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巴西口腔癌筛查项目:实施七年的结果分析。

An oral cancer screening program in Brazil: Analysis of seven years of outcome after its implementation in the suburban cities of São Paulo.

机构信息

Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil.

Barretos Cancer Hospital, Antenor Duarte Vilela 1331, Barretos, SP, Brazil.

出版信息

Oral Oncol. 2024 Jul;154:106826. doi: 10.1016/j.oraloncology.2024.106826. Epub 2024 May 10.

DOI:10.1016/j.oraloncology.2024.106826
PMID:38733949
Abstract

OBJECTIVE

To describe the implementation of an oral cancer screening program at the Barretos Cancer Hospital (BCH) and present the outcome based on data obtained from 2014 to 2020.

MATERIALS AND METHODS

The residents of the Regional Health District of Barretos (DRS-V) were personally invited by community health agents or nurses, and among 13,973 people, 15,222 oral examinations were carried out over the years in 18 of its municipalities. Oral examinations were performed at the Mobile Dental Unit and at the Prevention Department of the BCH. Inclusion criteria were being 35 years of age or older, having a personal history of tobacco or alcohol consumption, or having a lesion in the oral cavity found by community health agent or self-reported, regardless of age or risk factors.

RESULTS AND CONCLUSION

The main result of our study was the stages of oral cancer among screen detected cases were smaller compared to cases in the hospital registry, in the state and in Brazil. Oral cancer detection rate per 1,000 oral examinations was 10.7.The early stages of oral cancer found by screening in primary care facilities or using mobile units suggest that, when organized, screening may improve the prognosis of oral cancer.

摘要

目的

描述巴雷托斯癌症医院(BCH)口腔癌筛查计划的实施情况,并根据 2014 年至 2020 年获得的数据呈现结果。

材料和方法

巴雷托斯地区卫生区(DRS-V)的居民由社区卫生工作者或护士亲自邀请,在 13973 人中,18 个城市多年来共进行了 15222 次口腔检查。口腔检查在移动牙科单元和 BCH 预防科进行。纳入标准为年龄 35 岁或以上,有烟草或酒精消费史,或由社区卫生工作者发现或自我报告口腔有病变,无论年龄或危险因素如何。

结果和结论

我们研究的主要结果是筛查发现的口腔癌分期与医院登记、州和巴西的病例相比更小。每 1000 次口腔检查的口腔癌检出率为 10.7。初级保健机构或使用移动单位筛查发现的口腔癌早期阶段表明,当组织起来时,筛查可能会改善口腔癌的预后。

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