Early detection and diagnosis of oral cancer: strategies for improvement

Ford, P. J. and Farah, C. S. (2013) Early detection and diagnosis of oral cancer: strategies for improvement. Journal of Cancer Policy, 1 1-2: e2-e7. doi:10.1016/j.jcpo.2013.04.002

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Author Ford, P. J.
Farah, C. S.
Title Early detection and diagnosis of oral cancer: strategies for improvement
Journal name Journal of Cancer Policy   Check publisher's open access policy
ISSN 2213-5383
Publication date 2013-03
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.jcpo.2013.04.002
Open Access Status DOI
Volume 1
Issue 1-2
Start page e2
End page e7
Total pages 6
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2014
Language eng
Formatted abstract
Aim To discuss the broad evidence base on which strategies to enhance the early detection and diagnosis of oral cancer and potentially malignant disorders (PMD) should be designed.

Methods We reviewed the evidence for current oral mucosal screening approaches and used a theoretical model to explore behavioural influences on the early detection of oral cancer, and to outline strategies for future interventions and research.

Results While considerable advances are being made in techniques to detect oral cancer, there has been less attention paid to the patient and health care provider factors which may influence delays in detection of oral cancer. This review proposes that unless future theory based studies target these aspects of oral cancer, then efforts to improve its timely detection will have limited effectiveness.

Conclusions A primary tenet of screening programs, whether opportunistic, targeted or population based is that at-risk people present for screening. They must also present early enough in the disease process for detection to lead to a better outcome. This is particularly relevant for oral cancer. Five-year survival rates have not improved over past decades and this has mainly been attributed to delays in detection. Early detection, diagnosis and treatment significantly enhance survival rates and reduce morbidity.
Keyword Oral cancer
Early diagnosis
Cancer screening
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: UQ Centre for Clinical Research Publications
Official 2014 Collection
School of Dentistry Publications
 
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Created: Mon, 02 Dec 2013, 13:17:58 EST by Roheen Gill on behalf of School of Dentistry