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Author Spotlight: Unlocking the Mysteries of Oral Potential Malignancies
Published on: August 11, 2023
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Perspective on oral cancer screening: Time for implementation research and beyond
Olena Mandrik1, Felipe Roitberg2, Beatrice Lauby-Secretan3
1School of Health and Related Research, Health Economics and Decision Science, University of Sheffield, Regent Court, S1 4DA Sheffield, UK.
Journal of Cancer Policy
|January 4, 2023
Summary
Oral cancer screening using clinical examination is effective for high-risk individuals. This affordable method significantly reduces oral cancer mortality and advanced disease in populations using tobacco or alcohol.
Area of Science:
- Oncology
- Public Health
- Preventive Medicine
Background:
- Clinical oral examination is the standard screening method for detecting oral cancer in asymptomatic individuals.
- This screening is affordable, feasible, and can be performed by physicians or healthcare workers.
- Evidence suggests oral cancer screening effectively reduces mortality in high-risk populations.
Discussion:
- A 15-year follow-up of a cluster-randomized trial in India showed an 81% mortality reduction in high-risk populations (tobacco/alcohol users) adhering to screening.
- Observational studies indicate a 21-22% reduction in advanced oral cancer and a 24-26% decrease in oral cancer mortality.
- These findings highlight the efficacy of regular screening in reducing oral cancer burden.
Key Insights:
- Oral cancer screening significantly lowers mortality rates in high-risk groups.
- The method is cost-effective and implementable within healthcare systems.
- Early detection through screening prevents advanced disease progression.
Outlook:
- Implementing and evaluating oral cancer screening programs supports global oral health goals.
- Further research can optimize screening protocols for diverse populations.
- Expansion of screening programs is crucial for reducing the global impact of oral cancer.
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