Evidence map›Paper›PMID 34144686›Full record

Observational studyBMC oral health2021

Inclusion of oral health teams in primary health care promotes early diagnosis of oral and oropharyngeal cancers: a nationwide study.

Deborah Gomes de Miranda Vargas, Livia Fernandes Probst, Amanda Ramos da Cunha, Elaine Pereira da Silva Tagliaferro, Edílson José Zafalon, Paulo Zárate-Pereira, Alessandro Diogo De-Carli

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC oral health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Observational
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

7 authors.

Deborah Gomes de Miranda VargasPostgraduate Program in Family Health (PPGSF), Federal University of Mato Grosso Do Sul (UFMS), Campo Grande, Mato Grosso Do Sul, Brazil.
Livia Fernandes ProbstFaculty of Dentistry (FAODO), Federal University of Mato Grosso Do Sul (UFMS), Campo Grande, Mato Grosso Do Sul, Brazil. liviaprobst@hotmail.com.
Amanda Ramos da CunhaSchool of Dentistry, Faculty of Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil.
Elaine Pereira da Silva TagliaferroSchool of Dentistry (FOAr), São Paulo State University (UNESP), Araraquara, São Paulo, Brazil.
Edílson José ZafalonFaculty of Dentistry (FAODO), Federal University of Mato Grosso Do Sul (UFMS), Campo Grande, Mato Grosso Do Sul, Brazil.
Paulo Zárate-PereiraFaculty of Dentistry (FAODO), Federal University of Mato Grosso Do Sul (UFMS), Campo Grande, Mato Grosso Do Sul, Brazil.
Alessandro Diogo De-CarliPostgraduate Program in Family Health (PPGSF), Federal University of Mato Grosso Do Sul (UFMS), Campo Grande, Mato Grosso Do Sul, Brazil. alessandrodecarli@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral and oropharyngeal cancers are considered important public health problems worldwide. This study aims to analyze the association between late diagnosis of oral and oropharyngeal cancers in Brazil and the contextual indicators of socioeconomic variables and coverage of Primary Health Care (PHC), and to assess the temporal trend of late diagnosis.

methodsIn this cross-sectional observational study, secondary data were evaluated with a time series analysis. All Brazilian cities that reported at least one case of oral and oropharyngeal cancers each year in the period between 2000 and 2013 were included; and the staging was analyzed by calculating the ratio risk for late diagnosis for each municipality. The association between staging and socioeconomic variables and offer of PHC was calculated using multiple linear regression. The time trend of the risk ratio for late-stage diagnosis was calculated using the Prais-Winsten method.

resultsOne hundred and sixty Brazilian municipalities had at least one annual case of oral and oropharyngeal cancers notified to the INCA hospital system between 2000 and 2013. The adjusted model showed that the higher the Gini value (greater social inequality) and the lower the HDI value (less human development) was, the higher was the number of tumors diagnosed at a late stage, considering the size of the tumor. A greater risk for late diagnosis was identified, as early as at the stage of lymph node involvement, when there was a higher level of social inequality and lower level of coverage by Oral Health Teams (OHT) in PHC. The greater the social inequality, the greater was the risk of late diagnosis, as early as in the stage of metastasis.

conclusionsWe concluded that, during the evaluated period, there was an increase in the number of cases diagnosed at the most advanced stage. Furthermore, there was association between higher levels of social inequality and an increase in the proportion of late diagnosis of oral and oropharyngeal cancers. In addition, the inclusion of Oral Health Teams in Primary Health Care promoted the early diagnosis of these types of cancers.

Indexed as

Oral HealthOropharyngeal NeoplasmsBrazilCross-Sectional StudiesEarly DiagnosisHumansPrimary Health CareEarly cancer detectionOral neoplasmsOropharyngeal neoplasmsPrimary Health CareStudy of time series

Identifiers

PMID34144686
PMCPMC8212463

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