Abstract
We assessed the oral cancer (OC) knowledge, including risk factors and clinical symptoms, among patients attending dental departments within Italian university hospitals. Two thousand and two hundred questionnaires were sent to four hospitals in order to assess patients' knowledge regarding clinical and epidemiological aspects of OC; OC knowledge was evaluated overall and stratified by oral cancer family history. Participants frequently identified cigarette smoking (87.8%) and heavy alcohol consumption (58.6%) as a risk factor for oral cancer, knew the clinical signs of OC (65–79% depending on the specific symptom) and reported that early detection was related to better prognosis of oral cancer (94%). Individuals with a positive family history for oral cancer were significantly more likely to identify risk factors for oral cancer correctly yet family history of OC did not affect smoking status. Less than 15% of patients reported having received OC counseling by a dentist or physician.
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Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM (2010) Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 127(12):2893–2917
Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55(2):74–108
Llewellyn CD, Johnson NW, Warnakulasuriya KA (2001) Risk factors for squamous cell carcinoma of the oral cavity in young people–a comprehensive literature review. Oral Oncol 37(5):401–418
Warnakulasuriya S, Mak V, Moller H (2007) Oral cancer survival in young people in South East England. Oral Oncol 43(10):982–986
Llewellyn CD, Linklater K, Bell J, Johnson NW, Warnakulasuriya S (2004) An analysis of risk factors for oral cancer in young people: a case-control study. Oral Oncol 40(3):304–313
Pelucchi C, Gallus S, Garavello W, Bosetti C, La Vecchia C (2006) Cancer risk associated with alcohol and tobacco use: focus on upper aero-digestive tract and liver. Alcohol Res Health 29(3):193–198
Blot WJ, McLaughlin JK, Winn DM et al (1998) Smoking and drinking in relation to oral and pharyngeal cancer. Cancer Res 48:3282–3287
Lopez-Jornet P, Camacho-Alonso F, Molina-Minano F (2010) Knowledge and attitudes about oral cancer among dentists in Spain. J Eval Clin Pract 16(1):129–133
Greenwood M, Lowry RJ (2001) Primary care clinicians' knowledge of oral cancer: a study of dentists and doctors in the North East of England. Br Dent J 191(9):510–512
Colella G, Gaeta GM, Moscariello A, Angelillo IF (2008) Oral cancer and dentists: knowledge, attitudes, and practices in Italy. Oral Oncol 44(4):393–399
Seoane J, Velo-Noya J, Warnakulasuriya S, Varela-Centelles P, Gonzalez-Mosquera A, Villa-Vigil MA, Rodriguez-Lozano F, Diz-Dios P (2010) Knowledge of oral cancer and preventive attitudes of Spanish dentists. Primary effects of a pilot educational intervention. Med Oral Patol Oral Cir Bucal 15(3):e422–e426
Warnakulasuriya KA, Harris CK, Scarrott DM, Watt R, Gelbier S, Peters TJ, Johnson NW (1999) An alarming lack of public awareness towards oral cancer. Br Dent J 187(6):319–322
Tromp D, Brouha XD, Hordijk GJ, Winnubst JA, de Leeuw JR (2005) Patient factors associated with delay in primary care among patients with head and neck carcinoma: a case-series analysis. Fam Pract 22(5):554–559
Chen X, Siu LL (2001) Impact of the media and the internet on oncology: survey of cancer patients and oncologists in Canada. J Clin Oncol 19(23):4291–4297
James C, James N, Davies D, Harvey P, Tweddle S (1999) Preferences for different sources of information about cancer. Patient Educ Couns 37(3):273–282
Campbell HS, Sletten M, Petty T (1999) Patient perceptions of tobacco cessation services in dental offices. J Am Dent Assoc 130(2):219–226
Hay JL, Ostroff JS, Cruz GD, LeGeros RZ, Kenigsberg H, Franklin DM (2002) Oral cancer risk perception among participants in an oral cancer screening program. Cancer Epidemiol Biomark Prev 11(2):155–158
Al-Shammari KF, Moussa MA, Al-Ansari JM, Al-Duwairy YS, Honkala EJ (2006) Dental patient awareness of smoking effects on oral health: comparison of smokers and non-smokers. J Dent 34(3):173–178
Lancaster T, Stead L (2004) Physician advice for smoking cessation. Cochrane Database Syst Rev (4):CD000165
Lemmens V, Oenema A, Knut IK, Brug J (2008) Effectiveness of smoking cessation interventions among adults: a systematic review of reviews. Eur J Cancer Prev 17(6):535–544
Gordon JS, Albert DA, Crews KM, Fried J (2009) Tobacco education in dentistry and dental hygiene. Drug Alcohol Rev 28(5):517–532
Edwards P (2010) Questionnaires in clinical trials: guidelines for optimal design and administration. Trials 11:11–13
Dyer TA, Robinson PG (2006) General health promotion in general dental practice–the involvement of the dental team. Part 1: a review of the evidence of effectiveness of brief public health interventions. Br Dent J 200(12):679–685
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The authors thank Dr. Allan Hildesheim from the National Cancer Institute for comments on the manuscript.
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Villa, A., Kreimer, A.R., Pasi, M. et al. Oral Cancer Knowledge: A Survey Administered to Patients in Dental Departments at Large Italian Hospitals. J Canc Educ 26, 505–509 (2011). https://doi.org/10.1007/s13187-010-0189-4
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DOI: https://doi.org/10.1007/s13187-010-0189-4