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. 2020 Feb 28;9(2):909-914.
doi: 10.4103/jfmpc.jfmpc_999_19. eCollection 2020 Feb.

Feasibility of opportunistic screening for oral cancers in a dental outpatient department of a secondary care hospital in Northern India

Ravneet Kaur  1 , Shashi Kant  1 , Vijay Prakash Mathur  2 , Ayush Lohia  3
Affiliations

Feasibility of opportunistic screening for oral cancers in a dental outpatient department of a secondary care hospital in Northern India

Ravneet Kaur et al. J Family Med Prim Care. .

Abstract

Background: Oral cancer is one of the most common forms of cancer in India. Majority of the patients are diagnosed at advanced stages, resulting in poor outcomes. Most of the oral cancers are preceded by visible lesions known as potentially malignant disorders (PMDs), which are amenable to early detection by screening. Oral visual examination is an established method of screening, and dentists have a unique opportunity to screen patients who come for various dental morbidities. Opportunistic screening is being recommended as a measure of cancer control. This study was conducted to assess the feasibility of opportunistic screening in a public health facility.

Methods: Patients coming to the dental outpatient department (OPD) of a secondary care hospital were screened for oral cancer or PMD by a trained dental surgeon by visual inspection of the oral cavity. In-depth interviews were conducted with the dental surgeon and officer-in-charge of dental OPD to identify barriers and facilitators for screening. A feasibility model was used to assess the acceptability, implementation, practicality, and integration of opportunistic screening.

Results: All patients attending dental OPD underwent screening. PMDs were detected in 0.5% of the new OPD attendees. Leukoplakia was found to be the most common lesion. Biopsy for suspected lesions was not conducted. The shortage of support staff was identified as a barrier to documenting risk factors. There was a lack of follow-up and referral linkages.

Conclusion: Opportunistic screening for oral cancers is feasible at a secondary care public health care facility. However, a well-developed system for follow-up and linkage with referral sites is required.

Keywords: Cancer; control; opportunistic; prevention; public health; screening.

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Conflict of interest statement

There are no conflicts of interest.

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References

    1. Bangalore: National Centre for Disease Informatics and Research/National Cancer Registry Programme; 2013. Indian Council of Medical Research. Three-Year Report of Population Based Cancer Registries, 2009–2011.
    1. Sankaranarayanan R, Swaminathan R, Brenner H, Chen K, Chia KS, Chen JG, et al. Cancer survival in Africa, Asia, and Central America: A population-based study. Lancet Oncol. 2010;11:165–73. - PubMed
    1. 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. - PubMed
    1. Brocklehurst P, Kujan O, Glenny AM, Oliver R, Sloan P, Ogden G, et al. Screening programmes for the early detection and prevention of oral cancer? Cochrane Database Syst Rev. 2010:CD004150. doi: 10.1002/14651858.CD004150.pub3. - PubMed
    1. Subramanium S, Sankarnarayanan R, Bapat B, Somanathan T, Thomas G, Mathew B, et al. Cost-effectiveness of oral cancer screening: Results from a cluster randomized controlled trial in India. Bull World Health Organ. 2009;87:200–6. - PMC - PubMed