agestandardized incidence rate ASR 5 100000 Oral cancer screening in Thailand Self screening Opportunistic screening Organized screening Self screening handbook poster Opportunistic screening in dental clinic ID: 1040204
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1. Oral cancer screening in Thailandage-standardized incidence rate, ASR 5 : 100,000
2. Oral cancer screening in ThailandSelf screeningOpportunistic screeningOrganized screening
3. Self screeninghandbookposter
4. Opportunistic screening in dental clinicScreening in dental patients ≥ 40 years old with risk factors : smoking alcohol drinking betel nut chewing
5. Handbooks for dental personnel
6. Steps of PMD screening in dental clinic1) risk- patients in dental clinics were screened with visual inspection 2) those who were identified with positive lesion were suggested to refer for biopsy for the definite diagnosis 3) they were advised to quit their risk behaviors of oral cancer 4) those who had lesion were followed up.
7. Program implementation1) training dental personnel in oral cancer, oral lesion and screening methods 2) organizing the meeting to share knowledge and experience among dental personnel in the program 3) monitoring the program in their settings 4) providing screening manuals, and printed medias for personnel and patients.
8. Program tested between 2008-2014. 1st study in 2008-2009, 5,193 dental patients in 4 provinces (aged 18 years old and more who smoked and 40 years old up) were screened and found oral cancer rate at 2 per 1,000 screened patients. 2nd study in 2010- 2011, 8,861 dental patients in 12 provinces were screened and 67 patients were identified with positive lesions. (can not follow up all patients for biopsy)3rd study in 2012-2014 in NakhonPathom and Suphanburi provinces, the screening was done in 40+ years old patients with smoking, alcohol drinking, and betel nuts chewing. There were 13,624 patients were screened and found that every 1,000 patients screened, 1.5 patients were diagnosed with Potentially Malignant Disorders (PMDs) and Oral cancer (OC). 4th study in 2012-2014 in 8 provinces of the 6th Heath Region, screening in all dental patients aged 40 years old and up,including risk and non-risk patients, the total of 55,065 patients were screened found that rate of oral cancer was 0.5 per 1000.
9. conclusionThe program could identify Suspected PMD at the rate of 6, 8, and 7 per 1,000 screened patients. Identified PMD and oral cancer at the rate of 2, 1.5 and 0.5 per 1,000 screened patients. The program showed the higher rate of oral cancer detected than report by the National Cancer Institute.
10. suggestion oral cancer screening should be done by trained dental personnel to assure their knowledge and skills develop the referral system, follow up and consultation guidelines.
11. Way ForwardBenefit packageNational GuidelineImplementation as National PPA Project to glorify His Majesty the King Rama 10
12. Organized screening in Roi Et
13. Self screening form for people by village health volunteerRisk factorOral lesion
14. Screening formDental hygienistdentist
15. Training for village health volunteerAmphoe Chaturaphak Phiman
16. Training for dental hygienistAmphoe Chaturaphak Phiman
17. Screening by dental hygienists, Amphoe Phanom phrai
18. Amphoe Phanom phrai
19. Screening by dental hygienists, Amphoe Phonthong
20. Patients denied to have biopsy and treatment. Patients not come along referral system.Problems and obstacles
21. Screening by application