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定期牙科就诊:对1607例口腔鳞状细胞癌患者健康相关生活质量的影响

Regular Dental Visits: Influence on Health-Related Quality of Life in 1,607 Patients with Oral Squamous Cell Carcinoma.

作者信息

Spalthoff Simon, Holtmann Henrik, Krüskemper Gertrud, Zimmerer Rüdiger, Handschel Jörg, Gellrich Nils-Claudius, Jehn Philipp

机构信息

Department of Cranio and Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany.

Department of Cranio and Maxillofacial Surgery, Heinrich Heine University of Düsseldorf, Moorenstr. 5, 40225 Düsseldorf, Germany.

出版信息

Int J Dent. 2017;2017:9638345. doi: 10.1155/2017/9638345. Epub 2017 May 30.

Abstract

BACKGROUND

The incidence of oral squamous cell carcinoma (OSCC) is in the top 10 of all cancer entities. Regular oral examinations by dentists play an important role in oral cancer prevention.

METHODS

Patients with OSCC ( = 1,607) and physicians ( = 1,489) completed questionnaires during the DÖSAK Rehab Study. The psychosocial and functional factors collected in these questionnaires were assessed in the present study. We compared patients who visited their dentist at least once a year (group A) with those who visited their dentist less than once a year (group B).

RESULTS

Patients in group A had significantly better health-related quality of life after tumor treatment than patients in group B. Patients in group A also had a smaller tumor size and less lymph node metastasis and lost fewer teeth during the treatment. This resulted in better prosthetic rehabilitation and better psychological status after tumor treatment.

CONCLUSIONS

Dentists play an important role in the early recognition of oral cancer. This study should encourage dentists to take a more active role in oral cancer prevention.

摘要

背景

口腔鳞状细胞癌(OSCC)的发病率在所有癌症类型中位列前十。牙医进行定期口腔检查在口腔癌预防中起着重要作用。

方法

在DÖSAK康复研究期间,OSCC患者(n = 1607)和医生(n = 1489)完成了问卷调查。本研究对这些问卷中收集的心理社会和功能因素进行了评估。我们将每年至少看一次牙医的患者(A组)与每年看牙医次数少于一次的患者(B组)进行了比较。

结果

A组患者在肿瘤治疗后的健康相关生活质量明显优于B组患者。A组患者的肿瘤尺寸也更小,淋巴结转移更少,并且在治疗期间掉牙更少。这使得肿瘤治疗后的修复康复更好,心理状态更佳。

结论

牙医在口腔癌的早期识别中起着重要作用。本研究应鼓励牙医在口腔癌预防中发挥更积极的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac2/5468556/9b61630efab4/IJD2017-9638345.001.jpg

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