Leveraging Clinical Decision Support and Integrated Medical-Dental Electronic Health Records to Implementing Precision in Oral Cancer Risk Assessment and Preventive Intervention.
Leveraging Clinical Decision Support and Integrated Medical-Dental Electronic Health Records to Implementing Precision in Oral Cancer Risk Assessment and Preventive Intervention.
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DOI：
10.3390/jpm11090832
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发表时间：
2021-08-25
影响因子：
--
通讯作者：
Mabry PL
中科院分区：
文献类型：
--
作者：
Rindal DB;Mabry PL
导语：精准医疗专注于服务于个人的独特需求。口腔和口咽癌风险评估确定个体风险因素，同时提供支持以降低风险。其目的是检查潜在的当前和未来的战略，以在全美牙科实践中广泛实施基于证据的口腔和口咽癌风险评估和筛查。方法：在已发表的文献中确定可行和有效的口腔癌风险评估和降低风险的策略，这些策略适合在牙科实践中实施。结果：筛查、短期干预、转诊治疗(SBIRT)模式是评估个体口腔癌风险和在牙科环境中提供降低风险干预的可行方法。HPV是最近被发现的风险因素，牙科很好地解决了这一问题。总结了支持使用特定风险评估工具和减少风险战略的证据，并讨论了未来的机会。讨论：目前对口腔和口咽癌风险因素的了解支持这样的建议，即牙科提供者定期评估所有患者的风险因素，教育他们了解他们个人的癌症风险水平，并建议减少相关风险因素的行动。9-26岁的人应该被问及他们的HPV疫苗接种状况，接受关于HPV和口咽癌的教育，并接受接种HPV疫苗的建议。
Introduction: Precision medicine is focused on serving the unique needs of individuals. Oral and oropharyngeal cancer risk assessment identifies individual risk factors while providing support to reduce risk. The objective is to examine potential current and future strategies to broadly implement evidence-based oral and oropharyngeal cancer risk assessment and screening in dental practices throughout the United States. Methods: Feasible and effective oral cancer risk assessment and risk reduction strategies, ripe for implementation in dental practice, were identified in the published literature. Results: The Screening, Brief Intervention, Referral for Treatment (SBIRT) model is a feasible approach to assessing individual oral cancer risk and providing risk reducing interventions in the dental setting. HPV is a more recently identified risk factor that dentistry is well positioned to address. Evidence supporting the utilization of specific risk assessment tools and risk reduction strategies is summarized and future opportunities discussed. Discussion: Current knowledge of risk factors for oral and oropharyngeal cancers support the recommendation for dental providers to routinely assess all patients for risk factors, educate them about their personal level of cancer risk, and recommend actions to reduce relevant risk factors. Individuals ages 9–26 should be asked about their HPV vaccination status, educated about HPV and oropharyngeal cancer and receive a recommendation to get the HPV vaccination.
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影响因子：
5.6
作者：
Ferlazzo N;Currò M;Zinellu A;Caccamo D;Isola G;Ventura V;Carru C;Matarese G;Ientile R
通讯作者：
Ientile R
DOI：
10.1148/ryai.2021210030
发表时间：
2021-05-01
期刊：
Radiology. Artificial intelligence
影响因子：
--
作者：
Chen, Melissa M;Golding, Lauren Parks;Nicola, Gregory N
通讯作者：
Nicola, Gregory N
影响因子：
2.6
作者：
Dyer, T. A.;Robinson, P. G.
通讯作者：
Robinson, P. G.
影响因子：
1.9
作者：
Chen, Yo-Wei;Stanley, Kyle;Att, Wael
通讯作者：
Att, Wael
DOI：
10.1016/j.jebdp.2005.12.011
发表时间：
2006-03-01
期刊：
The journal of evidence-based dental practice
影响因子：
--
作者：
Kao, Richard T
通讯作者：
Kao, Richard T