文章：

斯里兰卡牙科医生视角下的口腔癌机会性筛查早期检测初步研究

A Preliminary Study on Early Detection of Oral Cancer with Opportunistic Screening: Insights from Dental Surgeons in Sri Lanka

原文发布日期：22 November 2023

DOI: 10.3390/cancers15235511

类型: Article

开放获取: 是

英文摘要：

In Sri Lanka, opportunistic screening is encouraged as a cost-effective tool to bring down the prevalence of oral cancer, which is the most common cancer among males. The objectives of the study were to determine the practices, attitudes, and level of competency of dental surgeons regarding the early detection of oral cancer and oral potentially malignant disorders (OPMDs) through opportunistic screening. A prospective study was conducted online via a Google form using a pretested, self-administered questionnaire of 22 close-ended questions and 3 open-ended questions. Out of the 137 dental surgeons who responded, 88% (121/137) of the participants believed that screening high-risk target groups would be more effective in the early detection of oral cancer rather than opportunistic screening. Only 64% (88/137) of the participants frequently check for oral cancer and OPMDs when patients visit for dental treatment. Participants recalled an average of 34 patients (4628/137) with clinically suspicious lesions being diagnosed during examination at general dental practice during the past year, and 98% (134/137) of the participants believed that they should receive additional training in order to identify and diagnose clinically suspicious oral OPMDs and oral cancer. Opportunistic screening in general dental practice as an oral-cancer prevention strategy is appreciable, but due emphasis should be given to other prevention strategies such as population screening and screening high-risk target groups. The level of confidence of general dental practitioners in the early detection of oral cancer has to be raised in order to achieve higher standards in oral cancer prevention through opportunistic screening.

摘要翻译： 

在斯里兰卡，机会性筛查作为一种经济有效的工具被鼓励用于降低口腔癌的患病率，口腔癌是男性中最常见的癌症。本研究旨在通过机会性筛查，评估牙科医生在早期发现口腔癌和口腔潜在恶性病变（OPMDs）方面的实践、态度和能力水平。研究采用前瞻性在线调查方式，通过谷歌表单发放一份包含22个封闭式问题和3个开放式问题的预测试自填问卷。在137名受访牙科医生中，88%（121/137）的参与者认为筛查高风险目标群体比机会性筛查更能有效早期发现口腔癌。仅有64%（88/137）的参与者在患者就诊进行牙科治疗时经常检查口腔癌和OPMDs。参与者回忆过去一年在普通牙科诊疗中平均诊断出34名患者（总计4628/137）具有临床可疑病变，98%（134/137）的参与者认为他们需要接受额外培训以识别和诊断临床可疑的口腔OPMDs和口腔癌。普通牙科诊疗中的机会性筛查作为口腔癌预防策略值得肯定，但应适当重视其他预防策略，如人群筛查和高风险目标群体筛查。为提高通过机会性筛查实现口腔癌预防的更高标准，必须提升普通牙科医生在早期发现口腔癌方面的信心水平。

原文链接：

A Preliminary Study on Early Detection of Oral Cancer with Opportunistic Screening: Insights from Dental Surgeons in Sri Lanka