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Vazquez FL, Coracin FL, Arantes KLBF, Ferigatto JL, Nascimento-Júnior AC, Barroso EM, Prata EM, Longatto-Filho A, Buexm LA, Tieghi-Neto V, Mauad EC, Warnakulasuriya S, Gama RR. An oral cancer screening program in Brazil: Analysis of seven years of outcome after its implementation in the suburban cities of São Paulo. Oral Oncol 2024; 154:106826. [PMID: 38733949 DOI: 10.1016/j.oraloncology.2024.106826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 04/22/2024] [Accepted: 04/27/2024] [Indexed: 05/13/2024]
Abstract
OBJECTIVE To describe the implementation of an oral cancer screening program at the Barretos Cancer Hospital (BCH) and present the outcome based on data obtained from 2014 to 2020. MATERIALS AND METHODS The residents of the Regional Health District of Barretos (DRS-V) were personally invited by community health agents or nurses, and among 13,973 people, 15,222 oral examinations were carried out over the years in 18 of its municipalities. Oral examinations were performed at the Mobile Dental Unit and at the Prevention Department of the BCH. Inclusion criteria were being 35 years of age or older, having a personal history of tobacco or alcohol consumption, or having a lesion in the oral cavity found by community health agent or self-reported, regardless of age or risk factors. RESULTS AND CONCLUSION The main result of our study was the stages of oral cancer among screen detected cases were smaller compared to cases in the hospital registry, in the state and in Brazil. Oral cancer detection rate per 1,000 oral examinations was 10.7.The early stages of oral cancer found by screening in primary care facilities or using mobile units suggest that, when organized, screening may improve the prognosis of oral cancer.
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Affiliation(s)
- F L Vazquez
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil.
| | - F L Coracin
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil
| | - K L B F Arantes
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil
| | - J L Ferigatto
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil
| | | | - E M Barroso
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil
| | - E M Prata
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil
| | - A Longatto-Filho
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil; National Cancer Intitute (INCA), Washington Luís 35, Rio de Janeiro, RJ, Brazil
| | - L A Buexm
- National Cancer Intitute (INCA), Washington Luís 35, Rio de Janeiro, RJ, Brazil
| | - V Tieghi-Neto
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil
| | - E C Mauad
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil
| | | | - R R Gama
- Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil
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Ribeiro MFA, Oliveira MCM, Leite AC, Bruzinga FFB, Mendes PA, Grossmann SDMC, de Araújo VE, Souto GR. Assessment of screening programs as a strategy for early detection of oral cancer: a systematic review. Oral Oncol 2022; 130:105936. [PMID: 35662028 DOI: 10.1016/j.oraloncology.2022.105936] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 04/13/2022] [Accepted: 05/22/2022] [Indexed: 12/14/2022]
Abstract
The present study is a systematic review of the evaluation of screening programs as a strategy for early detection of oral cancer. The aim of this study was to assess whether screening through visual inspection is able to identify injuries in early stages, to increase survival, and to decrease the incidence and mortality of oral cancer. Studies using visual inspection to screen for oral cancer and potentially malignant lesions in apparently healthy individuals over 18 years without previous diagnosis of the disease were included. The MEDLINE/PubMed, Cochrane databases Library, EMBASE, and LILACS, including manual search and gray literature, were searched through January 2021 with no language or date restrictions. The risk of bias and the methodological quality were evaluated according to the appropriate tool for each study design. The analysis of the results was narrative. Seventeen studies were reviewed that included cohort, accuracy, and randomized clinical trial studies. The tracking type performed was opportunistic and organized in a variety of environments. The age of participants ranged between 18 and 60 years old and, in some programs, only people with risk habits for oral cancer were included. The screeners were healthcare professionals, physicians, and dentists. Two studies reported data on the incidence rate of severe cases and mortality and showed a reduction when patients were at risk for the disease and participated in the program more than once. A limitation of this review was the great variability observed in the estimates of the screening effectiveness among the studies, which made comparisons difficult. If a screening program is continuous and able to ensure the inclusion of high-risk individuals, it can contribute to improvement in survival rates with a change of stage and can have a significant impact on incidence and mortality due to the disease. Registration in the Open Science Framebook (OSF) with the osf.io/zg8nr link.
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Affiliation(s)
| | | | - Alice Carvalho Leite
- Dentistry of the Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | - Polianne Alves Mendes
- Dentistry of the Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | - Vânia Eloisa de Araújo
- Dentistry of the Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Giovanna Ribeiro Souto
- Dentistry of the Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
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