scholarly journals Population-based cancer screening through community participation: Outcome of a district wide oral cancer screening program from rural Kannur, Kerala, India

2018 ◽  
Vol 07 (04) ◽  
pp. 244-248
Author(s):  
Phinse Mappalakayil Philip ◽  
Priyakanta Nayak ◽  
Sairu Philip ◽  
Neethu Ambali Parambil ◽  
Karthickeyan Duraisamy ◽  
...  

Abstract Background: Oral cancer is a major public health challenge, and about one-fifth of all oral cancer cases reported globally are from India. In spite of the potential for early detection by simple visual examination, the majority of patients report in later stages of the disease, especially in low and middle-income countries. We report the results from a district level population-based oral cancer screening program. Methods: A cross-sectional survey was carried out among people aged >15 years in 48 panchayats of Kannur district in Kerala, India. This comprehensive multi-stakeholder district-wide screening was carried out in six stages including planning, sensitization, recruiting of community volunteers and training, survey, organization of specialist camps and referring to cases to cancer center. The descriptive statistical analysis was performed using EpiData analysis software (Version 2.2.2.180). Results: Among the 1,061,088 people in 265,272 houses surveyed, 2507 of them attended the screening camps, and 13 oral cancers and 174 oral precancers were detected. Majority of the oral cancer patients were male (69%), with primary education or illiterate (62%) and low socioeconomic status (61%). Five of the patients diagnosed with early-stage cancer are alive and have good oral health-related quality of life. Conclusion: Detection of precancerous and early-stage cancers should be a priority of oral cancer screening programs. The possible key for addressing cancer screening needs of the rural population is to equip the primary health centers in cancer screening activities with available human resources while adapting to local context.

Author(s):  
Boworn Klongnoi ◽  
Vanvisa Sresumatchai ◽  
Siribang-on Piboonniyom Khovidhunkit ◽  
Pornpoj Fuangtharnthip ◽  
Rachatawan Leelarungsun ◽  
...  

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.


2002 ◽  
Vol 133 (8) ◽  
pp. 1064-1071 ◽  
Author(s):  
GUSTAVO D. CRUZ ◽  
RACQUEL Z. LE GEROS ◽  
JAMIE S. OSTROFF ◽  
JENNIFER L. HAY ◽  
HERBERT KENIGSBERG ◽  
...  

Oral Oncology ◽  
2019 ◽  
Vol 89 ◽  
pp. 59-65 ◽  
Author(s):  
Cheng-Chih Huang ◽  
Chia-Ni Lin ◽  
Chia-Hua Chung ◽  
Jing- Shiang Hwang ◽  
Sen-Tien Tsai ◽  
...  

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 209s-209s
Author(s):  
J.-Y. Lin

Background: Pap smear screening was the first nation-wide population-based organized screening since 1999 in Taiwan. After that, nationwide screening programs for breast cancer, colorectal cancer, and oral cancer have been launched since 2004. The national online information system was built for the infrastructure, monitoring, delivery, evaluation, and management of health care services in our nationwide screening program. Aim: To develop a comprehensive health information system for cancer screening to assist health professionals in processing screening with quality assurance and evaluation. Methods: A Web-based solution combining data gathering and processing capabilities was developed. Application design in a server was based on the ASP, HTML, DHTML, Java Script, Java Applet technology and SQL-SERVER relational database. Web-based software programs were developed to facilitate the structure, process, and outcome for screening. Individual screening data were transferred to centralized databases via the Internet. The client-users now include 25 health bureaus, 369 health centers and over 6500 clinics or hospitals. Results: The Taiwanese cancer screening system incorporates nationwide breast cancer screening with mammography, colorectal cancer with fecal immunochemical test, oral cancer with visual inspection. The key performance index for screening including screening rate, positive rate, referral rate, positive predictive rate, detection rate, and interval cancer rate were provided in the system. The system allows for the flow of information among different health services and country areas to monitor participants in the whole process screening. It has an alert system to prevent delayed referral for cases in need of diagnosis and treatment. A total of 2.27 million women aged 45-69 years have attended biennial mammography screening program at least once between 2004 and 2014. More than 4.6 million subjects with the exposure of betel quid and/or cigarette have attended the biennial oral cancer screening. Around 3.8 million subjects aged 50-74 years have attended the biennial FIT screening. Information on organized features appertaining to screening, diagnosis, and outcomes after long-term follow up were collected for the systematic evaluation. The proposed health information system for cancer screening is centered on modules that would allow for the computerization, process, update of screen data, and link with other registry data (e.g., population registry, cancer registry, and mortality). Conclusion: A nation-wide information system for breast cancer, colorectal cancer, and oral cancer screening was successfully developed to support health professionals and health decision makers for planning, delivery, management, and evaluation in population-based cancer screening program.


2021 ◽  
pp. 106420
Author(s):  
Nuria Vives ◽  
Núria Milà ◽  
Gemma Binefa ◽  
Noemie Travier ◽  
Albert Farre ◽  
...  

2021 ◽  
pp. 1-4
Author(s):  
Jyoti Patel ◽  
◽  
Sindhu Shibu Nair ◽  

Background: To better primary health care and better-trained nurses, knowing the causes of cancer provides a basis for understanding the potential for prevention or early detection of the disease. Our study aimed to assess knowledge and awareness about breast, cervical and oral cancer screening amongst oncology nurses at a tertiary cancer centre. Methodology: An anonymised questionnaire based study was conducted amongst nurses at a tertiary cancer centre. We used NCG e-leaning questionnaire to assess knowledge (which includes breast, oral and cervical knowledge and awareness related questionnaire). Results: A total of 313 participants fulfilled the inclusion criteria and were enrolled in this study. Age range of participants was from 21 to 54 years (mean = 29.8; SD = 8.14). Knowledge and awareness about breast cancer were significantly associated gender (p=0.014) and marital status (p=0.00). Although, Knowledge and awareness about cervical cancer were significantly associated with gender (p=0.002) and years of experience (p=0.03). The age (p=0.001), marital status (p=0.002) and years of experience (p=<0.001) was statistically significantly associated with knowledge and awareness about oral cancer. Conclusion: Our data suggest that levels of knowledge and understanding of cervical cancer as well as its preventable nature should be improved. Continuing nurse education may contribute to strengthen cervical cancer screening programs. Nursing staff, if properly aware of this disease, can educate the masses and hence increase health-seeking behaviour in women.


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