Evidence map›Paper›PMID 32561250›Full record

ArticleOral surgery, oral medicine, oral pathology and oral radiology2020

Cues used by dentists in the early detection of oral cancer and oral potentially malignant lesions: findings from the National Dental Practice-Based Research Network.

Alexander Ross Kerr, Michael E Robinson, Cyril Meyerowitz, Douglas E Morse, Maria L Aguilar, Scott L Tomar, Lisa Guerrero, Dianne Caprio, Linda M Kaste, Sonia K Makhija and 4 more

Open access · greenAbstract read
In one paragraph

Article in Oral surgery, oral medicine, oral pathology and oral radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Head and neck exam practices of dental professionals.Clinical and experimental dental research · 2023
    Article
  7. Factors important in the correct evaluation of oral high-risk lesions during the telehealth era.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2022
    Article
  8. Early detection of oral cancer: a key role for dentists?Journal of cancer research and clinical oncology · 2022
    Observational
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 2 countries.

Alexander Ross KerrDepartment of Oral and Maxillofacial Pathology, Radiology, and Medicine, New York University College of Dentistry, New York, NY, USA. Electronic address: ark3@nyu.edu.
Michael E RobinsonDepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.
Cyril MeyerowitzEastman Institute for Oral Health, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Douglas E MorseEastman Institute for Oral Health, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Maria L AguilarDepartment of Restorative Dental Science, Division of Prosthodontics, University of Florida College of Dentistry, Gainesville, FL, USA.
Scott L TomarDepartment of Community Dentistry and Behavioral Science, University of Florida College of Dentistry, Gainesville, FL, USA.
Lisa GuerreroPermanente Dental Associates, Portland, OR, USA.
Dianne CaprioFaculty Director of General Dentistry, Brunswick County-CSLC, Department of General Dentistry, School of Dental Medicine, East Carolina University, Greenville, NC, USA.
Linda M KasteDepartment of Pediatric Dentistry, University of Illinois College of Dentistry, Chicago, IL, USA.
Sonia K MakhijaDepartment of Clinical and Community Sciences, Division of Behavioral and Population Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
Rahma MungiaAssociate Professor, Department of Periodontics; Director, South Texas Oral Health Network; Assistant Director, Southwest Region National Dental PBRN, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Linda RasubalaAssistant Director Howitt Urgent Dental Care, Eastman Institute for Oral Health, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Walter J PsoterEastman Institute for Oral Health, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
National Dental PBRN Collaborative GroupNational Dental PBRN Collaborative Group includes practitioner, faculty, and staff investigators who contributed to this activity. A list is available at http://nationaldentalpbrn.org/collaborative-group.php.
University of Rochester · USUniversity of Florida · USEast Carolina University · USEastman Chemical Company (United States) · USNew York University · USThe University of Texas Health Science Center at San Antonio · USUniversity of Alabama at Birmingham · USUniversity of Florida Health · USUniversity of Illinois Urbana-Champaign · US

Funding

The National Dental PBRNU19DE022516 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2012 to 2018
$66.4M
The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
NIDCR NIH HHS U19 DE022516NIDCR NIH HHS U19 DE028717
6 · The paper itself

Abstract

objectiveThe aim of this study was to assess the influence of clinical cues on risk assessment of cancer-associated mucosal abnormalities. STUDY

designWe differentiated lesions with a low risk from those with a high risk for premalignancy or malignancy by using 4 cues: (1) color, (2) location, (3) induration, and (4) pain on exploration. Combinations of color and location were presented through 8 photographs, with induration and pain status variably presented in the standardized history and physical findings. This created 16 clinical scenarios (vignettes) that were permutations of the 4 cues. Three questions assessed the extent to which each cue was used in obtaining a clinical impression as to whether a lesion was benign, premalignant, or malignant.

resultsCompleted vignette questionnaires were obtained from 130 of 228 invited dentists, (two-thirds males; 79% white; mean age 52 years; average weekly hours of practice 33 hours). Only 40% of the responding dentists had statistically significant decision policies to assign a clinical diagnosis of a lesion as benign, premalignant, or malignant. Lesion location and color were the 2 dominant cues. As a cue, induration was used as a cue by more of the respondents in determining a clinical diagnosis of malignancy, and pain was infrequently used as a cue.

conclusionsMany dentists do not to have a decision strategy for the clinical diagnosis and risk stratification of oral potentially malignant lesions.

Indexed as

Mouth NeoplasmsPrecancerous ConditionsCuesDentistsEarly Detection of CancerHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID32561250
PMCPMC8256887
OpenAlexW3027764156

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.