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Oral Cancer Case Finding Program (OCCFP)

J C Santana1, L Delgado, J Miranda

  • 1Instituto de Oncología, Havana, Cuba.

Oral Oncology
|January 1, 1997
PubMed
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Cuba's Oral Cancer Case Finding Program (OCCFP) significantly improved early-stage oral cancer detection. The program successfully shifted diagnoses from advanced to early stages, reducing oral cancer morbidity and mortality.

Area of Science:

  • Public Health
  • Oncology
  • Stomatology

Background:

  • Oral cancer poses a significant public health challenge globally and in Cuba.
  • Early detection is crucial for improving patient outcomes and survival rates for oral cancer.
  • The Oral Cancer Case Finding Program (OCCFP) was established in Cuba to address these issues.

Purpose of the Study:

  • To evaluate the effectiveness of the Oral Cancer Case Finding Program (OCCFP) in Cuba.
  • To present the results of the OCCFP from its inception up to 1990.
  • To assess the program's impact on oral cancer morbidity and mortality rates.

Main Methods:

  • Population-wide health education initiatives.
  • Thorough oral examinations by trained stomatologists in all care centers.

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  • Systematic data collection and analysis of patient referrals, diagnoses, and treatment outcomes.

    • Main Results:

    • Between 1983 and 1990, over 10 million patients were examined.
    • 3220 precancerous lesions (leukoplakias and others) were diagnosed and treated.
    • Diagnosis of Stage I oral cancer increased from 22.8% to 48.2%, while advanced stages decreased from 77.2% to 51.8%.

    Conclusions:

    • The OCCFP has demonstrated significant success in increasing early-stage oral cancer diagnoses.
    • The program's comprehensive approach, including education and screening, positively impacts oral cancer control efforts.
    • Continued implementation and evaluation of the OCCFP are recommended to further reduce oral cancer burden.