Arboleda Lady P A, Pereira Thaís C E, Epstein Joel B, Migliorati Cesar A, Warnakulasuriya Saman, Diniz-Freitas Márcio, Lopes Marcio A, Santos-Silva Alan R
Oral Diagnosis Department, Piracicaba Dental School, University of Campinas, Piracicaba 13414-903, SP, Brazil.
Graduate Program, A.C. Camargo Cancer Center, São Paulo 01508-020, SP, Brazil.
Dent J (Basel). 2023 Sep 4;11(9):209. doi: 10.3390/dj11090209.
Delivering bad news has been widely studied in cancer, thus, this scoping review aims to identify the available evidence concerning the communication of oral potentially malignant disorders (OPMDs) and their clinical and psychosocial impacts. A search was performed using electronic databases (Medline/PubMed, Scopus, Embase, and Web of Science) and one grey literature database (Google Scholar). Studies focused on communicating the diagnosis of OPMDs and the patients' perceptions were included. Study selection and data extraction were performed by two authors in a two-phase process. Five publications were included in the qualitative analysis. Differences regarding the study design, population, OPMDs assessed, and outcomes of professional-patient communication were found in each study. Protocols for OPMD communication have not yet been reported and there is a need to standardize strategies as communication skills may provide better clinical outcomes for patients diagnosed with potentially malignant disorders. Although future studies are needed, a brief list recommending the aspects that must be communicated is proposed.
在癌症领域，传递坏消息已得到广泛研究。因此，本综述旨在识别有关口腔潜在恶性疾病（OPMDs）的沟通及其临床和心理社会影响的现有证据。我们使用电子数据库（Medline/PubMed、Scopus、Embase和科学网）以及一个灰色文献数据库（谷歌学术）进行了检索。纳入了聚焦于OPMDs诊断沟通及患者认知的研究。两位作者分两个阶段进行研究选择和数据提取。定性分析纳入了五篇出版物。每项研究在研究设计、人群、评估的OPMDs以及医患沟通结果方面均存在差异。尚未有关于OPMDs沟通的方案报告，由于沟通技巧可能为被诊断为潜在恶性疾病的患者带来更好的临床结果，因此有必要规范策略。尽管还需要未来的研究，但我们提出了一份简要清单，推荐了必须沟通的方面。
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