ArticleBMC cancer2017
Oral primary care: an analysis of its impact on the incidence and mortality rates of oral cancer.
Article in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 58 citations in OpenAlex.
- Enhancing Self Care Among Oral Cancer Survivors Using a Digital Approach: The Empowered Survivor Trial.Psycho-oncology · 2026Trial
- The Role of Public Oral Health Services and Socioeconomic Factors in Oral Cancer Mortality in Brazil.Journal of public health dentistry · 2025Article
- Article
- Enhancing Self-care Among Oral Cancer Survivors: Protocol for the Empowered Survivor Trial.JMIR research protocols · 2023Article
- Spatial-temporal analysis of hospitalizations with death caused by oral cancer in Brazil and its correlation with the expansion of healthcare coverage.Medicina oral, patologia oral y cirugia bucal · 2023Article
- The Brazilian National Oral Health Policy and oral cancer mortality trends: An autoregressive integrated moving average (ARIMA) model.PloS one · 2023Article
- Association between Sociodemographic Factors, Coverage and Offer of Health Services with Mortality Due to Oral and Oropharyngeal Cancer in Brazil: A 20-Year Analysis.International journal of environmental research and public health · 2022Article
- Sociodemographic correlates of cervix, breast and oral cancer screening among Indian women.PloS one · 2022Article
- Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study.Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- Data-driven risk stratification for preterm birth in Brazil: a population-based study to develop of a machine learning risk assessment approach.Lancet regional health. Americas · 2021Article
- Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study.BMC oral health · 2021Observational
- Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017.Medicina oral, patologia oral y cirugia bucal · 2021Article
- Influence of Public Oral Health Services and Socioeconomic Indicators on the Frequency of Hospitalization and Deaths due to Oral Cancer in Brazil, between 2002-2017.International journal of environmental research and public health · 2020Observational
- The interval since first symptoms until diagnosis of squamous cell carcinoma in the head and neck region is still a problem in southern Brazil.Medicina oral, patologia oral y cirugia bucal · 2020Article
- Smokeless tobacco use and related oral mucosal changes in Bengali Women.Journal of family medicine and primary care · 2020Article
- Describing mortality trends for major cancer sites in 133 intermediate regions of Brazil and an ecological study of its causes.BMC cancer · 2019Article
- Public knowledge about oral cancer in Uganda: a free dental camp experience.Journal of health research · 2019Article
- Diagnostic significance of serum and salivary lipid levels in oral precancer and oral cancer.National journal of maxillofacial surgeryArticle
Corrections and comments
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Authors and funding
13 authors at 7 institutions in 3 countries.
Funding
Abstract
backgroundOral cancer is a potentially fatal disease, especially when diagnosed in advanced stages. In Brazil, the primary health care (PHC) system is responsible for promoting oral health in order to prevent oral diseases. However, there is insufficient evidence to assess whether actions of the PHC system have some effect on the morbidity and mortality from oral cancer. The purpose of this study was to analyze the effect of PHC structure and work processes on the incidence and mortality rates of oral cancer after adjusting for contextual variables.
methodsAn ecological, longitudinal and analytical study was carried out. Data were obtained from different secondary data sources, including three surveys that were nationally representative of Brazilian PHC and carried out over the course of 10 years (2002-2012). Data were aggregated at the state level at different times. Oral cancer incidence and mortality rates, standardized by age and gender, served as the dependent variables. Covariables (sociodemographic, structure of basic health units, and work process in oral health) were entered in the regression models using a hierarchical approach based on a theoretical model. Analysis of mixed effects with random intercept model was also conducted (alpha = 5%).
resultsThe oral cancer incidence rate was positively association with the proportion of of adults over 60 years (β = 0.59; p = 0.010) and adult smokers (β = 0.29; p = 0.010). The oral cancer related mortality rate was positively associated with the proportion of of adults over 60 years (β = 0.24; p < 0.001) and the performance of preventative and diagnostic actions for oral cancer (β = 0.02; p = 0.002). Mortality was inversely associated with the coverage of primary care teams (β = -0.01; p < 0.006) and PHC financing (β = -0.52
conclusionsIn Brazil, the PHC structure and work processes have been shown to help reduce the mortality rate of oral cancer, but not the incidence rate of the disease. We recommend expanding investments in PHC in order to prevent oral cancer related deaths.
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