Clinic of Oral and Maxillofacial Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Germany.
Eur J Cancer Prev. 2010 Mar;19(2):144-52. doi: 10.1097/CEJ.0b013e3283362a69.
The objective of this study was to assess the knowledge on diagnostic procedures and risk factors for oral cancer among dentists in Northern Germany by means of a standardized questionnaire. A self-administered questionnaire was mailed to all dentists in Schleswig-Holstein, Germany, which was composed of 41 items focusing on knowledge about diagnostic procedures for oral cancer and its main risk factors. Three hundred and six of 2,233 questionnaires were returned and analysed. Most dentists correctly agreed that early detection of oral cancer improves 5-year survival. Knowledge of the facts that oral cancer is mostly diagnosed at an advanced stage and that the floor of the mouth is a common site to be affected was higher compared with international data. In contrast, knowledge was lower on the appearance of oral cancer and its symptoms in the early stages. Dentists were less certain about the role of nonrisk factors (e.g. family history) than that of risk factors. Continuous education on oral cancer within the past year was the only background factor that significantly contributed to a better knowledge onrisk-related and diagnostic factors. Profound knowledge about diagnostic procedures and risk factors for oral cancer is essential for dentists. This survey was informative with regard to areas of high versus low knowledge and will help design appropriate continuing education programmes.
本研究旨在通过标准化问卷评估德国北部牙医对口腔癌诊断程序和危险因素的了解程度。向德国石勒苏益格-荷尔斯泰因州的所有牙医邮寄了一份自填式问卷，共包含 41 个项目，重点关注口腔癌的诊断程序及其主要危险因素的知识。共收回并分析了 2233 份问卷中的 306 份。大多数牙医正确地认为早期发现口腔癌可提高 5 年生存率。与国际数据相比，他们更了解口腔癌主要在晚期诊断以及口腔底部是常见的受影响部位这一事实。相比之下，他们对口腔癌早期的外观及其症状的了解则较低。牙医对非危险因素（例如家族史）的认识不如对危险因素的认识确定。在过去一年中，关于口腔癌的持续教育是唯一对风险相关和诊断因素的知识有显著影响的背景因素。对口腔癌诊断程序和危险因素的深入了解对牙医至关重要。本调查在高知识与低知识领域提供了信息，并将有助于设计适当的继续教育计划。
