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Pilot Model for Community Based Oral Cancer Screening Program: Outcome from 4 Northeastern Provinces in Thailand

Author

Listed:
  • Boworn Klongnoi

    (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand)

  • Vanvisa Sresumatchai

    (Department of Biostatistics, Faculty of Public Health, Mahidol University, 420/1 Ratchawithi Road, Ratchathewi District, Bangkok 10400, Thailand)

  • Siribang-on Piboonniyom Khovidhunkit

    (Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand)

  • Pornpoj Fuangtharnthip

    (Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand)

  • Rachatawan Leelarungsun

    (Department of Advanced General Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand)

  • Binit Shrestha

    (Maxillofacial Prosthetic Unit, Department of Prosthodontics, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Ratchathewi District, Bangkok 10400, Thailand)

Abstract

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.

Suggested Citation

  • Boworn Klongnoi & Vanvisa Sresumatchai & Siribang-on Piboonniyom Khovidhunkit & Pornpoj Fuangtharnthip & Rachatawan Leelarungsun & Binit Shrestha, 2021. "Pilot Model for Community Based Oral Cancer Screening Program: Outcome from 4 Northeastern Provinces in Thailand," IJERPH, MDPI, vol. 18(17), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9390-:d:629840
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    References listed on IDEAS

    as
    1. Prangtip Worakhajit & Pornpoj Fuangtharnthip & Siribang-on Piboonniyom Khovidhunkit & Pim Chiewwit & Boworn Klongnoi, 2021. "The Relationship of Tobacco, Alcohol, and Betel Quid with the Formation of Oral Potentially Malignant Disorders: A Community-Based Study from Northeastern Thailand," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    2. Haotian Lin & Xiaohang Wu, 2014. "Intervention Strategies for Improving Patient Adherence to Follow-Up in the Era of Mobile Information Technology: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-6, August.
    3. Chutima Kumdee & Wantanee Kulpeng & Yot Teerawattananon, 2018. "Cost-utility analysis of the screening program for early oral cancer detection in Thailand," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-14, November.
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