Inter-disciplinary Gap between Medicine and Dentistry: Referral Pattern, and Attitude of Physicians towards Oral Medicine in Yazd Province

Journal of Research in Dental and Maxillofacial Sciences, Journal Year: 2025, Volume and Issue: 10(1), P. 59 - 67

Published: March 1, 2025

Language: Английский

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Advancing Non-Invasive Diagnosis of Oral Epithelial Dysplasia: Comparative Insights from In Vivo Optical Coherence Tomography and Histopathology

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(4), P. 1118 - 1118

Published: Feb. 9, 2025

Background: Oral epithelial dysplasia (OED) is considered one of the premalignant lesions for oral squamous cell carcinoma (OSCC), which five-year disease-free survival rate may vary widely. There has emerged in recent years, therefore, a significant niche optical coherence tomography (OCT) to non-invasively examine tissue morphology. The present study was conducted evaluate diagnostic performance OCT distinguishing between mild, moderate, and severe dysplasias situ (CIS) with histopathological correlations. Methods: This prospective, single-centre included 120 patients clinically suspicious lesions. All underwent vivo imaging followed by surgical excision examination. sensitivity, specificity, AUC (area under curve) were calculated as measures accuracy. Results: demonstrated high sensitivity specificity above 80% all grades dysplasia. values highest moderate at 0.91 mild 0.89. Bland–Altman analysis revealed degree agreement histopathology regarding tumour depth measurements. Interobserver substantial almost perfect, kappa ranging from 0.74 0.85. provided key features thickening, basement membrane disruption, architectural disorganization. These had good correlations grade dysplasia: r = 0.75–0.82, p < 0.001. Conclusions: an established technique that non-invasive nature diagnosis OED; it can provide fine differentiation among define margins lesion.

Language: Английский

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Community-Based Telehealth Approach Improves Specialist Access for Individuals with Increased Cancer Risk in Low-Resource Settings

Cancers, Journal Year: 2025, Volume and Issue: 17(8), P. 1317 - 1317

Published: April 14, 2025

Background/Objectives: The low-resource, minority and underserved populations (LRMU) that carry the highest risk of oral cancer (OC) experience many barriers to early detection treatment, resulting in disproportionately poor outcomes. One major barrier better outcomes is compliance with specialist referral for diagnosis treatment. goal this prospective study was compare Telehealth vs. in-person visits LRMU individuals screening positive increased OC risk. Methods: Forty subjects who had screened potentially malignant lesions (OPMLs) were recruited from community clinics. indicated whether they would prefer an or visit. They offered assistance all aspects visit, then tracked over 3 months compliance. A novel, very low-cost, simple platform located within clinic used remote visits. Results: In group, 16/24 attended their first scheduled visit; 4/24 rescheduled months, did not comply at all. All attendees specialists able complete full. Of 7/16 completed visits, 3/16 4/16 complied months; 9/16 referral. Significantly more 1 month (p = 0.0006) after 0.0154). Conclusions: This novel may improve low-resource OPMLs.

Language: Английский

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Inter-observer agreement among specialists in the diagnosis of oral potentially malignant disorders and oral cancer using store-and-forward technology

Clinical Oral Investigations, Journal Year: 2023, Volume and Issue: 27(12), P. 7575 - 7581

Published: Oct. 23, 2023

Language: Английский

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Digital Behavior Change Interventions along Cancer Prevention, Education, and Screening Promotion among Latina(o) Adults: A Systematic Review of the Literature (Preprint)

Published: April 29, 2024

Cancer health disparities in Latina(o) populations stem from economic, cultural, linguistic, and systemic barriers, which simultaneously hinder effective screening early detection, directly contribute to lower rates. Fear, stigma, challenges navigating the healthcare system exacerbate this issue, underscoring urgent need for initiatives aimed at increasing cancer rates population enable earlier identification treatment of cases. Digital behavior change interventions (DBCIs) offer accessible, cost-effective methods increase affect outcomes communities. Despite their potential, research on DBCIs' specific impacts prevention, education, promotion among Hispanic/Latina(o) remains sparse . In our review, we use "Latina(o)" reflect community's preferences, as highlighted by recent studies, "Hispanic" broader Spanish-speaking groups, ensuring language is inclusive sensitive diverse identities. This systematic spanning January 2000 – March 2023, aims characterize existing literature findings impact digital screening, education populations. It critically evaluates designs, participant demographics, intervention components, technological platforms, cultural tailoring, measured included studies. Adhering PRISMA PICOS , review focused English Spanish articles that specifically address DBCIs aged 18-75 excluding non-interventional qualitative We implemented a robust search strategy across databases: PubMed, Embase, ERIC, PsycINFO, Scopus, Web Science, CINAHL. Data were extracted, abstracted, synthesized comprehensive analysis present evidence. The analyzed 22 1,884 Most, 95% (21/22) US-centric with clinical settings common 41% (9/22) alongside online community settings. Study design 68% (15/22) randomized controlled trials 32% (7/22) quasi-experimental. About 55% (12/22) exclusively Latina(o)s, 72% (16/22) not specifying race, country origin or subgroups. led linguistic adjustments encompassed yet only 40% went beyond baseline surveys, literacy adaptations, linguistics integrate values. 45% (10/22) used smartphones promote screenings. Of these 70% (7/10) improving rates, notably breast (75%, 3/4) colorectal (100%, 3/3) cancers; there was mixed results cervical. studies constituted overall all had positive impact. A Majority these, 71% (5/7), utilized delivery, cancer, 86% (6/7). smaller portion addressed melanoma 14% (1/7), employing apps designed symptom management lifestyle advice. prevention comprised 23% (5/22) studies; (2/5) outcomes. Specifically, 20% (1/5) smartphone texting HPV vaccine uptake, employed web platform cervical information-seeking. significant opportunity addressing U.S. communities, however, effectiveness requires more than changes; adaptations are crucial. While adjusted language, incorporated culture, highlighting culturally nuanced interventions. strategies improved CRCS although indicate potential further improvement. utilizing increased awareness, mobile technology's information dissemination. Yet, should expand cover CRC, using tools guidance. showed limited success vaccination information-seeking enhanced DBCI greater future deeper align values beliefs evident. Focusing accessible technology, especially apps, crucial enhancing equitable

Language: Английский

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Compliance with Specialist Referral for Increased Cancer Risk in Low-Resource Settings: In-Person vs. Telehealth Options

Cancers, Journal Year: 2023, Volume and Issue: 15(10), P. 2775 - 2775

Published: May 16, 2023

Efforts are underway to improve the accuracy of non-specialist screening for oral cancer (OC) risk, yet better will only translate into improved outcomes if at-risk individuals comply with specialist referral. Most from low-resource, minority, and underserved (LRMU) populations fail complete a referral OC risk. The goal was evaluate impact novel approach on compliance in positive risk outcome. A total 60 LRMU subjects who had screened increased were recruited given choice an in-person (20 subjects) or telehealth (40 visit. Referral tracked weekly over 6 months. Compliance 30% group, 83% group. Approximately 83–85% both groups complied first second follow-up Overall, 72.5% chosen remote visit entered continuum care by study end, vs. 25% two-step that uses overcome barriers may

Language: Английский

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Inter-observer agreement among specialists in the diagnosis of Oral Potentially Malignant Disorders and Oral Cancer using Store-and-Forward technology

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: April 5, 2023

Oral Cancer is one of the most common causes morbidity and mortality. Screening mobile Health (mHealth) based approach facilitates remote early detection cancer in a resource-constrained settings. The emerging eHealth technology has aided specialist reach to rural areas enabling monitoring triaging downstage cancer. Though diagnostic accuracy been evaluated, there are no studies evaluating consistency among specialists, best our knowledge. purpose study was evaluate interobserver agreement between specialists through telemedicine systems real-world settings using store forward technology. Two independently diagnosed clinical images from image repositories, compared with onsite histopathological diagnosis when available. Moderate (k = 0.682) two 0.629) diagnosing oral lesions. sensitivity specificity 1 were 92.7% 83.3%, whereas 2 95.8% 60%, respectively, histopathology. telecare can be effective tools surveillance patients.

Language: Английский

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