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普通医学从业者和普通牙科从业者对口腔癌的认知

Oral cancer awareness of general medical and general dental practitioners.

作者信息

Carter L M, Ogden G R

机构信息

Oral and Maxillofacial Surgery, Leeds Dental Institute, Leeds, UK.

出版信息

Br Dent J. 2007 Sep 8;203(5):E10; discussion 248-9. doi: 10.1038/bdj.2007.630. Epub 2007 Jul 13.

Abstract

OBJECTIVE

To assess general medical practitioners' (GMPs') and general dental practitioners' (GDPs') awareness of prevention and early detection of oral cancer.

DESIGN

Cross-sectional questionnaire-based study.

SETTING

Primary care.

METHOD

Questionnaires were delivered to all GMPs and GDPs in Tayside, assessing oral examination habits, delivery of advice on oral cancer risk factors, knowledge of oral cancer risk factors and clinical appearance, preferred point of referral and requests for further information.

RESULTS

Response rates of 71% and 84% were obtained from GMPs and GDPs respectively. GMPs were less likely to examine patients' oral mucosa routinely, less likely to advise patients about risk factors for oral cancer, identified fewer risk factors for, and felt less confident about diagnosing oral cancer from clinical appearance than their dental counterparts. Seventy-one percent and 80% of GMPs and GDPs respectively requested further information about oral cancer.

CONCLUSION

Patients with oral lesions often present to their general medical practitioner. The incidence of oral cancer is rising in the United Kingdom, therefore the role of general medical practitioners in prevention and detection of oral cancer is becoming ever more important. This study highlights the need for improved education of general medical practitioners on oral cancer.

摘要

目的

评估全科医生(GMPs)和普通牙科医生(GDPs)对口腔癌预防和早期检测的认识。

设计

基于问卷调查的横断面研究。

地点

初级保健机构。

方法

向泰赛德地区所有的全科医生和普通牙科医生发放问卷,评估口腔检查习惯、关于口腔癌风险因素的建议提供情况、对口腔癌风险因素和临床表现的了解、首选的转诊点以及对更多信息的需求。

结果

全科医生和普通牙科医生的回复率分别为71%和84%。与牙科同行相比,全科医生常规检查患者口腔黏膜的可能性较小,就口腔癌风险因素向患者提供建议的可能性较小,识别出的口腔癌风险因素较少,并且从临床表现诊断口腔癌的信心较低。分别有71%的全科医生和80%的普通牙科医生要求获取更多关于口腔癌的信息。

结论

有口腔病变的患者常常会去看他们的全科医生。在英国,口腔癌的发病率正在上升,因此全科医生在口腔癌预防和检测中的作用变得越来越重要。本研究强调了加强全科医生对口腔癌教育的必要性。

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