Antunes José Leopoldo Ferreira, Toporcov Tatiana Natasha, Wünsch-Filho Victor
Universidade de São Paulo (USP), Faculdade de Odontologia, Avenida Professor Lineu Prestes 2227, CEP 05508-900 São Paulo, SP, Brazil.
Rev Panam Salud Publica. 2007 Jan;21(1):30-6. doi: 10.1590/s1020-49892007000100004.
To evaluate the results of the 2004 oral cancer prevention and early diagnosis program carried out in conjunction with the annual flu vaccination campaign for the elderly in the state of São Paulo, Brazil.
Data concerning the follow-up of patients referred for diagnostic investigation of soft tissue lesions identified on visual inspection were collected from the reports issued by the State Health Department/Oral Health Technical Center. The following two characteristics were evaluated as indicators of the program's effectiveness: (1) the number of people whose problem was resolved at the primary care level or in referral services and (2) the number of persons with a confirmed diagnosis of oral cancer. The following indicators were used to assess program ineffectiveness: (1) patients not appearing at the referral unit, (2) inability of the primary care services to resolve the problem, and (3) the absence of follow-up information on patients.
In 2004, 238 087 people >/= 60 years old were examined, corresponding to 6.8% of the state population in this age group (3 494 555 people). The program was carried out in 23 of the state's 24 health regions. However, only 8 of the regions recorded follow-up information. Of the 5 280 people in the 8 regions who were referred for diagnostic investigation of soft tissue lesions, 60.5% had their problem resolved, 0.5% (26 cases) had a confirmed diagnosis of oral cancer, and 22.5% did not have the diagnostic investigation completed. For 16.5% of the cases referred for further study, there was no information available concerning follow-up and outcomes.
The oral cancer prevention and early diagnosis program was ineffective, given the lack of monitoring of results in most parts of the state of São Paulo, and the high proportion of patients whose soft tissue lesion was not resolved. The usefulness of continuing the program in future years needs to be evaluated.
评估2004年在巴西圣保罗州与老年人年度流感疫苗接种活动联合开展的口腔癌预防和早期诊断项目的结果。
从州卫生部/口腔健康技术中心发布的报告中收集有关对经目视检查发现的软组织病变进行诊断调查的转诊患者随访数据。评估以下两个特征作为该项目有效性的指标：（1）在初级保健层面或转诊服务中问题得到解决的人数；（2）确诊为口腔癌的人数。使用以下指标评估项目无效性：（1）未出现在转诊单位的患者；（2）初级保健服务无法解决问题的情况；（3）缺乏患者随访信息。
2004年，对238,087名60岁及以上的人进行了检查，占该年龄组州人口（3,494,555人）的6.8%。该项目在该州24个卫生区域中的23个开展。然而，只有8个区域记录了随访信息。在这8个区域中被转诊进行软组织病变诊断调查的5,280人中，60.5%的人的问题得到了解决，0.5%（26例）确诊为口腔癌，22.5%的人未完成诊断调查。对于16.5%被转诊进行进一步研究的病例，没有关于随访和结果的可用信息。
鉴于圣保罗州大部分地区缺乏对结果进行监测，且软组织病变未得到解决的患者比例较高，口腔癌预防和早期诊断项目无效。未来几年继续开展该项目的实用性需要评估。
