Screening and referral of oral mucosal pathology: a check-up of Australian dentists
Screening and referral of oral mucosal pathology: a check-up of Australian dentists
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DOI：
10.1111/adj.12261
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发表时间：
2015-03-01
影响因子：
2.1
通讯作者：
Farah, C. S.
中科院分区：
文献类型：
--
作者：
Allen, K.;Farah, C. S.
研究背景口腔鳞状细胞癌和潜在的口腔恶性疾病可以通过对口腔软组织的目视检查来早期发现。本研究旨在确定澳大利亚牙医的意见和做法，口腔粘膜筛查，转诊和口腔癌prevention.MethodsNine一百九十九个随机选择的一般牙医邮寄问卷。调查问卷询问从业者的意见和口腔粘膜筛查的看法，他们的转介做法和他们的信念，关于检测和预防口腔cancer.ResultsA共n = 640个人回答，产生的响应率为70.2%。大多数澳大利亚牙医报告说，定期进行口腔粘膜筛查。缺乏培训、信心、时间和经济激励至少在一定程度上被本研究的参与者视为进行粘膜筛查的障碍。大多数牙医管理口腔粘膜病理学的转诊适当;然而，只有大约一半的人相信在后续与转诊患者。只有一半的牙医调查认为，他们可以影响病人戒烟。ConclusionsAustralian牙医重视口腔粘膜筛查。可以对牙科教育和培训进行一些改变，以进一步提高牙医检测和转诊口腔粘膜病理的信心和能力。
BackgroundOral squamous cell carcinomas and potentially malignant oral disorders can be detected early by visually inspecting the oral soft tissues. This study aimed to determine Australian dentists' opinions and practices regarding oral mucosal screening, referral and oral cancer prevention.MethodsNine hundred and ninety-nine randomly selected general dentists were mailed a questionnaire. The questionnaire queried practitioners' opinions and perceptions of oral mucosal screening, their referral practices and their beliefs regarding detection and prevention of oral cancer.ResultsA total of n = 640 individuals responded, yielding a response rate of 70.2%. Most Australian dentists reported to routinely perform oral mucosal screening. Lack of training, confidence, time and financial incentives were seen as barriers to performing mucosal screening to at least some degree by participants in this study. Most dentists manage referrals for oral mucosal pathology appropriately; however, only about half believe in following up with referred patients. Only half of dentists surveyed believed that they could influence a patient to quit smoking.ConclusionsAustralian dentists place importance on oral mucosal screening. Some changes to dental education and training could be made to further improve confidence and ability of dentists in detecting and referring oral mucosal pathology.