Use of tongue base palpation among oral healthcare providers: Cross-sectional survey

被引:3
作者
Nieves-Rivera, Angelica [1 ,2 ]
Benchetrit, Liliya [1 ]
Kan, Krystal [3 ]
Tucker, Steven [4 ]
Johnson, Michael [4 ]
Edwards, Heather [1 ,5 ]
机构
[1] Boston Univ, Sch Med, Boston Med Ctr, Dept Otolaryngol Head & Neck Surg, 850 Harrison Ave, Boston, MA 02118 USA
[2] UMass Chan Med Sch, Dept Gen Surg, 55 N Lake Ave, Worcester, MA 01655 USA
[3] Univ Illinois, Coll Med Chicago, Dept Otolaryngol Head & Neck Surg, 1855 Taylor St, Chicago, IL USA
[4] Yale Sch Med, Dept Oral & Maxillofacial Surg, 1 Long Wharf Dr, 4th Fl Suite 175, New Haven, CT 06511 USA
[5] Boston Med Ctr, 5th Floor BCD Bldg, 850 Harrison Ave, Boston, MA 02118 USA
关键词
Oral cancer screening; Tongue neoplasms; Oropharyngeal neoplasms; Oral cancer; Guidance adherence; CANCER; KNOWLEDGE; CAVITY;
D O I
10.1016/j.amjoto.2022.103765
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objectives: To assess the use of tongue base palpation during cancer screening exams by Oral Healthcare Providers (OHPs) and explore attitudes about (1) the usefulness of oral cancer screening (OCS) in detecting early, asymptomatic lesions and (2) routine OCS of the general population. Study design: Survey study. Setting: Private and hospital-based clinical practices of OHPs located in Massachusetts and Connecticut, United States. Methods: An anonymous, online 9-item survey assessing beliefs and practice patterns about cancer screening exams was distributed to OHPs with practices in Massachusetts and Connecticut from August 2020 to June 2021. Data were analyzed using chi-square tests and Pearson correlations. Statistically significant levels were established at P < .050. Results: One hundred seventy-one responses were analyzed (response rate 17 %). Tongue base palpation was performed as part of a routine cancer screening exam by 55 % of otolaryngologists, 34 % of dentists and 29 % of OMFS (P = .030). Providers who palpated the tongue base were also more likely to use palpation as an exam technique in the tonsils (r = 0.52 [95 % CI 0.40-0.62]; P < .001) among other intra-and extra-oral anatomical subsites. Almost all dentists (92 %) and OMFS (98 %) but only 58 % of otolaryngologists considered OCS useful for detection of early, asymptomatic malignant lesions in the oral cavity (P < .001). Conclusions: While tongue base palpation can detect oropharyngeal cancers in a pre-symptomatic stage, it is underutilized during routine cancer screening exams. Considering the rising incidence of oropharyngeal cancer, tongue base palpation should be established as a routine part of cancer screening by OHPs.
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页数:5
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共 18 条
  • [1] Current knowledge, attitude and practice among dental hygienists in oral cancer awareness: Systematic review
    Coppola, Noemi
    Rivieccio, Immacolata
    Blasi, Andrea
    Ferrigno, Roberto
    Baldares, Stefania
    Mignogna, Michele Davide
    Leuci, Stefania
    [J]. INTERNATIONAL JOURNAL OF DENTAL HYGIENE, 2022, 20 (02) : 249 - 261
  • [2] Considerations in Human Papillomavirus-Associated Oropharyngeal Cancer Screening A Review
    Day, Andrew T.
    Fakhry, Carole
    Tiro, Jasmin A.
    Dahlstrom, Kristina R.
    Sturgis, Erich M.
    [J]. JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2020, 146 (07) : 656 - 664
  • [3] Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: updated systematic review and meta-analysis
    Drolet, Melanie
    Benard, Elodie
    Perez, Norma
    Brisson, Marc
    Boily, Marie-Claude
    Ali, Hammad
    Baldo, Vincenzo
    Brassard, Paul
    Brotherton, Julia M. L.
    Callander, Denton
    Checchi, Marta
    Chow, Eric P. F.
    Cocchio, Silvia
    Dalianis, Tina
    Deeks, Shelley L.
    Dehlendorff, Christian
    Donovan, Basil
    Fairley, Christopher K.
    Flagg, Elaine W.
    Gargano, Julia W.
    Garland, Suzanne M.
    Grun, Nathalie
    Hansen, Bo T.
    Harrison, Christopher
    Herweijer, Eva
    Imburgia, Teresa M.
    Johnson, Anne M.
    Kahn, Jessica A.
    Kavanagh, Kimberley
    Kjaer, Susanne K.
    Kliewer, Erich V.
    Liu, Bette
    Machalek, Dorothy A.
    Markowitz, Lauri
    Mesher, David
    Munk, Christian
    Niccolai, Linda
    Nygard, Mari
    Ogilvie, Gina
    Oliphant, Jeannie
    Pollock, Kevin G.
    Purrinos-Hermida, Maria Jesus
    Smith, Megan A.
    Steben, Marc
    Soderlund-Strand, Anna
    Sonnenberg, Pam
    Sparen, Par
    Tanton, Clare
    Wheeler, Cosette M.
    Woestenberg, Petra J.
    [J]. LANCET, 2019, 394 (10197) : 497 - 509
  • [4] Trends in Incidence of Cancers of the Oral Cavity and Pharynx - United States 2007-2016
    Ellington, Taylor D.
    Henley, S. Jane
    Senkomago, Virginia
    O'Neil, Mary Elizabeth
    Wilson, Reda J.
    Singh, Simple
    Thomas, Cheryll C.
    Wu, Manxia
    Richardson, Lisa C.
    [J]. MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT, 2020, 69 (15): : 433 - 438
  • [5] Knowledge, opinions, and practices related to oral cancer prevention and oral mucosal examination among dentists in Moldova, Belarus and Armenia: a multi-country cross-sectional study
    Golburean, Olga
    Hagen, Maria Helene
    Uncuta, Diana
    Tighineanu, Marcela
    Manrikyan, Gayane
    Vardanian, Izabella
    Andresen, Christoffer
    Singh, Bhavdeep
    Porosencova, Tatiana
    Ivasiuc, Irina
    Cheptanaru, Olga
    Markaryan, Marina
    Shakavets, Natalia
    Sapkota, Dipak
    Soland, Tine Merete
    Costea, Daniela-Elena
    Ozkaya, Ferda
    [J]. BMC ORAL HEALTH, 2021, 21 (01)
  • [6] Dental opinion leaders' perspectives on barriers and facilitators to HPV-related prevention
    Griner, Stacey B.
    Thompson, Erika L.
    Vamos, Cheryl A.
    Chaturvedi, Anil K.
    Vazquez-Otero, Coralia
    Merrell, Laura K.
    Kline, Nolan S.
    Daley, Ellen M.
    [J]. HUMAN VACCINES & IMMUNOTHERAPEUTICS, 2019, 15 (7-8) : 1856 - 1862
  • [7] HEAD AND NECK SQUAMOUS CELL CARCINOMA
    不详
    [J]. NATURE REVIEWS DISEASE PRIMERS, 2020, 6 (01):
  • [8] Are dental providers the next line of HPV-related prevention? Providers' perceived role and needs
    Kline, Nolan
    Vamos, Cheryl
    Thompson, Erika
    Catalanotto, Frank
    Petrila, John
    DeBate, Rita
    Griner, Stacey
    Vazquez-Otero, Coralia
    Merrell, Laura
    Daley, Ellen
    [J]. PAPILLOMAVIRUS RESEARCH, 2018, 5 : 104 - 108
  • [9] Evidence-based clinical practice guideline for the evaluation of potentially malignant disorders in the oral cavity A report of the American Dental Association
    Lingen, Mark W.
    Abt, Elliot
    Agrawal, Nishant
    Chaturvedi, Anil K.
    Cohen, Ezra
    D'Souza, Gypsyamber
    Gurenlian, JoAnn
    Kalmar, John R.
    Kerr, Alexander R.
    Lambert, Paul M.
    Patton, Lauren L.
    Sollecito, Thomas P.
    Truelove, Edmond
    Tampi, Malavika P.
    Urquhart, Olivia
    Banfield, Laura
    Carrasco-Labra, Alonso
    [J]. JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 2017, 148 (10) : 712 - +
  • [10] Oral cancer screening practices of oral health professionals in Australia
    Marino, Rodrigo
    Haresaku, Satoru
    McGrath, Roisin
    Bailey, Denise
    Mccullough, Michael
    Musolino, Ross
    Kim, Boaz
    Chinnassamy, Alagesan
    Morgan, Michael
    [J]. BMC ORAL HEALTH, 2017, 17