医生、执业护士和口腔健康专业人员自我评估的口腔癌预防与筛查培训充足性。

Adequacy of training in oral cancer prevention and screening as self-assessed by physicians, nurse practitioners, and dental health professionals.

作者信息

Patton Lauren L, Ashe Tanya E, Elter John R, Southerland Janet H, Strauss Ronald P

机构信息

Department of Dental Ecology, University of North Carolina School of Dentistry, Chapel Hill, NC 27599-7450, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Dec;102(6):758-64. doi: 10.1016/j.tripleo.2005.10.072. Epub 2006 Apr 21.

DOI:10.1016/j.tripleo.2005.10.072

PMID:17138178

Abstract

OBJECTIVE

To assess the educational preparedness of medical and dental professionals to reduce the burden of OPC through planning effective cancer control strategies such as reducing tobacco consumption, suggesting healthy lifestyle and diet, and performing early detection through screening examinations and appropriate follow-up.

METHODS

Self-reported adequacy of training in oral and pharyngeal cancer (OPC) early intervention activities was compared among 4 health care provider groups in North Carolina. Pretested surveys were mailed to random samples of licensed professionals.

RESULTS

Nearly all providers agreed that early detection improves 5-year survival rates from OPC. Compared with 567 medical providers (273 family physicians and 294 nurse practitioners), 1235 dental providers (584 dentists and 651 hygienists) were significantly less likely to feel adequately trained in tobacco and alcohol cessation and to palpate neck nodes, but were significantly more likely to feel adequately trained to perform oral cancer examinations. Among dental providers, those who felt they had adequate training in tobacco and alcohol cessation were significantly more likely to assess these risk factors on patient medical histories.

CONCLUSIONS

Education is needed to prepare dental providers to undertake OPC prevention activities, whereas medical providers would benefit from enhanced oral examination skills to improve their performance in early detection.

摘要

目的

通过制定有效的癌症控制策略，如减少烟草消费、倡导健康的生活方式和饮食，以及通过筛查检查和适当的随访进行早期检测，来评估医学和牙科专业人员减轻口腔癌负担的教育准备情况。

方法

比较北卡罗来纳州4个医疗服务提供者群体中自我报告的口腔和咽癌（OPC）早期干预活动培训的充分性。预先测试的调查问卷被邮寄给有执照专业人员的随机样本。

结果

几乎所有提供者都认为早期检测可提高OPC的5年生存率。与567名医学提供者（273名家庭医生和294名执业护士）相比，1235名牙科提供者（584名牙医和651名保健员）在戒烟和戒酒以及触诊颈部淋巴结方面接受充分培训的可能性显著降低，但在进行口腔癌检查方面接受充分培训的可能性显著增加。在牙科提供者中，那些认为自己在戒烟和戒酒方面接受了充分培训的人在患者病史中评估这些风险因素的可能性显著更高。