Barriers to early diagnosis and management of oral cancer in Latin America and the Caribbean.

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Oral diseases Pub Date : 2024-10-01 Epub Date: 2024-02-21 DOI:10.1111/odi.14903

Josefina Martínez-Ramírez, Cristina Saldivia-Siracusa, Leonor-Victoria González-Pérez, Florence Juana Maria Cuadra Zelaya, Roberto Gerber-Mora, Osmani Fabricio Guevara Cabrera, Ronell Bologna-Molina, Gerardo Gilligan, Wilson Delgado-Azañero, Arvind Babu Rajendra Santosh, Wilfredo Alejandro González-Arriagada, Mariana Villarroel-Dorrego, Bernardo Venegas Rojas, Karen Patricia Domínguez Gallagher, Elena María José Román Tager, Saray Aranda-Romo, Gilda Lucía García-Heredia, Efrain Cima Garcia, Ileana Hurtado, Claudette Arambú Turcios, Leira Patricia Solis Espinal, Rúben Alexander Martínez González, Ana Carolina Prado Ribeiro, Rejane Faria Ribeiro-Rotta, Luiz Paulo Kowalski, Maria Paula Curado, Tatiana Natasha Toporcov, Thomas Peter Sollecito, Andre Lopes Carvalho, Marcio Ajudarte Lopes, Saman Warnakulasuriya, Alan Roger Santos-Silva

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Abstract

Objective: This study aimed to explore perceived barriers to early diagnosis and management of oral cancer, as well as potential pathways for improvement in Latin America and the Caribbean (LAC).

Methods: This cross-sectional study used a self-administered online questionnaire created via the Research Electronic Data Capture platform. The survey was distributed to health professionals trained in Oral Medicine, Oral Pathology, Oral and Maxillofacial Surgery, and Dentists with clinical and academic expertise in oral potentially malignant disorder (OPMD) and oral cancer. Data obtained were systematically organized and analyzed descriptively using Microsoft Excel.

Results: Twenty-three professionals from 21 LAC countries participated. Major barriers included the limited implementation of OPMD and oral cancer control plans (17.4%), low compulsory reporting for OPMD (8.7%) and oral cancer (34.8%), unclear referral pathways for OPMD (34.8%) and oral cancer (43.5%), and a shortage of trained professionals (8.7%). Participants endorsed the utility of online education (100%) and telemedicine (91.3%).

Conclusion: The survey highlights major perceived barriers to early diagnosis and management of OPMD and oral cancer in LAC, as well as potential avenues for improvement.

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拉丁美洲和加勒比地区口腔癌早期诊断和管理的障碍。

目的本研究旨在探讨拉丁美洲和加勒比地区（LAC）在口腔癌早期诊断和管理方面存在的障碍以及潜在的改进途径：这项横断面研究通过研究电子数据采集平台制作了一份自填式在线问卷。调查对象为接受过口腔内科、口腔病理科、口腔颌面外科培训的卫生专业人员，以及在口腔潜在恶性疾病（OPMD）和口腔癌方面具有临床和学术专长的牙科医生。我们使用 Microsoft Excel 对所获得的数据进行了系统整理和描述性分析：来自 21 个拉丁美洲和加勒比国家的 23 名专业人员参加了此次调查。主要障碍包括口腔恶性疾病和口腔癌控制计划的实施有限（17.4%）、口腔恶性疾病（8.7%）和口腔癌（34.8%）的强制报告率低、口腔恶性疾病（34.8%）和口腔癌（43.5%）的转诊途径不明确以及缺乏训练有素的专业人员（8.7%）。参与者对在线教育（100%）和远程医疗（91.3%）的实用性表示认可：这项调查强调了拉丁美洲和加勒比地区在早期诊断和管理口腔黏膜炎和口腔癌方面存在的主要障碍，以及潜在的改进途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.