Barriers to early diagnosis and management of oral cancer in Latin America and the Caribbean

Author:

Martínez‐Ramírez Josefina12ORCID,Saldivia‐Siracusa Cristina1ORCID,González‐Pérez Leonor‐Victoria13ORCID,Cuadra Zelaya Florence Juana Maria2ORCID,Gerber‐Mora Roberto1ORCID,Cabrera Osmani Fabricio Guevara1,Bologna‐Molina Ronell45ORCID,Gilligan Gerardo6ORCID,Delgado‐Azañero Wilson7,Rajendra Santosh Arvind Babu89ORCID,González‐Arriagada Wilfredo Alejandro1011ORCID,Villarroel‐Dorrego Mariana12ORCID,Rojas Bernardo Venegas13,Gallagher Karen Patricia Domínguez114ORCID,Tager Elena María José Román115,Aranda‐Romo Saray16ORCID,García‐Heredia Gilda Lucía17ORCID,Garcia Efrain Cima18,Hurtado Ileana19,Turcios Claudette Arambú20,Espinal Leira Patricia Solis21,González Rúben Alexander Martínez22,Prado Ribeiro Ana Carolina12324ORCID,Ribeiro‐Rotta Rejane Faria25ORCID,Kowalski Luiz Paulo2627ORCID,Curado Maria Paula28ORCID,Toporcov Tatiana Natasha29,Sollecito Thomas Peter30,Carvalho Andre Lopes31,Lopes Marcio Ajudarte1ORCID,Warnakulasuriya Saman3233ORCID,Santos‐Silva Alan Roger1ORCID

Affiliation:

1. Piracicaba Dental School University of Campinas Piracicaba, São Paulo Brazil

2. Faculty of Dentistry University of El Salvador San Salvador El Salvador

3. Laboratory of Immunodetection and Bioanalysis, Investigation Group POPCAD, Faculty of Dentistry University of Antioquia Medellín Colombia

4. Research Department, School of Dentistry Universidad Juárez del Estado de Durango Durango Mexico

5. Molecular Pathology Area, School of Dentistry Universidad de la República Montevideo Uruguay

6. Oral Medicine Department, School of Dentistry Universidad Nacional de Córdoba, Haya de la Torre SN Córdoba Argentina

7. Department of Oral Pathology, Oral Medicine and Oral Surgery, School of Dentistry Universidad Peruana Cayetano Heredia Lima Peru

8. School of Dentistry, Faculty of Medical Sciences The University of the West Indies Kingston Jamaica

9. Department of Oral Medicine, Faculty of Dentistry Universitas Airlangga Surabaya Indonesia

10. Universidad de los Andes Facultad de Odontología Santiago Chile

11. Centro de Investigación e Innovación em Biomedicina Universidad de los Andes Las Condes Chile

12. Oral Medicine, Dental School Universidad Central de Venezuela Caracas Venezuela

13. Department of Stomatology, Faculty of Health Sciences University of Talca Talca Chile

14. Oral Pathology, School of Dentistry National University of Asunción Asunción Paraguay

15. Pathology Section Centro Clínico de Cabeza y Cuello/Hospital Herrera Llerandi Guatemala City Guatemala

16. Diagnostic clinic Universidad Autónoma de San Luis Potosí San Luis Potosí Mexico

17. Servicio de Cabeza y Cuello, Instituto Nacional de Oncología y Radiobiología de Cuba La Habana Cuba

18. Corozal Community Hospital Corozal Belize

19. School of Dentistry University of San Carlos Guatemala City Guatemala

20. The Catholic University of Honduras Tegucigalpa Honduras

21. School Dentistry Universidad Autónoma de Santo Domingo Santo Domingo Dominican Republic

22. School Dentistry Universidad, Autónoma de Nicaragua Managua Nicaragua

23. Instituto do Câncer do Estado de São Paulo, Faculdade de Medicina da Universidade de São Paulo São Paulo Brazil

24. Oral Medicine Service, Sírio Libanês Hospital São Paulo Brazil

25. Department of Oral Medicine, School of Dentistry Universidade Federal de Goiás – UFG Goiânia Brazil

26. Department of Head and Neck Surgery and Otorhinolaryngology A.C. Camargo Cancer Center São Paulo Brazil

27. Head and Neck Surgery Department and LIM 28 University of São Paulo Medical School São Paulo Brazil

28. Group of Epidemiology and Statistics on Cancer, A.C. Camargo Cancer Center São Paulo Brazil

29. Epidemiology Department Faculdade de Saude Pública da Universidade de São Paulo São Paulo Brazil

30. Department of Oral Medicine University of Pennsylvania Philadelphia USA

31. International Agency for Research on Cancer Lyon France

32. The WHO Collaborating Centre for Oral Cancer London UK

33. Faculty of Dentistry, Oral and Craniofacial Sciences King's College London London UK

Abstract

AbstractObjectiveThis study aimed to explore perceived barriers to early diagnosis and management of oral cancer, as well as potential pathways for improvement in Latin America and the Caribbean (LAC).MethodsThis cross‐sectional study used a self‐administered online questionnaire created via the Research Electronic Data Capture platform. The survey was distributed to health professionals trained in Oral Medicine, Oral Pathology, Oral and Maxillofacial Surgery, and Dentists with clinical and academic expertise in oral potentially malignant disorder (OPMD) and oral cancer. Data obtained were systematically organized and analyzed descriptively using Microsoft Excel.ResultsTwenty‐three professionals from 21 LAC countries participated. Major barriers included the limited implementation of OPMD and oral cancer control plans (17.4%), low compulsory reporting for OPMD (8.7%) and oral cancer (34.8%), unclear referral pathways for OPMD (34.8%) and oral cancer (43.5%), and a shortage of trained professionals (8.7%). Participants endorsed the utility of online education (100%) and telemedicine (91.3%).ConclusionThe survey highlights major perceived barriers to early diagnosis and management of OPMD and oral cancer in LAC, as well as potential avenues for improvement.

Publisher

Wiley

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