Shorter specialist time intervals are associated with advanced stage on symptomatic oral cancer

Oral Diseases
J SeoaneP Varela-Centelles

Abstract

As longer times from the first symptom to diagnosis and treatment of oral cancers have been linked to poorer outcomes, this study investigates the contribution of the specialist to this time (STI). A series of 228 oral/oropharyngeal squamous cell carcinoma patients were retrospectively studied to determine the STI and its related factors. Patients were mostly males (n = 170; 74.5%), (50.7% stages I-II), mean age = 61.4 ± 12.5 years. The STI median was 6 days (X±SD:6.8 ± 5.6 days). Time first symptom to diagnosis was 64 days (X±SD:91.0 ± 84.6 days). Univariate regression unveiled a significant association between STI and TNM stage, which was confirmed by multivariate regression. Specialist time interval is a short time interval in oral cancer diagnosis, imposing a limited time burden in the context of the whole interval until diagnosis. However, there seems to be room for improvement and a possible target for future interventions to shorten STI particularly for patients at early stages after their disease has been disclosed.

References

Mar 4, 2005·Oral Oncology·Debbie M TrompRob J de Leeuw
Mar 21, 2012·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·J SeoaneJ M Seoane-Romero
Sep 27, 2014·Oral Oncology·Pelin Güneri, Joel B Epstein
Dec 3, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Colin T MurphyJohn A Ridge
Oct 19, 2016·International Journal of Oral and Maxillofacial Surgery·P Varela-CentellesJ Seoane

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Citations

Oct 28, 2019·PloS One·José Luis Lopez-CedrúnPablo Varela-Centelles

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