Vaishampayan Sagar, Malik Akshat, Pawar Prashant, Arya Kavi, Chaturvedi Pankaj
Department of Head and Neck Oncology, Tata Memorial Centre, Parel, Mumbai, Maharashtra, India.
Department of Computer Science and Engineering, Indian Institute of Technology, Powai, Mumbai, Maharashtra, India.
South Asian J Cancer. 2017 Oct-Dec;6(4):161-164. doi: 10.4103/sajc.sajc_258_16.
Oral squamous cell carcinoma (OSCC) are amongst commonest cancer in the Indian sub-continent. After treatment, these patients require frequent followup to look for recurrences/second primary. Mouth Self Examination (MSE) has a great potential in all levels of prevention of oral cancer. However, the compliance to self-examination has been reported as poor. Mobile phone is a cheap and effective way to reach out to people. Short Message Service (SMS) is extremely popular can be a very effective motivational and interactive tool in health care setting.
We aimed to identify in adequately treated OSCC patients, the influence of health provider initiated SMS on the compliance to the MSE and to establish the efficacy of MSE by comparing patients' MSE interpretation via replies to the SMS with that of the experts' opinion on clinical examination status during follow up.
We conclude that MSE can be very useful in adequately treated OSCC patients for evaluating disease status. All treated OSCC patients must be adequately educated for MSE as an integral part of treatment & follow-up protocol by the health provider facility. Health provider generated SMS reminders do improve motivation and compliance towards MSE but don't seem to reduce dropouts in follow up for large and diverse population like that in India.
口腔鳞状细胞癌（OSCC）是印度次大陆最常见的癌症之一。治疗后，这些患者需要频繁随访以寻找复发/第二原发性肿瘤。口腔自我检查（MSE）在口腔癌的各级预防中具有巨大潜力。然而，据报道自我检查的依从性较差。手机是一种接触人群的廉价且有效的方式。短消息服务（SMS）非常受欢迎，在医疗保健环境中可以是一种非常有效的激励和互动工具。
我们旨在确定在接受充分治疗的OSCC患者中，医疗服务提供者发起的短信对MSE依从性的影响，并通过比较患者对短信回复的MSE解读与专家对随访期间临床检查状况的意见，来确定MSE的有效性。
我们得出结论，MSE对于评估接受充分治疗的OSCC患者的疾病状况非常有用。所有接受治疗的OSCC患者都必须接受关于MSE的充分教育，作为医疗服务提供者机构治疗和随访方案的一个组成部分。医疗服务提供者发送的短信提醒确实提高了对MSE的积极性和依从性，但对于像印度那样庞大且多样化的人群，似乎并没有减少随访中的失访率。
