INTRODUCTIONEarly diagnosis of symptomatic oral squamous cell carcinomas (OSCC) is crucial for a better prognosis in terms of disease stage, survival and quality of life (van Harten et al., ; Kerdpon & Sriplung, Seoane et al., ). To achieve this goal, a reduction of diagnostic delay is required but it is a challenge, particularly in southern Thailand where 60%–62% of OSCC cases presented at an advanced stage (TNM stage III and IV) (Kerdpon & Sriplung, ; Pruegsanusak et al., ). The latter study also reported a 5‐year survival rate of 24.1% (Pruegsanusak et al., ).Our previous diagnostic delay study at a university hospital in southern Thailand found that patient delay was more than 1 month and more than 3 months in 42% and 20% of the patients, respectively. The mean professional consultation was 4.3 (ranged 2–50) visits. None of the factors investigated were found to be associated with professional delay. The total delay was more prolonged in Muslims than Buddhists and those having traditional herbal medication prior to healthcare professional (HCP) consultation. The latter was also found to be associated with a prolonged patient delay (Kerdpon & Sriplung, ). A risk of having advanced stage (TNM stage III, IV) OSCC also increased in patients who
Oral Diseases – Wiley
Published: Jan 1, 2018
Keywords: ; ; ; ;
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