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口腔癌诊断及风险因素的认知:德国北部非牙科医疗服务提供者大规模调查结果

Knowledge of diagnostic and risk factors in oral cancer: results from a large-scale survey among non-dental healthcare providers in Northern Germany.

作者信息

Hertrampf Katrin, Wenz Hans J, Koller Michael, Ambrosch Petra, Arpe Nadine, Wiltfang Jörg

机构信息

Clinic of Oral and Maxillofacial Surgery, (Head: Prof. Dr. Dr. Jörg Wiltfang), University Hospital Schleswig-Holstein, Arnold-Heller-Str. 16, 24105 Kiel, Germany.

Clinic of Prosthodontics, Propaedeutics and Dental Materials, (Head: Prof. Dr. Matthias Kern), University Hospital Schleswig-Holstein, Arnold-Heller-Str. 16, 24105 Kiel, Germany.

出版信息

J Craniomaxillofac Surg. 2014 Oct;42(7):1160-5. doi: 10.1016/j.jcms.2014.02.001. Epub 2014 Feb 21.

DOI:10.1016/j.jcms.2014.02.001
PMID:24736229
Abstract

INTRODUCTION

A survey was conducted to assess the level of knowledge on oral cancer among different medical fields, in particular about diagnostic items and risk factors.

MATERIAL AND METHODS

A self-administered questionnaire was mailed to physicians from various fields, such as otorhinolaryngology, general practice, internal medicine, and dermatology.

RESULTS

388 of the 2,952 questionnaires were returned (13.1%), subdivided into otorhinolaryngology (n = 33), internal medicine (n = 135), dermatology (n = 28), and general practice (n = 192). The average knowledge of risk factors was similar in the specialisations, ranging from 68% for internal medicine to 76% for otorhinolaryngology and 77% for dermatology. The three main risk factors: tobacco (93%-100%), alcohol (79%-100%), and prior oral cancer lesions (91%-100%) were the most commonly known. Regarding the diagnostic items, the average percentage of correct answers ranged from 69% for internal and general medicine to 77% for dermatologists. Continuous courses of education and the year of graduation were the only two variables that significantly related to a better level of knowledge of risk factors and diagnostic items.

CONCLUSIONS

The average knowledge among the different medical fields was satisfying. These results demonstrated a robust base for all healthcare providers to continue working together to improve the early detection of oral cancer.

摘要

引言

开展了一项调查,以评估不同医学领域对口腔癌的知识水平,特别是关于诊断项目和风险因素的知识水平。

材料与方法

向耳鼻喉科、全科医学、内科和皮肤科等不同领域的医生邮寄了一份自填式问卷。

结果

2952份问卷中有388份被退回(13.1%),分为耳鼻喉科(n = 33)、内科(n = 135)、皮肤科(n = 28)和全科医学(n = 192)。各专业对风险因素的平均知晓率相似,内科为68%,耳鼻喉科为76%,皮肤科为77%。三个主要风险因素:烟草(93%-100%)、酒精(79%-100%)和既往口腔癌病变(91%-100%)是最广为人知的。关于诊断项目,正确答案的平均百分比在内科和全科医学中为69%,皮肤科医生为77%。持续教育课程和毕业年份是仅有的两个与对风险因素和诊断项目的更高知识水平显著相关的变量。

结论

不同医学领域的平均知识水平令人满意。这些结果表明,所有医疗保健提供者有坚实的基础继续共同努力,以改善口腔癌的早期检测。

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