Delay in Referral of Patients Suspected of Oral Cancer: Perception of Surgeon Dentists in Primary Health Care

Authors

  • Amanda Ramos da Cunha Associação Hospitalar Moinhos de Vento
  • Caren Serra Bavaresco TelessaúdeRS
  • Vinícius Coelho Carrard Universidade Federal do Rio Grande do Sul
  • Eduardo Madruga Lombardo Pontifícia Universidade Católica do Rio Grande do Sul

Keywords:

Mouth Neoplasms, Delayed Diagnosis, Primary Health Care

Abstract

Aims: To verify the possible reasons to justify the delay in the arrival of the patient with oral cancer to the most complex sectors of health care. Materials and Methods: The study had as target audience dentists working in Primary Health Care formally linked to the Project TelessaúdeRS (276 potential participants). It was utilized a questionnaire hosted in a software of online questionnaires, with the link to access available by electronic mail and homepage of TelessaúdeRS. The responses were tabulated in an Excel spreadsheet (Microsoft ®). Results: Seventy-four answered questionnaires (26.8% of the initial sample); 52.7% reported that there is no Dental Specialty Center for reference in its Regional Health’s Coordination; 58.1% considered as the possible causes of the delay in diagnosis of oral cancer the association of factors: failure from professional, from patient, from the health network and lack of information; related to the self-perception of suitability for screening and diagnosis of oral cancer, 71.6% replied that it would be important the offer of qualification courses. Conclusion: The present study suggests that the possible reasons to justify the delay of the arrival of the patient with oral cancer to the most complex sectors of health care are: the deficiencies in the network care and the need for more qualifications courses related to the pathology.

Author Biographies

Amanda Ramos da Cunha, Associação Hospitalar Moinhos de Vento

Especialista em Saúde da Família e Comunidade. Cirurgiã-dentista da Associação Hospitalar Moinhos de Vento, Porto Alegre-RS/Brasil

Caren Serra Bavaresco, TelessaúdeRS

Pós-Doutoranda em Epidemiologia. Cirurgiã-dentista do Grupo Hospitalar Conceição. Teleconsultora e Telerreguladora do Projeto TelessaúdeRS, Porto Alegre-RS/Brasil

Vinícius Coelho Carrard, Universidade Federal do Rio Grande do Sul

Doutor em Odontologia (Patologia Bucal). Professor de Patologia, Faculdade de Odontologia - Universidade Federal do Rio Grande do Sul. Teleconsultor do Projeto TelessaúdeRS, Porto Alegre-RS/Brasil

Eduardo Madruga Lombardo, Pontifícia Universidade Católica do Rio Grande do Sul

Especialista em Saúde da Família e Comunidade. Residente em Cirurgia e Traumatologia Bucomaxilofaciais pela Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre-RS/Brasil.

References

Neville NW, Day TA. Oral cancer and precancerous lesions. CA Cancer J Clin. 2002;52:195-215.

Napier SS, Speight PM. Natural history of potentially malignant oral lesions and conditions: an overview of the literature. J Oral Pathol Med. 2008;37:1–10.

Scully C, Bagan JV. Oral squamous cell carcinoma: overview of current understanding of aetiopathogenesis and clinical implications. Oral Diseases. 2009;15:388–99.

Attar E, Subhojit D, Hablas A, Seifeldin I, Ramadn M, rozek L, et al. Head and neck cancer in a developing country: A population-based perspective across 8 years. Oral Oncology 2010;46:591–96.

Zini A, Czerninski R, Sgan-cohen HD. Oral cancer over four decades: epidemiology, trends, histology, and survival by anatomical sites. J Oral Pathol Med. 2010;39:299–305.

Instituto Nacional do Câncer. Incidência de Câncer no Brasil em 2012. Disponível em: http://www.inca.gov.br/estimativa/2012/. Acesso: 10/08/2013

Onizawa K, Nishihara K, Yamagata K, Yusa H, Yanagawa T, Yoshida H. Factors associated with diagnostic delay of oral squamous cell carcinoma. Oral Oncol. 2005;39(8):781-9.

Scott SE, Grunfeld EA, Mcgurk M. Patient’s delay in oral cancer: a systematic review. Community Dent Oral Epidemiol. 2006;34(5):337-43.

Scott SE, Grunfeld EA, Mcgurk M. The idiosyncratic relationship betweendiagnostic delay and stage of oral squamous cell carcinoma. Oral Oncol. 2005;41(4):396-403.

Gomez I, Seoane J, Varela-Centelles P, Diz P, Takkouche B. Is diagnostic delay related to advanced-stage oral cancer? A meta-analysis. Eur J Oral Sci. 2009;117:541-46.

Ministério da Saúde (Brasil). Portaria n° 2488 de 21 de outubro de 2011. Disponível em: http://www.saude.mt.gov.br/upload/legislacao/2488-[5046-041111-SES-MT].pdf. Acesso: 5/10/2012

Ministério da Saúde (Brasil). Caderno de Atenção Básica n° 17. 2008. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/saude_bucal.pdf. Acesso: 24/10/2012

Alonge OK, Narendran S. Opinions about oral cancer prevention and early detection among dentists practicing along the Texas-Mexico border. Oral Diseases. 2003;9:41-5.

Clovis JB, Horowitz AM, Poel DH. Oral and pharyngeal cancer: knowledge and opinions of dentists in British Columbia and Nova Scotia. J Can Dent Assoc. 2002;68(7):415-20.

Hertrampf K, Wenz HJ, Koller M, Wiltfang J. Comparing dentists’ and the public’s awareness about oral cancer in a community-based study in Northern Germany. Journal of Carnio-Maxillo-Facial Surgey. 2010;1-5.

Jornet PL, Alonso FC, Miñano FM. Knowledge and attitudes about oral câncer among dentists in Spain. Journal Evaluation in Clinical Practice. 2010;16:129-33.

Ministério da Saúde (Brasil). Diretrizes da Política Nacional de Saúde Bucal. Brasília: 2004. Disponível em: http://conselho.saude.gov.br/web_comissoes/cisb/doc/politica_nacional.pdf. Acesso: 1/10/2012

Ministério da Saúde (Brasil). Sala de Apoio à Gestão Estratégica do Ministério da Saúde. Disponível em: http://189.28.128.178/sage/. Acesso: 1/10/2012

Starfield, B. Atenção Primária Equilíbrio entre Necessidades de Saúde, Serviços e Tecnologia. Unesco Brasil: 2002.

Falcão MML, Alves TDB, Freitas VS, Coelho TCB. Conhecimento dos cirurgiões-dentistas em relação ao câncer bucal. RGO, Porto Alegre. 2010;58(1):27-33.

Published

2013-06-01

How to Cite

1.
da Cunha AR, Bavaresco CS, Carrard VC, Lombardo EM. Delay in Referral of Patients Suspected of Oral Cancer: Perception of Surgeon Dentists in Primary Health Care. JBT [Internet]. 2013 Jun. 1 [cited 2025 Dec. 6];2(2):14-22. Available from: https://jbt.abtms.org.br/index.php/jbt/article/view/21

Issue

Section

Artigos Originais