Knowledge of diagnostic and risk factors in oral cancer: results from a large-scale survey among non-dental healthcare providers in Northern Germany

J Craniomaxillofac Surg. 2014 Oct;42(7):1160-5. doi: 10.1016/j.jcms.2014.02.001. Epub 2014 Feb 21.

Abstract

Introduction: A survey was conducted to assess the level of knowledge on oral cancer among different medical fields, in particular about diagnostic items and risk factors.

Material and methods: A self-administered questionnaire was mailed to physicians from various fields, such as otorhinolaryngology, general practice, internal medicine, and dermatology.

Results: 388 of the 2,952 questionnaires were returned (13.1%), subdivided into otorhinolaryngology (n = 33), internal medicine (n = 135), dermatology (n = 28), and general practice (n = 192). The average knowledge of risk factors was similar in the specialisations, ranging from 68% for internal medicine to 76% for otorhinolaryngology and 77% for dermatology. The three main risk factors: tobacco (93%-100%), alcohol (79%-100%), and prior oral cancer lesions (91%-100%) were the most commonly known. Regarding the diagnostic items, the average percentage of correct answers ranged from 69% for internal and general medicine to 77% for dermatologists. Continuous courses of education and the year of graduation were the only two variables that significantly related to a better level of knowledge of risk factors and diagnostic items.

Conclusions: The average knowledge among the different medical fields was satisfying. These results demonstrated a robust base for all healthcare providers to continue working together to improve the early detection of oral cancer.

Keywords: Dermatology; General practice; Internal medicine; Oral cancer; Otolaryngology; Survey.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Alcohol Drinking
  • Alphapapillomavirus / physiology
  • Dermatology / education
  • Early Detection of Cancer
  • Education, Medical*
  • Education, Medical, Continuing
  • Feeding Behavior
  • Female
  • General Practitioners / education
  • Germany
  • Humans
  • Internal Medicine / education
  • Male
  • Middle Aged
  • Mouth Neoplasms / diagnosis*
  • Mouth Neoplasms / etiology
  • Mouth Neoplasms / virology
  • Neoplasm Recurrence, Local / pathology
  • Otolaryngology / education
  • Papillomavirus Infections / virology
  • Physicians*
  • Precancerous Conditions / diagnosis
  • Precancerous Conditions / etiology
  • Risk Factors
  • Sunlight / adverse effects
  • Tobacco Use