Document Detail


Oral cancer screening in a high-risk underserved community--Vancouver Downtown Eastside.
MedLine Citation:
PMID:  17982206     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to evaluate a clinic-centered oral cancer screening initiative in one of the poorest communities in Canada, assessing the need for screening and the acceptance of screening and identifying hindrances to both screening and follow-up. The study group included 204 people in the Vancouver Downtown Eastside (DTES). This was shown to be a high-risk community based on risk factors, lack of access to care, and the high frequency of oral mucosal anomalies. Acceptance of screening was high (98%); however, acceptance of biopsy for abnormal findings and follow-up was low. Among the 12 patients with clinical leukoplakia who were biopsied, 10 showed cancer or precancer. In summary, these data show a need for screening in this population and an ability to recruit patients to screening. They support a future expansion of this initiative to create a more comprehensive strategy for outreach to this underserved community that extends to screening, diagnostic work-up, and treatment.
Authors:
Catherine F Poh; Gregory Hislop; Brenda Currie; Rick Lee; Sean Sikorski; Chris Zed; Lewei Zhang; Calum Macaulay; Miriam Pearl Rosin
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of health care for the poor and underserved     Volume:  18     ISSN:  1049-2089     ISO Abbreviation:  J Health Care Poor Underserved     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-05     Completed Date:  2008-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9103800     Medline TA:  J Health Care Poor Underserved     Country:  United States    
Other Details:
Languages:  eng     Pagination:  767-78     Citation Subset:  IM    
Affiliation:
Faculty of Dentistry, University of British Columbia (UBC), Vancouver, B.C., Canada V6T 1Z3.cpoh@interchange.ubc.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biopsy / utilization
British Columbia
Community Health Centers / utilization*
Female
Health Services Accessibility
Health Services Needs and Demand / statistics & numerical data*
Humans
Male
Mass Screening / methods,  utilization*
Medically Underserved Area*
Middle Aged
Mouth Neoplasms / diagnosis*,  prevention & control
Patient Acceptance of Health Care / statistics & numerical data*
Poverty Areas*
Program Development
Program Evaluation
Public Health Dentistry
Risk Factors
Socioeconomic Factors
Urban Health Services / utilization
Grant Support
ID/Acronym/Agency:
R01 DE13124/DE/NIDCR NIH HHS; R01 DE17013/DE/NIDCR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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