Oral Medicine Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy.
Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy.
Int J Environ Res Public Health. 2021 Apr 23;18(9):4506. doi: 10.3390/ijerph18094506.
OSCC remain a global health problem. Lack of awareness leads to inadequate watchfulness regarding early signs/symptoms despite the ease of visual oral inspection. What clinicians know and feel, and how they behave on OSCC is crucial to understand the feasibility and effectiveness of screening programs. The aim of this systematic review was to assess knowledge, attitudes, and practice (KAP) regarding OSCC among health care providers (HCPs). Therefore, a systematic review was conducted with SPIDER and PICO as major tools. A meta-analysis was structured through common items in two comparison groups of medical and dental practitioners. Descriptive statistics and a Mantel-Haenszel test were used to validate data. Sixty-six studies were selected for systematic review, eight of which are useful for meta-analysis. A statistically significant difference was recorded between dentists and medical practitioners for questions regarding: Alcohol ( < 0.001); ( < 0.012); ( < 0.0001); ( < 0.019); ( < 0.010); ( < 0.020); ( < 0.0001); ( < 0.0001) and ( < 0.002). Overall, the incidence of OSCC screening is low. Most HCPs feel the need to increase KAP. Data confirmed gaps in KAP, highlighting the need for a more efficient pre- and post-graduation training, necessary to increase competence worldwide.
OSCC 仍然是一个全球性的健康问题。尽管口腔目视检查很容易进行,但由于缺乏意识,人们对早期迹象/症状的警惕性不足。了解临床医生对 OSCC 的认知、态度和行为对于理解筛查计划的可行性和有效性至关重要。本系统评价的目的是评估医疗保健提供者(HCPs)对 OSCC 的知识、态度和实践(KAP)。因此,使用 SPIDER 和 PICO 作为主要工具进行了系统评价。通过对两组医学和牙科从业者的共同项目进行结构分析,进行了荟萃分析。使用描述性统计和 Mantel-Haenszel 检验来验证数据。对 66 项研究进行了系统评价,其中 8 项对荟萃分析有用。记录到牙医和医疗从业者之间在以下问题上存在统计学显著差异:酒精(<0.001);烟草(<0.012);槟榔(<0.0001);HPV(<0.019);营养不良(<0.010); (<0.020);OSCC 家族史(<0.0001)和 (<0.002)。总体而言,OSCC 筛查的发生率较低。大多数 HCPs 认为需要提高 KAP。数据证实了 KAP 存在差距,强调需要在全球范围内提供更有效的毕业前和毕业后培训,以提高能力。