribution of the means and used the median as a proxy of the mean.Results: A total of 1089 articles were identified, and 22 met the inclusion criteria, reporting on 2710 patients from Europe, USA, India, Australia, Japan, Argentina and Iran. The weighted average of patient interval was 80.3 days. Primary care interval was five times shorter: 15.8 days. The diagnostic interval was appreciably shorter (47.9 days) when compared with the patient interval during symptomatic period.Conclusions: Patient interval represents the major component of waiting times since the detection of the first signs/symptoms to the definitive diagnosis of oral cancer. Thus, strategies focused on high-risk patients should be prioritised. Interventions aimed at optimising the health systems should be implemented by monitoring and facilitating diagnostic and treatment pathways of patients with oral cancer.

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Section: Summary and Discussion Of Main Resultsmentioning

confidence: 99%

“…Reports from India and Iran describe longer patient interval potentially linked to an insufficient awareness . An “alarming lack of public awareness,” particularly in vulnerable subpopulations, has also been detected in high‐income countries, which may justify the finding of wide patient intervals in developed countries .…”

Section: Discussionmentioning

confidence: 99%

The length of patient and primary care time interval in the pathways to treatment in symptomatic oral cancer. A quantitative systematic review

Varela‐Centelles

Seoane

López-Cedrún

et al. 2017

Clinical Otolaryngology

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“…No estudo de Martins et al (2014) (14) , observaram que os determinantes sociais, entre eles a educação, tem relação com o câncer de boca, os indivíduos que haviam completado só o ensino fundamental tinham maior incidência de câncer de boca do que os que completaram o ensino médio. Corroborando com estes achados, o estudo de Al-Kaabi et al(2015) (15) observou que a população mais carente, apresentava menor educação sobre os sinais e sintomas do câncer de boca.…”

Section: Discussionunclassified

Estudo epidemiológico do câncer de boca no Brasil / Epidemiological study of oral cancer in Brazil

Soares¹,

Neto²,

Santos³

2019

Arq Med Hosp Fac Cienc Med Santa Casa São Paulo

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Introdução: O câncer de boca representa 3% dos casos de câncer no mundo, levando em consideração todos os tipos de câncer. De acordo com a Organização Mundial de Saúde (OMS), para o ano de 2030 a estimativa de casos novos está em torno de 27 milhões. Objetivo: Descrever o perfil clínico e epidemiológico de indivíduos com câncer de boca atendidos em hospitais de referência do Brasil nos anos de 2005 a 2014, comparando as diferenças entre as regiões do Brasil. Método: Trata-se de um estudo descritivo, retrospectivo, que analisou informações provenientes do Sistema Nacional de Informações de Registros Hospitalares do Câncer (SisRHC). Resultados: O estudo mostrou que a maior prevalência da doença ocorreu em indivíduos do sexo masculino (80,19%). Na faixa etária de 55 a 64 anos (30,64%), cor branca (48,5%) e de baixa escolaridade (48,75%). A localização anatômica mais comum do tumor foi a língua (26,23%), seguida da base da língua (16,67%). O estadiamento mais frequente foi o IV (62,24%). Em relação a distribuição dos casos de câncer de boca, a região Sudeste se destaca com 52,78%, seguida da região Nordeste com 22,26%. Conclusão: A partir da análise dos dados foi possível concluir que a maioria dos pacientes diagnosticados com câncer de boca no Brasil eram do sexo masculino, cor branca, idade superior a 55 anos, lesões localizadas na língua e ventre da língua ou assoalho de boca e baixa escolaridade. As regiões Nordeste e Sudeste se destacam por apresentar maior numero casos da doença. A partir do conhecimento do perfil epidemiológico, sugere-se intensificar as políticas públicas de prevenção, diagnóstico e tratamento para populações especificas, a fim de modificar o quadro do perfil, uma vez que já foram identificados neste estudo.Descritores: Neoplasias bucais, Registros hospitalares, Epidemiologia descritiva.AbstractIntroduction: Mouth cancer accounts for 3% of all cancer cases in the world, taking into account all types of cancer. According to the World Health Organization (WHO), by the year 2030 the estimate of new cases is around 27 million. Objective: To describe the clinical and epidemiological profile of individuals with oral cancer treated at reference hospitals in Brazil from 2005 to 2014, comparing the differences between the regions of Brazil. Method: This is a descriptive, retrospective study that analyzed information from the National Information System of Cancer Hospital Records (SisRHC). Results: The study showed that the highest prevalence of the disease occurred in males (80.19%). In the age group of 55 to 64 years (30.64%), white (48.5%) and low education (48.75%). The most common anatomical location of the tumor was the tongue (26.23%), followed by the tongue base (16.67%). The most frequent staging was IV (62.24%). Regarding the distribution of oral cancer cases, the Southeast region stands out with 52.78%, followed by the Northeast region with 22.26%. Conclusion: Based on data analysis, it was possible to conclude that the majority of patients diagnosed with oral cancer in Brazil were male, white, older than 55 years, lesions located on the tongue and floor of the tongue and low level of schooling. The Northeastern and Southeastern regions stand out because they present more cases of the disease. From the knowledge of the epidemiological profile, it is suggested to intensify the public policies of prevention, diagnosis and treatment for specific populations, in order to modify the profile picture, since they were already identified in this study. Key words: Mouth neoplasms, Hospital records, Epidemiology descriptive.

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“…Lack of information about oral cancer and its protective and risk factors: many campaigns for the dissemination of information on disease have been promoted, but specifically on oral cancer is still incipient. People asked to appear to not know about oral cancer, suspected lesions or risk, and protective factors, even patients who are undergoing treatment for this type of cancer [14,19]. 5.…”

Section: Factors Related To Late Diagnosis Of Oral Cancermentioning

confidence: 99%

Non-Invasive Methods for Early Diagnosis of Oral Cancer

Conceição¹,

Figueiró²,

Luiza³

2020

Oral Diseases

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Oral cancer is a public health problem because of its high morbidity and mortality, and when not treated in a timely manner, it is significantly mutilating, causing damage to the physical and psychological aspects of patients and directly interfering with their quality of life. Several factors influence the early diagnosis of this pathology, including lack of self-care related to oral health, especially among people with prolonged use of dental prosthesis; delayed perception of the lesion; delayed search for professional assistance since the lesion is noticed by the patient; lack of information about oral cancer, its risk and protective factors, and oral lesions that may be suggestive of cancer; lack of health promotion and prevention activities aimed at oral cancer; and lack of training in oral cancer among oral health professionals. These factors must be tackled to promote the timely diagnosis of this pathology. The use of reliable noninvasive diagnosis methods is also important because they can be easily made available in low resource settings, increasing the coverage of people who are under risk of developing oral cancer.

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Social inequalities in oral cancer literacy in an adult population in a multicultural deprived area of the UK

Abstract: Oral cancer literacy is poor among adults in Outer North East London, and we have identified particularly vulnerable sub-populations.

Cited by 11 publications

References 28 publications

The length of patient and primary care time interval in the pathways to treatment in symptomatic oral cancer. A quantitative systematic review

The length of patient and primary care time interval in the pathways to treatment in symptomatic oral cancer. A quantitative systematic review

Estudo epidemiológico do câncer de boca no Brasil / Epidemiological study of oral cancer in Brazil

Non-Invasive Methods for Early Diagnosis of Oral Cancer

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