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Assessing Oral Cancer Knowledge Among Undergraduate Dental Students in Kuwait University

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Abstract

Lack of general dental practitioner oral cancer knowledge has been shown to be a major factor to delays in referral and treatment. Dentists’ competence and confidence in detecting oral cancer may be strongly influenced by their dental school training. Therefore, the aim of this study was to assess dental student’s awareness and knowledge of prevention and early detection of oral cancer. Through the use of questionnaires, the students’ knowledge of oral cancer risk factors, diagnostic concepts, and clinical care of patients was assessed. An excellent response rate (97.3 %) was observed in this study. Overall, the students’ knowledge of diagnostic items was significantly higher (p ≤ 0.001) than their knowledge of risk factors. A high percentage of students identified tobacco (98.6 %) and alcohol (76.7 %) as the principal risk factors and would offer advice regarding modification of these habits (75.3 %). Also, their knowledge of non-risk factors was significantly lower than their knowledge of proven risk factors (p ≤ 0.001). Only one fifth of the students regarded visual inspection to be an effective screening method. Only 32.9 % stated that all suspicious lesions should be biopsied, and as low as 2.7 % had assisted in taking a biopsy. This study highlights the need for a more structured teaching program with greater emphasis on the early signs and risk factors of oral cancer, performing routine oral examination, referral for biopsy, and appropriate early management of suspicious oral lesions.

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References

  1. Warnakulasuriya S (2010) Living with oral cancer: epidemiology with particular reference to prevalence and life-style changes that influence survival. Oral Oncol 46:407–410

    Article  PubMed  Google Scholar 

  2. World Health Rankings, Live longer live better. Available from: http://www.worldlifeexpectancy.com/country-health-profile/kuwait. Accessed 29 April, 2014

  3. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray, F. GLOBOCAN 2012 v1.0, Cancer incidence and mortality worldwide: IARC Cancer Base No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer; 2013. Available from: http://globocan.iarc.fr. Accessed on 29 April 2014

  4. Memon A, Moody PM, Sugathan TN, El-Gerges N, Al-Bustan M, Al-Shatti A, Al-Jazzaf (2000) Epidemiology of smoking among Kuwaiti adults: prevalence, characteristics, and attitudes. Bull World Health Organ 78:1306–1315

    PubMed Central  CAS  PubMed  Google Scholar 

  5. Warnakulasuriya S (2009) Causes of oral cancer–an appraisal of controversies. Br Dent J 207:471–475

    Article  CAS  PubMed  Google Scholar 

  6. Simard EP, Torre LA, Jemal A (2014) International trends in head and neck cancer incidence rates: differences by country, sex and anatomic site. Oral Oncol 50:387–403

    Article  PubMed  Google Scholar 

  7. Ford PJ, Farah CS (2013) Early detection and diagnosis of oral cancer: strategies for improvement. J Cancer Policy 1:e2–e7

    Article  Google Scholar 

  8. Saleh A, Kong YH, Vengu N, Badrudeen H, Zain RB, Cheong SC (2014) Dentists’ perception of the role they play in early detection of oral cancer. Asian Pac J Cancer Prev 15:229–237

    Article  PubMed  Google Scholar 

  9. Jaber MA, Diz Dios P, Vazquez Garcia E, Cutando Soriano A, Porter SR (1997) Spanish dental students’ knowledge of oral malignancy and premalignancy. Eur J Dent Educ 1:167–171

    CAS  PubMed  Google Scholar 

  10. Rahman B, Hawas N, Rahman MM, Rabah AF, Al Kawas S (2013) Assessing dental students’ knowledge of oral cancer in the United Arab Emirates. Int Dent J 63:80–84

    Article  PubMed  Google Scholar 

  11. Carter LM, Ogden GR (2007) Oral cancer awareness of undergraduate medical and dental students. BMC Med Educ 7:44

    Article  PubMed Central  PubMed  Google Scholar 

  12. Ogden GR, Mahboobi N (2011) Oral cancer awareness among undergraduate dental students in Iran. J Cancer Educ 26:380–385

    Article  PubMed  Google Scholar 

  13. Ramaswamy P, Uday G, Sreenivasulu P, Kumar BP, Khaitan T, Geethika VR (2014) Awareness about oral cancer among dental postgraduate students in the state of Andhra Pradesh, India. J Cancer Educ. doi:10.1007/s13187-014-0620-3

    PubMed  Google Scholar 

  14. Chowdhury MT, Pau A, Croucher R (2010) Bangladeshi dental students’ knowledge, attitudes and behaviour regarding tobacco control and oral cancer. J Cancer Educ 25:391–395

    Article  PubMed  Google Scholar 

  15. Kujan O, Alzoghaibi I, Azzeghaiby S, Altamimi MA, Tarakji B, Hanouneh S, Idress M, Alenzi FQ, Iqbal M, Taifour S (2014) Knowledge and attitudes of Saudi dental undergraduates on oral cancer. J Cancer Educ. doi:10.1007/s13187-014-0647-5

    PubMed  Google Scholar 

  16. Cannick GF, Horowitz AM, Drury TF, Reed SG, Day TA (2005) Assessing oral cancer knowledge among dental students in South Carolina. J Am Dent Assoc 136:373–378

    Article  PubMed  Google Scholar 

  17. Joseph BK, Sundaram DB, Sharma P (2012) Oral cancer awareness among dentists in Kuwait. Med Princ Pract 21:164–170

    Article  PubMed  Google Scholar 

  18. Uti OG, Fashina AA (2006) Oral cancer education in dental schools: knowledge and experience of Nigerian undergraduate students. J Dent Educ 70:676–680

    PubMed  Google Scholar 

  19. Johnson N (2001) Tobacco use and oral cancer: a global perspective. J Dent Educ 65:328–339

    CAS  PubMed  Google Scholar 

  20. Warnakulasuriya S (2002) Effectiveness of tobacco counseling in the dental office. J Dent Educ 66:1079–1087

    PubMed  Google Scholar 

  21. Davis JM, Ramseier CA, Mattheos N, Schoonheim-Klein M, Compton S, Al-Hazmi N, Polychronopoulou A, Sunvan J, Antohé ME, Forna D, Radley N (2010) Education of tobacco use prevention and cessation for dental professionals—a paradigm shift. Int Dent J 60:60–72

    PubMed  Google Scholar 

  22. Gupta P, Ray C (2004) Epidemiology of betel quid usage. Ann Acad Med Singapore 33:31–36

    CAS  PubMed  Google Scholar 

  23. Daley E, Dodd V, Debate R (2014) Prevention of HPV-related oral cancer: assessing dentists’ readiness. Public Health 128:231–238

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  24. Chainani-Wu N, Epstein J, Touger-Decker R (2011) Diet and prevention of oral cancer: strategies for clinical practice. J Am Dent Assoc 142:166–169

    Article  PubMed  Google Scholar 

  25. Yellowitz JA, Goodman HS, Horowitz AM, Al-Tannir MA (1995) Assessment of alcohol and tobacco use in dental schools’ health history forms. J Dent Educ 59:1091–1096

    CAS  PubMed  Google Scholar 

  26. Holmes JD, Dierks EJ, Homer LD, Potter BE (2003) Is detection of oral and oropharyngeal squamous cancer by a dental health care provider associated with a lower stage at diagnosis? J Oral Maxillofac Surg 61:285–291

    Article  PubMed  Google Scholar 

  27. Clark NP, Marks JG, Sandow PR, Seleski CE, Logan HL (2014) Comparative effectiveness of instructional methods: oral and pharyngeal cancer examination. J Dent Educ 78:622–629

    PubMed Central  PubMed  Google Scholar 

  28. Cancer Research UK. NICE guidelines 2005. Mouth cancer referral guidelines for dentists. Available from: http://publications.cancerresearchuk.org/downloads/product/dentist1.pdf. Accessed on 29 April 2014

  29. Seoane J, Corral-Lizana C, Gonzalez-Mosquera A, Cerero R, Esparza G, Sanz-Cuesta T, Varela-Centelles P (2011) The use of clinical guidelines for referral of patients with lesions suspicious for oral cancer may ease early diagnosis and improve education of healthcare professionals. Med Oral Patol Oral Cir Bucal 16:e864–e869

    Article  PubMed  Google Scholar 

  30. Poh CF, Ng S, Berean KW, Williams PM, Rosin MP, Zhang L (2008) Biopsy and histopathologic diagnosis of oral premalignant and malignant lesions. J Can Dent Assoc 74:283–288

    PubMed  Google Scholar 

  31. Hollows P, McAndrew PG, Perini MG (2000) Delays in the referral and treatment of oral squamous cell carcinoma. Br Dent J 188:262–265

    CAS  PubMed  Google Scholar 

  32. McLeod NM, Saeed NR, Ali EA (2005) Oral cancer: delays in referral and diagnosis persist. Br Dent J 198:681–684

    Article  CAS  PubMed  Google Scholar 

  33. Onyango JF, Macharia IM (2006) Delays in diagnosis, referral and management of head and neck cancer presenting at Kenyatta National Hospital, Nairobi. East Afr Med J 83:85–91

    CAS  PubMed  Google Scholar 

  34. Williams PM, Poh CF, Hovan AJ, Ng S, Rosin MP (2008) Evaluation of a suspicious oral mucosal lesion. J Can Dent Assoc 74:275–280

    PubMed  Google Scholar 

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Correspondence to Bobby K. Joseph.

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Joseph, B.K., Sundaram, D.B. & Ellepola, A.N.B. Assessing Oral Cancer Knowledge Among Undergraduate Dental Students in Kuwait University. J Canc Educ 30, 415–420 (2015). https://doi.org/10.1007/s13187-014-0734-7

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  • DOI: https://doi.org/10.1007/s13187-014-0734-7

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