Perspective on oral cancer screening: Time for implementation research and beyond. (March 2023)

• Record Type: Journal Article
• Authors: Mandrik, Olena; Roitberg, Felipe; Lauby-Secretan, Beatrice; Parak, Uzayr; Ramadas, Kunnambath; Varenne, Benoît; Sankaranarayanan, Rengaswamy; Carvalho, Andre L.
• Is Part Of: Journal of cancer policy. Volume 35(2023)
• Publication Date: 2023-03
• Subjects: Programme evaluation -- Oral cancer -- Oral cancer screening -- Implementation; Cancer -- Government policy -- Periodicals; Cancer -- Patients -- Services for -- Periodicals; Medical Oncology -- Periodicals; Public Health -- Periodicals; Cancer; Periodicals; 362.196994
• DOI: 10.1016/j.jcpo.2022.100381
• Languages: English
• ISSNs: 2213-5383

Abstract

Abstract: Screening aims to detect cancer in asymptomatic populations. In oral cancer, clinical oral examination is the current standard method for screening. Oral cancer screening may be performed by a physician or a healthcare workers and is an affordable and feasible method. There is some evidence that this low-cost method is effective in decreasing mortality from oral cancer in high risk population. The cluster-randomised trial in India that had 15 years of follow-up reported an 81 % mortality reduction in high-risk populations of tobacco and/or alcohol users who adhered to four screening rounds. The observational studies similarly reported 21–22 % reduction in advanced oral cancer and 24–26 % reduction in oral cancer mortality among high risk population. Implementation and evaluation of oral cancer screening programmes in high risk population will support the goals of the World Health Organisation on global oral health.