Hassona Y, Scully C, Shahin A, Maayta W, Sawair F
Department of Oral and Maxillofacial Surgery, Oral Medicine, and Periodontology, Faculty of Dentistry, The University of Jordan, PO Box 11942, Amman, Jordan.
University College London, London, UK.
J Cancer Educ. 2016 Jun;31(2):285-91. doi: 10.1007/s13187-015-0823-2.
The purposes of this study are to determine early detection practices performed by primary healthcare professionals, to compare medical and dental sub-groups, and to identify factors that influence the ability of medical and dental practitioners to recognize precancerous changes and clinical signs of oral cancer. A 28-item survey instrument was used to interview a total of 330 Jordanian primary health-care professionals (165 dental and 165 medical). An oral cancer knowledge scale (0 to 31) was generated from correct responses on oral cancer general knowledge. An early detection practice scale (0 to 24) was generated from the reported usage and frequency of procedures in oral cancer examination. Also, a diagnostic ability scale (0 to 100) was generated from correct selections of suspicious oral lesions. Only 17.8 % of the participants reported that they routinely performed oral cancer screening in practices. Their oral cancer knowledge scores ranged from 3 to 31 with a mean of 15.6. The early detection practice scores ranged from 2 to 21 with a mean of 11.6. A significant positive correlation was found between knowledge scores and early detection practice scores (r = 0.22; p < 0.001). The diagnostic ability scores ranged from 11.5 to 96 with a mean of 43.6. The diagnostic ability score was significantly correlated with knowledge scores (r = 0.39; p < 0.001), but not with early detection practice scores (r = 0.01; p = 0.92). Few significant differences were found between medical and dental primary care professionals. Continuous education courses on early diagnosis of oral cancer and oral mucosal lesions are needed for primary health-care professionals.
本研究的目的是确定初级医疗保健专业人员所采用的早期检测方法，比较医学和牙科亚组，并确定影响医学和牙科从业者识别癌前病变和口腔癌临床体征能力的因素。使用一份包含28个条目的调查问卷，对总共330名约旦初级医疗保健专业人员（165名牙科专业人员和165名医学专业人员）进行了访谈。根据对口腔癌一般知识的正确回答生成了一个口腔癌知识量表（0至31分）。根据报告的口腔癌检查程序的使用情况和频率生成了一个早期检测实践量表（0至24分）。此外，根据对可疑口腔病变的正确选择生成了一个诊断能力量表（0至100分）。只有17.8%的参与者报告说他们在实践中常规进行口腔癌筛查。他们的口腔癌知识得分在3至31分之间，平均分为15.6分。早期检测实践得分在2至21分之间，平均分为11.6分。知识得分与早期检测实践得分之间存在显著正相关（r = 0.22；p < 0.001）。诊断能力得分在11.5至96分之间，平均分为43.6分。诊断能力得分与知识得分显著相关（r = 0.39；p < 0.001），但与早期检测实践得分无关（r = 0.01；p = 0.92）。医学和牙科初级保健专业人员之间几乎没有发现显著差异。初级医疗保健专业人员需要参加关于口腔癌和口腔黏膜病变早期诊断的继续教育课程。
