Applebaum Elizabeth, Ruhlen Tara N, Kronenberg Frannie R, Hayes Catherine, Peters Edward S
School of Dentistry, The University of North Carolina at Chapel Hill, USA.
J Am Dent Assoc. 2009 Apr;140(4):461-7. doi: 10.14219/jada.archive.2009.0196.
The authors conducted a study to assess dentists' and primary care physicians' oral cancer knowledge, attitudes and practices in the Commonwealth of Massachusetts.
The authors mailed a 38-item, pretested questionnaire to a stratified sample of dentists and primary care physicians in Massachusetts. The sample population included all general medicine, internal medicine and family practice physicians listed with the Massachusetts Board of Registration in Medicine and all Massachusetts Dental Society members. The authors invited a random sample of more than 1,000 clinicians to participate in the survey. They assessed knowledge, attitudes and practices of respondents and performed a bivariate analysis of responses to questions by using statistical software.
Forty-nine percent of physicians reported performing an oral cancer examination in patients aged 40 to 55 years, compared with 92 percent of dentists (P < .001). For patients 56 years or older, 54 percent of physicians reported performing oral cancer examinations, compared with 93 percent of dentists (P < .001). More than 96 percent of physicians reported that they asked patients about smoking and alcohol use. However, only 9 percent of physicians and 39 percent of dentists were able to identify the two most common sites on which oral cancer develops (P < .001). Fifty-seven percent of dentists and 24 percent of physicians correctly identified the most common symptom of early oral cancer.
This survey identified an existing gap in knowledge and practices among physicians and dentists and underscores the need to enhance oral cancer education among both professional groups.
作者开展了一项研究，以评估马萨诸塞州牙医和初级保健医生的口腔癌知识、态度及实践情况。
作者向马萨诸塞州牙医和初级保健医生的分层样本邮寄了一份包含38个条目的预测试问卷。样本群体包括马萨诸塞州医学注册委员会列出的所有普通内科、内科和家庭医学医生以及所有马萨诸塞州牙科协会成员。作者邀请了1000多名临床医生的随机样本参与调查。他们评估了受访者的知识、态度和实践情况，并使用统计软件对问题的回答进行了双变量分析。
49%的医生报告称对40至55岁的患者进行过口腔癌检查，而牙医的这一比例为92%（P < .001）。对于56岁及以上的患者，54%的医生报告进行过口腔癌检查，而牙医的这一比例为93%（P < .001）。超过96%的医生报告称他们询问过患者的吸烟和饮酒情况。然而，只有9%的医生和39%的牙医能够识别出口腔癌最常发生的两个部位（P < .001）。57%的牙医和24%的医生正确识别出了早期口腔癌最常见的症状。
这项调查发现了医生和牙医在知识与实践方面存在的现有差距，并强调了加强这两个专业群体口腔癌教育的必要性。
