People would rather see a physician than a dentist when experiencing a long-standing oral ulceration. A population-based study in Spain

  1. Pablo Varela-Centelles 1
  2. Yaima Ulloa-Morales 2
  3. Ana Estany-Gestal 3
  4. Andrés Blanco-Hortas 3
  5. María J. García-Pola 4
  6. Juan M. Seoane-Romero 4
  1. 1 Praza do Ferrol Health Centre, EOXI Lugo, Cervo e Monforte, Galician Health Service, Spain
  2. 2 Universidade de Santiago de Compostela
    info
    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

    Localización xeográfica da organización Universidade de Santiago de Compostela
  3. 3 Instituto de Investigación Sanitaria de Santiago de Compostela
    info
    Instituto de Investigación Sanitaria de Santiago de Compostela

    Santiago de Compostela, España

    Localización xeográfica da organización Instituto de Investigación Sanitaria de Santiago de Compostela
  4. 4 Universidad de Oviedo
    info
    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

    Localización xeográfica da organización Universidad de Oviedo
Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Ano de publicación: 2020

Volume: 25

Número: 4

Tipo: Artigo

DOI: 10.4317/MEDORAL.23292 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumo

Primary care physicians have been reported to be the first choice for patients with oral ulcerations. This study investigates the health-seeking behaviour of lay public in Galicia (North-western Spain) if experiencing a long-standing oral ulceration. Cross-sectional population-based survey of randomly selected respondents conducted from March 1, 2015 to 30 June 2016. A total of 5,727 pedestrians entered the study (response rate: 53%), mostly in the 45-64 age group (30.2%; n=1,728), 47.7% of them (n=2,729) were males. Most participants (42.1%; n=2,411) reported to visit their dentist once a year and had secondary or compulsory education as their highest educational achievement (28.18%, n=1,614; 28%, n=1,600 respectively). When questioned what they would do if they had a wound/ulceration lasting longer than 3 weeks, most participants answered they would go to see their primary care physician (62.8%; n=3,597) and less than one quarter of the sample (23.8%; n=1,371) would seek consultation with their dentist. General Galician population would seek professional consultation about a long-standing oral ulceration, relying mostly on primary care physicians. Those neglecting these lesions are elderly, less-schooled people and unaware of oral cancer.

Información de financiamento

This study was supported by a grant from the Health Research Institution Foundation of Santiago de Compostela (FIDIS), formerly The Ram?n Dom?nguez Foundation R+D+i Biomedical Research and Development: ?Call for Aids to Biomedical Research 2014? Santiago de Compostela. Spain.

Financiadores

Referencias bibliográficas

  • Shield, KD,Ferlay, J,Jemal, A,Sankaranarayanan, R,Chaturvedi, AK,Bray, F. (2017). The global incidence of lip, oral cavity, and pharyngeal cancers by subsite in 2012. CA Cancer J Clin. 67. 51-64
  • Ghantous, Y,Yaffi, V,Abu-Elnaaj, I. (2015). Oral cavity cancer: epidemiology and early diagnosis. Refuat Hapeh Vehashinayim. 32. 55-63
  • Gómez, I,Seoane, J,Varela-Centelles, P,Diz, P,Takkouche, B. (2009). Is diagnostic delay related to advanced-stage oral cancer? A meta-analysis. J Oral Sci. 117. 541
  • Seoane, J,Takkouche, B,Varela-Centelles, P,Tomás, I,Seoane-Romero, JM. (2012). Impact of delay in diagnosis on survival to head and neck carcinomas: a systematic review with meta-analysis. Clin Otolaryngol. 37. 99-106
  • Weller, D,Vedsted, P,Rubin, G,Walter, FM,Emery, J,Scott, S. (2012). The Aarhus statement: improving design and reporting of studies on early cancer diagnosis. Br J Cancer. 106. 1262
  • Tikka, T,Pracy, P,Paleri, V. (2016). Refining the head and neck cancer referral guidelines: a two-centre analysis of 4715 referrals. Br J Oral Maxillofac Surg. 54. 141
  • Rogers, SN,Hunter, R,Lowe, D. (2011). Awareness of oral cancer in the Mersey region. Br J Oral Maxillofac Surg. 49. 176
  • Husain, FA,Tatengkeng, F. (2017). Oral Health-Related Quality of Life Appraised by OHIP-14 Between Urban and Rural Areas in Kutai Kartanegara Regency, Indonesia: Pilot Pathfinder Survey. Open Dent J. 11. 557
  • Vandenbroucke, JP,Von Elm, E,Altman, DG,Gøtzsche, PC,Mulrow, CD,Pocock, SJ. (2009). Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Gac Sanit. 23. 158
  • Hertrampf, K,Wenz, HJ,Koller, M,Wiltfang, J. (2012). Public awareness about prevention and early detection of oral cancer: A population-based study in Northern Germany. J Craniomaxillofac Surg. 40. 82
  • Santos, LC,Batista Ode, M,Cangussu, MC. (2010). Characterization of oral cancer diagnostic delay in the state of Alagoas. Braz J Otorhinolaryngol. 76. 416
  • Protheroe, J,Whittle, R,Bartlam, B,Estacio, EV,Clark, L,Kurth, J. (2017). Health literacy, associated lifestyle and demographic factors in adult population of an English city: a cross-sectional survey. Health Expect. 20. 112
  • Scott, SE,Grunfeld, EA,Auyeung, V,McGurk, M. (2009). Barriers and triggers to seeking help for potentially malignant oral symptoms: implications for interventions. J Public Health Dent. 69. 34-40
  • Seoane-Romero, JM,Vázquez-Mahía, I,Seoane, J,Varela-Centelles, P,Tomás, I,López-Cedrún, JL. (2012). Factors related to late stage diagnosis of oral squamous cell carcinoma. Med Oral Patol Oral Cir Bucal. 17. 35-40
  • Pentenero, M,Broccoletti, R,Carbone, M,Conrotto, D,Gandolfo, S. (2008). The prevalence of oral mucosal lesions in adults from the Turin area. Oral Dis. 14. 356
  • García-Pola Vallejo, MJ,Martínez Díaz-Canel, AI,García Martín, JM,González García, M. (2002). Risk factors for oral soft tissue lesions in an adult Spanish population. Community Dent Oral Epidemiol. 30. 277
  • Scully, C,Shotts, R. (2000). ABC of oral health. Mouth ulcers and other causes of orofacial soreness and pain. BMJ. 321. 162
  • Gill, Y,Scully, C. (2007). Mouth ulcers: a study of where members of the general public might seek advice. Br Dent J. 202. 328
  • Kerdpon, D,Sriplung, H. (2001). Factors related to advanced stage oral squamous cell carcinoma in southern Thailand. Oral Oncol. 37. 216
  • Grafton-Clarke, C,Chen, KW,Wilcock, J. (2019). Diagnosis and referral delays in primary care for oral squamous cell cancer: a systematic review. Br J Gen Pract. 69. 112
  • Onizawa, K,Nishihara, K,Yamagata, K,Yusa, H,Yanagawa, T,Yoshida, H. (2003). Factors associated with diagnostic delay of oral squamous cell carcinoma. Oral Oncol. 39. 781
  • Bravo, M,San Martín, L,Casals, E,Eaton, KA,Widström, E. (2015). The healthcare system and the provision of oral healthcare in the European Union member states. Part 2: Spain. Br Dent J. 219. 547
  • Gómez, I,Warnakulasuriya, S,Varela-Centelles, PI,López-Jornet, P,Suárez-Cunqueiro, M,Diz-Dios, P. (2010). Is early diagnosis of oral cancer a feasible objective? Who is to blame for diagnostic delay?. Oral Dis. 16. 333
  • Carter, LM,Ogden, GR. (2007). Oral cancer awareness of general medical and general dental practitioners. Br Dent J. 203. 10
  • Varela-Centelles, P,Pedrosa, R,Lopez-Niño, J,Sánchez, M,Gonzalez-Mosquera, A,Mendez, A. (2012). Oral cancer awareness at chemist's and herbalist's shops: new targets for educational interventions to prevent diagnostic delay. Oral Oncol. 48. 1272
  • Rogers, SN,Vedpathak, SV,Lowe, D. (2011). Reasons for delayed presentation in oral and oropharyngeal cancer: the patients' perspective. Br J Oral Maxillofac Surg. 49. 349
  • Seoane-Lestón, J,Velo-Noya, J,Warnakulasuriya, S,Varela-Centelles, P,Gonzalez-Mosquera, A,Villa-Vigil, MA. (2010). Knowledge of oral cancer and preventive attitudes of Spanish dentists. Primary effects of a pilot educational intervention. Med Oral Patol Oral Cir Bucal. 15. 422
  • Shimpi, N,Jethwani, M,Bharatkumar, A,Chyou, PH,Glurich, I,Acharya, A. (2018). Patient awareness/knowledge towards oral cancer: a cross-sectional survey. BMC Oral Health. 18. 86