Current Knowledge, Attitudes, and Practice among Health Care Providers in OSCC Awareness: Systematic Review and Meta-Analysis

Noemi Coppola, Michele Davide Mignogna, Immacolata Rivieccio, Andrea Blasi, Maria Eleonora Bizzoca, Roberto Sorrentino, Lorenzo Lo Muzio, Gianrico Spagnuolo and Stefania Leuci
Additional contact information
Noemi Coppola: Oral Medicine Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy
Michele Davide Mignogna: Oral Medicine Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy
Immacolata Rivieccio: Oral Medicine Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy
Andrea Blasi: Oral Medicine Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy
Maria Eleonora Bizzoca: Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
Roberto Sorrentino: Oral Medicine Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy
Lorenzo Lo Muzio: Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
Gianrico Spagnuolo: Oral Medicine Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy
Stefania Leuci: Oral Medicine Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, 80131 Naples, Italy

IJERPH, 2021, vol. 18, issue 9, 1-38

Abstract: OSCC remain a global health problem. Lack of awareness leads to inadequate watchfulness regarding early signs/symptoms despite the ease of visual oral inspection. What clinicians know and feel, and how they behave on OSCC is crucial to understand the feasibility and effectiveness of screening programs. The aim of this systematic review was to assess knowledge, attitudes, and practice (KAP) regarding OSCC among health care providers (HCPs). Therefore, a systematic review was conducted with SPIDER and PICO as major tools. A meta-analysis was structured through common items in two comparison groups of medical and dental practitioners. Descriptive statistics and a Mantel–Haenszel test were used to validate data. Sixty-six studies were selected for systematic review, eight of which are useful for meta-analysis. A statistically significant difference was recorded between dentists and medical practitioners for questions regarding: Alcohol ( p < 0.001); Elderly ( p < 0.012); Sun exposure ( p < 0.0001); Erythroplakia ( p < 0.019); Red patch ( p < 0.010); White patch ( p < 0.020); Tobacco consultation ( p < 0.0001); Intraoral examination ( p < 0.0001) and Up-to-date knowledge ( p < 0.002). Overall, the incidence of OSCC screening is low. Most HCPs feel the need to increase KAP. Data confirmed gaps in KAP, highlighting the need for a more efficient pre- and post-graduation training, necessary to increase competence worldwide.

Keywords: awareness; education; KAP; knowledge; attitude; practice; oral cancer; OSCC; dentists (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: View citations in EconPapers (1)

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