Factors related to diagnostic delay of oral squamous cell carcinoma in southern Thailand: Revisited

Factors related to diagnostic delay of oral squamous cell carcinoma in southern Thailand: Revisited 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Oral Diseases Wiley

Factors related to diagnostic delay of oral squamous cell carcinoma in southern Thailand: Revisited

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 John Wiley & Sons A/S. Published by John Wiley &Sons Ltd
ISSN
1354-523X
eISSN
1601-0825
D.O.I.
10.1111/odi.12757
Publisher site
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Abstract

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

Journal

Oral DiseasesWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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