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Updated: Jul 14, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Oral cancer large observational screening study in Hungary
Edit Marosi1,2, István Kenessey3,4, Éva Székelyhidi5
1International Relations Department, National Institute of Oncology, Budapest 1122, Hungary.
European Journal of Public Health
|July 12, 2026
Summary
Mobile screening units effectively screened 8266 individuals for oral cancer in Hungary. However, low follow-up rates among those with lesions threaten program success, highlighting the need for improved patient pathways.
Area of Science:
- Oncology
- Public Health
- Preventive Medicine
Background:
- Oral cancer incidence and mortality in Hungary, while slightly decreasing, remain high in Europe.
- Targeting underserved populations in rural, socio-economically challenged areas is crucial for effective screening.
Purpose of the Study:
- To assess the efficacy of mobile screening units for oral cancer detection in Hungary.
- To examine oral mucosal lesions in 5000 individuals using Visual Oral Examination (VOE).
- To develop patient pathways and educate the public on oral malignancy prevention.
Main Methods:
- A large observational study involving mobile screening units conducted between June 2021 and March 2023.
- Screening included individuals aged 18+ in converging municipalities and other locations across Hungary.
- Retrospective cross-sectional analysis of screening results in 2024.
Main Results:
- A total of 8266 individuals were screened.
- Oral mucosal lesions were detected in 1725 individuals (20.9%).
- Only 3.8% (66 individuals) sought specialist follow-up, with 6 diagnosed with oral cancer.
Conclusions:
- Mobile screening units are effective for secondary prevention in high-risk, rural populations.
- Low patient compliance for follow-up visits is a significant barrier to screening program effectiveness.
- Optimizing patient pathways is essential to improve outcomes for individuals with detected oral lesions.
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