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口腔癌及潜在恶性疾病的早期检测:沙特阿拉伯口腔修复医师的经验、实践与信念

Early detection of oral cancer and potentially malignant disorders: Experiences, practices, and beliefs of prosthodontists practicing in Saudi Arabia.

作者信息

Alqutaibi Ahmed Yaseen, Borzangy Sary, Al-Maweri Sadeq A, Aboalrejal Afaf

机构信息

Assistant Professor of Prosthodontics, Substitutive Dental Science Department, College of Dentistry, Taibah University, Al-Madinah, Saudi Arabia; Assistant Professor of Prosthodontics, Prosthodontics Department, College of Dentistry, Ibb University, Ibb, Yemen.

Assistant Professor of Prosthodontics, Substitutive Dental Science Department, College of Dentistry, Taibah University, Al-Madinah, Saudi Arabia.

出版信息

J Prosthet Dent. 2021 Oct;126(4):569-574. doi: 10.1016/j.prosdent.2020.08.007. Epub 2020 Sep 29.

DOI:10.1016/j.prosdent.2020.08.007
PMID:32994033
Abstract

STATEMENT OF PROBLEM

Data on the oral cancer screening skills and beliefs of prosthodontists practicing in Saudi Arabia are lacking.

PURPOSE

The purpose of this survey was to assess the beliefs, experiences, and practices of prosthodontists practicing in Saudi Arabia regarding the early detection of oral cancer and potentially malignant disorders.

MATERIAL AND METHODS

A cross-sectional, questionnaire-based survey was conducted on prosthodontists practicing in Saudi Arabia. A 26-item questionnaire was sent to all eligible prosthodontists (N=250). The collected data were analyzed with a statistical software program.

RESULTS

The response rate was 57.2% (N=143). The majority of participants (79%) reported that they routinely examined all new patients for mucosal pathologies. However, only 58% reported that they examine their patients at recall visits, and only 61.5% stated that they provide tobacco use or smoking cessation advice. With regard to the respondents' experiences with suspicious mucosal lesions, the majority said that they had detected a suspicious lesion (79.7%) and had referred affected patients (83.2%) during their career. Most prosthodontists (65%) believed that they were able to detect oral cancer on their own, and 40% believed that they could influence their patients to stop smoking. A lack of training, confidence, time, and financial incentives were reported as barriers to oral cancer screening.

CONCLUSIONS

Most of the prosthodontists surveyed in this study appeared motivated to perform routine oral mucosal screening. However, more efforts are needed to help improve the attitudes, confidence, and skills of prosthodontists when it comes to identifying and referring suspicious oral mucosal lesions.

摘要

问题陈述

缺乏关于在沙特阿拉伯执业的口腔修复医师的口腔癌筛查技能和信念的数据。

目的

本调查的目的是评估在沙特阿拉伯执业的口腔修复医师在口腔癌和潜在恶性疾病早期检测方面的信念、经验和实践。

材料与方法

对在沙特阿拉伯执业的口腔修复医师进行了一项基于问卷的横断面调查。向所有符合条件的口腔修复医师(N = 250)发送了一份包含26个条目的问卷。使用统计软件程序对收集到的数据进行分析。

结果

回复率为57.2%(N = 143)。大多数参与者(79%)报告说他们会对所有新患者进行常规的黏膜病变检查。然而,只有58%的人报告说他们在复诊时会检查患者,只有61.5%的人表示他们会提供烟草使用或戒烟建议。关于受访者对可疑黏膜病变的经验,大多数人表示他们在职业生涯中检测到过可疑病变(79.7%)并转诊了受影响的患者(83.2%)。大多数口腔修复医师(65%)认为他们能够自行检测出口腔癌,40%的人认为他们可以影响患者戒烟。据报告,缺乏培训、信心、时间和经济激励是口腔癌筛查的障碍。

结论

本研究中调查的大多数口腔修复医师似乎有动力进行常规口腔黏膜筛查。然而,在识别和转诊可疑口腔黏膜病变方面,需要做出更多努力来帮助提高口腔修复医师的态度、信心和技能。

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