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教育干预对青年牙医识别口腔黏膜病变和可疑恶性潜能的能力的影响。

The Impact of Educational Intervention on Junior Dentists' Capacity to Detect Oral Mucosal Lesions and Suspect Malignant Potential.

机构信息

Department of oral and Craniofacial Health sciences, College of Dental Medicine, University of Sharjah, UAE.

Oral Diagnostic and Surgical Sciences, UWA Dental School, The University of Western Australia, Nedlands, WA, Australia.

出版信息

Asian Pac J Cancer Prev. 2022 Nov 1;23(11):3673-3676. doi: 10.31557/APJCP.2022.23.11.3673.

Abstract

OBJECTIVES

This study aimed to assess the impact of Continuing Education (CE) activity on junior dentists' competency to identify oral mucosal abnormalities those suggestive of oral cancer or potentially malignant disorders.

MATERIALS AND METHODS

This multiphase study administered a pre-validated quiz to dental interns and junior dentists. The quiz was designed to assess the respondent's competency to recognize different oral lesions and stratify their potential for malignancy. Invited candidates attempted the quiz and then attended an informative half-day workshop focused on identifying oral mucosal changes, diagnosing various oral lesions, and recognizing the risk factors and features that suggest the malignant potential of oral lesions. The post-intervention survey was sent to the workshop attendees by 7 months.

RESULTS

67 out of 110 invitees attended the workshop, with an overall response rate of 60.1%. In the initial quiz, the overall accuracy of diagnosis was 55.1±9.04%. The participants correctly identified most normal variations (80.60±5.05), but less than half of the benign lesions (40.96±8.30) and potentially malignant lesions (43.62±6.02). The malignant lesions were correctly diagnosed by 55.22±3.98% of the participants. The CE intervention has improved the overall diagnostic accuracy (74.81±5.84% (p,0.015); benign to 70.18±6.68% (p,0.02), the potentially malignant lesions to 62.99±4.63% (p,0.01).

CONCLUSIONS

This study highlights the importance of CE activity in improving the role of dentists in the detection of oral cancer. CE activity has remarkably enhanced the junior dentists' ability to accurately diagnose various oral lesions and effectively stratify their malignant potential.

摘要

目的

本研究旨在评估继续教育(CE)活动对初级牙医识别口腔黏膜异常(包括口腔癌或潜在恶性疾病)能力的影响。

材料与方法

本多阶段研究向牙科实习生和初级牙医发放了一份预先验证的测验。该测验旨在评估应试者识别不同口腔病变并对其恶性潜能进行分层的能力。受邀候选人参加测验,然后参加为期半天的信息丰富的研讨会,重点是识别口腔黏膜变化、诊断各种口腔病变以及识别提示口腔病变恶性潜能的危险因素和特征。干预后 7 个月向研讨会参与者发送了后续调查。

结果

110 名受邀者中有 67 人参加了研讨会,总体回复率为 60.1%。在初始测验中,整体诊断准确率为 55.1±9.04%。参与者正确识别了大多数正常变异(80.60±5.05%),但不到一半的良性病变(40.96±8.30%)和潜在恶性病变(43.62±6.02%)。恶性病变被 55.22±3.98%的参与者正确诊断。CE 干预提高了整体诊断准确性(74.81±5.84%(p,0.015);良性病变提高到 70.18±6.68%(p,0.02),潜在恶性病变提高到 62.99±4.63%(p,0.01)。

结论

本研究强调了 CE 活动在提高牙医在口腔癌检测中的作用的重要性。CE 活动显著提高了初级牙医准确诊断各种口腔病变并有效分层其恶性潜能的能力。

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