Assessing oral cancer early detection: clarifying dentists' practices
Assessing oral cancer early detection: clarifying dentists' practices
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DOI：
10.1111/j.1752-7325.2009.00148.x
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发表时间：
2010-03-01
影响因子：
2.3
通讯作者：
Choi, Young-Ku
中科院分区：
文献类型：
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作者：
LeHew, CharlesW.;Epstein, Joel B.;Choi, Young-Ku
目的：这项研究探索了更详细地评估牙医在进行口腔癌早期检测时所做工作的新方法。它澄清了执业行为，并打开了机会，以确定有助于临床医生进行彻底的早期发现检查的因素，并评估不同检查程序的相对有效性。方法：通过电子邮件将一份包含38个项目的调查工具发送给美国西部一个多州牙科执业小组的牙医。241名牙医收到了调查问卷，102名进行了回复。根据对口腔癌常识的正确回答生成口腔癌知识量表(0~14分)。结果：几乎所有被调查的牙科医生都是全科医生(90%)，中位数为1994年毕业于牙科学校。口腔癌知识得分从5分到14分，平均10.4分。考试成绩平均彻底率为11.34分(0~20分)。两个量表之间无统计学相关性(r=-0.015，P=0.883)。统计学上，继续教育的近期程度与知识显著相关(P=0.0284)，与彻底性略有相关(P=0.075)。结论：本研究记录了牙医的知识和检查的彻底性的相当大的变异性。这些量表为未来的研究提供了工具，以提高临床实践中对口腔癌早期检测的理解。
Objective:This study explores new methods for assessing in greater detail what dentists do when they perform oral cancer early detection examinations. It clarifies practice behaviors and opens opportunities to identify factors that facilitate thorough early detection examinations by clinicians and to assess the relative effectiveness of different examination procedures.Methods:A 38-item survey instrument was e-mailed to dentists in a western US, multistate dental practice group. Questionnaires were received by 241 dentists, and 102 responded. An Oral Cancer Knowledge scale (0 to 14) was generated from correct responses on oral cancer general knowledge. An Oral Cancer Examination Thoroughness scale was calculated from the two dimensions of reported usage and frequency of procedures in oral cancer examinations.Results:Nearly all responding dentists were in general practice (90%), with a median year of graduation from dental school of 1994. The Oral Cancer Knowledge scores ranged from 5 to 14 with a mean of 10.4. The mean Thoroughness of Examination score was 11.34 (range 0 to 20). The two scales were not statistically correlated (r = -0.015, P = 0.883). Statistically, recency of continuing education was significantly associated with knowledge (P = 0.0284) and appears to be marginally associated with thoroughness (P = 0.075).Conclusions:This study documents considerable variability in dentists' knowledge and thoroughness of examinations. The scales provide tools for future studies for improving understanding of early detection of oral cancer in clinical practice.