Pilot Model for Community Based Oral Cancer Screening Program: Outcome from 4 Northeastern Provinces in Thailand

Boworn Klongnoi, Vanvisa Sresumatchai, Siribang-on Piboonniyom Khovidhunkit, Pornpoj Fuangtharnthip, Rachatawan Leelarungsun and Binit Shrestha
Additional contact information
Boworn Klongnoi: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand
Vanvisa Sresumatchai: Department of Biostatistics, Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Road, Ratchathewi District, Bangkok 10400, Thailand
Siribang-on Piboonniyom Khovidhunkit: Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand
Pornpoj Fuangtharnthip: Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand
Rachatawan Leelarungsun: Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand
Binit Shrestha: Maxillofacial Prosthetic Unit, Department of Prosthodontics, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand

IJERPH, 2021, vol. 18, issue 17, 1-12

Abstract: Management of advanced-stage oral cancer adds a great burden to individuals and health care systems. Community-based oral cancer screening can be beneficial in early detection and treatment. In this study, a novel oral cancer screening program was conducted utilizing an existing network of health care personnel, facilities, and digital database management for efficient coverage of a large population. The screening program considered 392,396 individuals aged ?40 from four northeastern provinces in Thailand. Three levels of screening were performed: S1 by village healthcare volunteers to identify risk groups, S2 by dental auxiliaries to visually identify abnormal oral lesions, and S3 by dentists for final diagnosis and management. A total of 349,318 individuals were interviewed for S1, and 192,688 were identified as a risk group. For S2, 88,201 individuals appeared, and 2969 were further referred. Out of 1779 individuals who appeared for S3, oral potentially malignant disorders (OPMDs) were identified in 544, non-OPMDs in 1047, doubtful lesions in 52, and no results in 136 individuals. Final treatment was carried out in 704 individuals that included biopsies of 504 lesions, exhibiting 25 cancerous lesions and 298 OPMDs. This study is so far one of the largest oral cancer screening programs conducted in Thailand and showed effective implementation of community-based oral cancer screening.

Keywords: community screening; oral cancer; oral potentially malignant disorders; village health volunteers; cancer screening (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/17/9390/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/17/9390/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:17:p:9390-:d:629840

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().