School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester.
Br Dent J. 2010 Jan 23;208(2):E3; discussion 72-3. doi: 10.1038/sj.bdj.2010.54.
Many oral squamous cell carcinomas present as late stage disease and so the detection of early and pre-malignancy is considered to be of paramount importance. The majority of research examining primary care dentists' experience of the detection and management of early disease has been undertaken using questionnaires, with the inherent bias this introduces. The aim of this study was to use qualitative methods to develop a richer account of practitioners' views about screening and what factors influence the decision to refer a patient.
Semi-structured interviews were undertaken with eighteen dentists in Sheffield, transcribed and analysed using thematic analysis. Ten codes were identified according to the aims of the study and organized into four overarching themes.
Although many dentists were screening regularly, some did not appear to be adopting a rigorous and systematic approach. A number of participants also placed more reliance on 'classical' presentations rather than the more varied presentation of potentially malignant lesions and were more influenced by the clinical history of the lesion rather than risk factors.
Overall, the present research suggests that for some dentists, more rigour is required when examining for early disease.
许多口腔鳞状细胞癌患者就诊时已处于晚期，因此早期和癌前病变的检测被认为至关重要。大多数研究通过问卷调查来评估初级保健牙医对早期疾病的检测和管理经验，这引入了固有偏见。本研究旨在使用定性方法更深入地了解从业者对筛查的看法，以及哪些因素影响对患者进行转诊的决策。
对谢菲尔德的 18 名牙医进行了半结构化访谈，转录并使用主题分析进行了分析。根据研究目的确定了十个代码，并组织成四个总体主题。
尽管许多牙医经常进行筛查，但有些牙医似乎没有采用严格和系统的方法。一些参与者也更依赖于“经典”表现，而不是潜在恶性病变的更多样化表现，并且更受病变的临床病史而不是危险因素的影响。
总体而言，目前的研究表明，对于一些牙医来说，在检查早期疾病时需要更加严格。
