Evidence map›Paper›PMID 41585165›Full record

ArticleJournal of dental sciences2026

Patient-related factors influencing delays in oral cancer diagnosis: Insights from Pakistan.

Muhammad Usman Amanat, Hutcha Sriplung, Duangporn Kerdpon

Abstract read
In one paragraph

Article in Journal of dental sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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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

3 authors.

Muhammad Usman AmanatDepartment of Oral Diagnostic Sciences, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Hutcha SriplungDepartment of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Duangporn KerdponDepartment of Oral Diagnostic Sciences, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/purpose: South Asia has a high burden of oral cancer (OC); however, delays in diagnosis remain under-researched. The study investigated delay intervals in OC diagnosis and the contributing factors in rural Pakistan, considering its unique sociocultural context. Materials and methods: This multi-center cross-sectional study employed a structured questionnaire to interview 152 oral squamous cell carcinoma (OSCC) patients. The diagnostic intervals were determined using the Aarhus Statement. Logistic regression assessed the association between independent factors and delay types. Results: Patient delays occurred in 76.3 % of cases, mostly due to appraisal delays (65 %), while diagnostic delays appeared in 51.3 %. Median durations for patient, diagnostic, and total delays were 3, 1, and over 4 months, respectively. Appraisal delay was associated with infrequent dental visits (adjusted odds ratio [AOR]: 11.04, confidence interval [CI]: 2.29-81.53), advanced stage OSCC (AOR: 5.42, CI: 2.35-13.03), and rural residence (AOR: 3.99, CI: 1.75-9.35). Help-seeking delay was linked to use of home remedies (AOR: 5.74, CI: 2.35-14.46) and homeopathy (AOR: 4.72, CI: 1.90-11.91). Patient delay associated with advanced stage OSCC (AOR: 7.73, CI: 3.28-19.12) and rural residence (AOR: 3.91, CI: 1.62-9.69). Diagnostic delay was influenced by patients' lack of OC knowledge (AOR: 7.33, CI: 1.30-51.74), more than two visits before biopsy (AOR: 52.88, CI: 1.50-270.88), and initial treatment with analgesics (AOR: 13.37, CI: 3.68-60.99) or antimicrobials (AOR: 3.95, CI: 1.06-18.23). Conclusion: Delays in OC diagnosis arise from inadequate patient awareness, rural residence, traditional and complementary medicine use, and health system challenges. Improving healthcare access and public awareness are crucial.

Indexed as

Delayed diagnosisHealth services accessibilityOral cancerPakistanRural health

Identifiers

PMID41585165
PMCPMC12825484

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LicenceCC BY-NC-ND
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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.