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Oral Cancer Epidemiology
Transcript of Oral Cancer Epidemiology
- Family History/Genetic Who?? - Geographically: France (32.2 males/100,000)
Hungary - incidence and mortality have recently doubled
Greece, Cyprus, Finland, and Sweden have among the lowest rates for oral cancer U.S.A. - 8 states have increasing rates of oral cancer in contrast to the national trend: Idaho, Iowa, Maine, Nevada, North Carolina, North Dakota, Ohio, Wyoming
- However, the states with the highest amounts of smokers and alcohol users are not included in that list (Kentucky and Wisconsin) A Little More Who... - Males are 2x more likely to get oral cancer than females
- Highest incidence in US populations is in white males over 40
- Alarming increases in incidence for young African American females
- Smokers have a 38x increased risk for developing oral cancer (compared to non-smokers) The Base of the Iceberg...Screening and Prevention: - Screening is the process of identifying asymptomatic diseases through effective and continuous testing to sort out diseased and diseased-free persons
- Remember... It is important that the screening process be conducted in a reliable and consistent manner.
- Studies have indicated that screening completed by trained auxiliaries is as effective as that which is completed by dental practitioners.
- Screening is often viewed as the most important step in the detection, treatment, and prevention of oral cancer. References: 1. Donaldson, Chris D. “Oral Cavity, Pharyngeal and Salivary Gland Cancer: Disparities in Ethnicity-specific Inidence Among the London Population.” Oral Oncology. 48.9 (2012):799-80. http://www.sciencedirect.com/science/article/pii/S1368837512000930. 11 January 2013. 2. "Epidemiology." WHO. http://www.who.int/topics/epidemiology/en/. 17 Jan. 2013. 3. Kingsley, Karl; O’Malley, S.; Ditmyer, M; Chino, M. “Analysis of oral cancer epidemiology in the US reveals state-specific trends: implications for oral cancer prevention.” BMC Public Health. 8 (2008): 87. 12 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2287178/?tool=pmcentrez&rendertype=abstract. January 2013 4. Lingen, M. W., Kalmar, J.R., Karrison, T., & Speight, P.M. “Critical evaluation of diagnostic aids for the detection of oral cancer.” Oral Oncology. 44 (2007):10-22. 5. Parkin, D. M., Bray, F., Ferlay, J., & Pisani, P. “Estimating the world cancer burden.” International Journal of Cancer. 94 (2001): 153-156. 6. Shiboski CH, Shiboski SC, Silverman S Jr. “Trends in oral cancer rates in the United States.” Community Dentistry and Oral Epidemiology. 28 (2000): 249-56. 7. Warnakulasuriya, Saman. “Global Epidemiology of Oral and Oropharyngeal Cancer.” Oral Oncology. 45.4 (2009): 309-316. http://www.sciencedirect.com/science/article/pii/S1368837508001838. 11 January 2013. 8. Warnakulasuriya, Saman. “Living with oral cancer: Epidemiology with particular reference to prevalence and life-style changes that influence survival.” Oral Oncology. 46.6 (2010): 407-410. http://www.sciencedirect.com.cuhsl.creighton.edu/science/article/pii/S136883751000062 X. January 2013. 9. Weng Y, Korte JE. “Racial disparities in being recommended to surgery for oral and oropharyngeal cancer in the United States.” Community Dentistry and Oral Epidemiology. 40 (2012): 80–88.