P-098. Factors influencing patients and doctors delay in oral cancer diagnosis

A. L. Carvalho, J. Pintos, N. Schlech, B. V. Oliveira, A. S. Fava, M. P. Curado, L. P. Kowalski, E. L. Franco

Research output: Contribution to journalArticle

Abstract

Aims: Patients and doctors delay in cancer diagnosis may influence clinical stage and, consequently, the patient's prognosis. The objective of this study was to analyze the influence of clinical and socio-demographic variables in patients and doctors delay. Methods: Four-hundred and seventeen patients were analyzed in this series. Patient delay was defined when the time difference between reporting a symptom and professional consultation exceeded 2 months, and doctor delay when the difference between this consultation and the diagnosis was ≥ 1 month. Results: Mean patient delay was 4.9 months (S.D.±8.6) and professional delay, 1.7 months (S.D.± 3.3). At multivariate analysis, independent factors associated with patient delay were presence of sialorrhea (OR 0.31; 95% CI 0.2-0.6); monthly income [> 126 US$] (OR 0.62; 95% CI 0.4-1.1); tobacco consumption [>2 packs/day] (OR 1.62; 95% CI 0.8-3.3); non-white patients (OR 2.00; 95% CI 1.1-3.8) and patients presenting problems with dentures (OR 0.40; 95% CI 0.2-0.7). Correlates of doctors delay were prior tonsillectomy (OR 0.12; 95% CI 0.04-0.4); patients using dentures without problems (OR 0.59; 95% CI 0.4-1.0); poor dental status (OR 1.87; 95% CI 1.2-3.0); presence of dysphagia (OR 1.80; 95% CI 1.0-3.3); and patients who went to the dentist prior to the physician consultation (OR 4.31; 95% CI 2.1-8.8). Conclusions: Different factors were associated with patients and doctors delay. Educational programs regarding recognition of cancer signs and symptoms by both patient and health care professionals should be encouraged in order to diminish delays.

Original languageEnglish (US)
JournalOral Oncology
Volume37
Issue numberSUPPL. 1
StatePublished - 2001
Externally publishedYes

Fingerprint

Oral Diagnosis
Mouth Neoplasms
Referral and Consultation
Dentures
Sialorrhea
Tonsillectomy
Tobacco Use
Deglutition Disorders
Dentists
Signs and Symptoms
Neoplasms
Patient Care
Tooth
Multivariate Analysis

ASJC Scopus subject areas

  • Oral Surgery
  • Medicine(all)
  • Oncology
  • Cancer Research

Cite this

Carvalho, A. L., Pintos, J., Schlech, N., Oliveira, B. V., Fava, A. S., Curado, M. P., ... Franco, E. L. (2001). P-098. Factors influencing patients and doctors delay in oral cancer diagnosis. Oral Oncology, 37(SUPPL. 1).

P-098. Factors influencing patients and doctors delay in oral cancer diagnosis. / Carvalho, A. L.; Pintos, J.; Schlech, N.; Oliveira, B. V.; Fava, A. S.; Curado, M. P.; Kowalski, L. P.; Franco, E. L.

In: Oral Oncology, Vol. 37, No. SUPPL. 1, 2001.

Research output: Contribution to journalArticle

Carvalho, AL, Pintos, J, Schlech, N, Oliveira, BV, Fava, AS, Curado, MP, Kowalski, LP & Franco, EL 2001, 'P-098. Factors influencing patients and doctors delay in oral cancer diagnosis', Oral Oncology, vol. 37, no. SUPPL. 1.
Carvalho AL, Pintos J, Schlech N, Oliveira BV, Fava AS, Curado MP et al. P-098. Factors influencing patients and doctors delay in oral cancer diagnosis. Oral Oncology. 2001;37(SUPPL. 1).
Carvalho, A. L. ; Pintos, J. ; Schlech, N. ; Oliveira, B. V. ; Fava, A. S. ; Curado, M. P. ; Kowalski, L. P. ; Franco, E. L. / P-098. Factors influencing patients and doctors delay in oral cancer diagnosis. In: Oral Oncology. 2001 ; Vol. 37, No. SUPPL. 1.
@article{29e953a46f8c4ce4b3de41ebe686c2ce,
title = "P-098. Factors influencing patients and doctors delay in oral cancer diagnosis",
abstract = "Aims: Patients and doctors delay in cancer diagnosis may influence clinical stage and, consequently, the patient's prognosis. The objective of this study was to analyze the influence of clinical and socio-demographic variables in patients and doctors delay. Methods: Four-hundred and seventeen patients were analyzed in this series. Patient delay was defined when the time difference between reporting a symptom and professional consultation exceeded 2 months, and doctor delay when the difference between this consultation and the diagnosis was ≥ 1 month. Results: Mean patient delay was 4.9 months (S.D.±8.6) and professional delay, 1.7 months (S.D.± 3.3). At multivariate analysis, independent factors associated with patient delay were presence of sialorrhea (OR 0.31; 95{\%} CI 0.2-0.6); monthly income [> 126 US$] (OR 0.62; 95{\%} CI 0.4-1.1); tobacco consumption [>2 packs/day] (OR 1.62; 95{\%} CI 0.8-3.3); non-white patients (OR 2.00; 95{\%} CI 1.1-3.8) and patients presenting problems with dentures (OR 0.40; 95{\%} CI 0.2-0.7). Correlates of doctors delay were prior tonsillectomy (OR 0.12; 95{\%} CI 0.04-0.4); patients using dentures without problems (OR 0.59; 95{\%} CI 0.4-1.0); poor dental status (OR 1.87; 95{\%} CI 1.2-3.0); presence of dysphagia (OR 1.80; 95{\%} CI 1.0-3.3); and patients who went to the dentist prior to the physician consultation (OR 4.31; 95{\%} CI 2.1-8.8). Conclusions: Different factors were associated with patients and doctors delay. Educational programs regarding recognition of cancer signs and symptoms by both patient and health care professionals should be encouraged in order to diminish delays.",
author = "Carvalho, {A. L.} and J. Pintos and N. Schlech and Oliveira, {B. V.} and Fava, {A. S.} and Curado, {M. P.} and Kowalski, {L. P.} and Franco, {E. L.}",
year = "2001",
language = "English (US)",
volume = "37",
journal = "Oral Oncology",
issn = "1368-8375",
publisher = "Elsevier Limited",
number = "SUPPL. 1",

}

TY - JOUR

T1 - P-098. Factors influencing patients and doctors delay in oral cancer diagnosis

AU - Carvalho, A. L.

AU - Pintos, J.

AU - Schlech, N.

AU - Oliveira, B. V.

AU - Fava, A. S.

AU - Curado, M. P.

AU - Kowalski, L. P.

AU - Franco, E. L.

PY - 2001

Y1 - 2001

N2 - Aims: Patients and doctors delay in cancer diagnosis may influence clinical stage and, consequently, the patient's prognosis. The objective of this study was to analyze the influence of clinical and socio-demographic variables in patients and doctors delay. Methods: Four-hundred and seventeen patients were analyzed in this series. Patient delay was defined when the time difference between reporting a symptom and professional consultation exceeded 2 months, and doctor delay when the difference between this consultation and the diagnosis was ≥ 1 month. Results: Mean patient delay was 4.9 months (S.D.±8.6) and professional delay, 1.7 months (S.D.± 3.3). At multivariate analysis, independent factors associated with patient delay were presence of sialorrhea (OR 0.31; 95% CI 0.2-0.6); monthly income [> 126 US$] (OR 0.62; 95% CI 0.4-1.1); tobacco consumption [>2 packs/day] (OR 1.62; 95% CI 0.8-3.3); non-white patients (OR 2.00; 95% CI 1.1-3.8) and patients presenting problems with dentures (OR 0.40; 95% CI 0.2-0.7). Correlates of doctors delay were prior tonsillectomy (OR 0.12; 95% CI 0.04-0.4); patients using dentures without problems (OR 0.59; 95% CI 0.4-1.0); poor dental status (OR 1.87; 95% CI 1.2-3.0); presence of dysphagia (OR 1.80; 95% CI 1.0-3.3); and patients who went to the dentist prior to the physician consultation (OR 4.31; 95% CI 2.1-8.8). Conclusions: Different factors were associated with patients and doctors delay. Educational programs regarding recognition of cancer signs and symptoms by both patient and health care professionals should be encouraged in order to diminish delays.

AB - Aims: Patients and doctors delay in cancer diagnosis may influence clinical stage and, consequently, the patient's prognosis. The objective of this study was to analyze the influence of clinical and socio-demographic variables in patients and doctors delay. Methods: Four-hundred and seventeen patients were analyzed in this series. Patient delay was defined when the time difference between reporting a symptom and professional consultation exceeded 2 months, and doctor delay when the difference between this consultation and the diagnosis was ≥ 1 month. Results: Mean patient delay was 4.9 months (S.D.±8.6) and professional delay, 1.7 months (S.D.± 3.3). At multivariate analysis, independent factors associated with patient delay were presence of sialorrhea (OR 0.31; 95% CI 0.2-0.6); monthly income [> 126 US$] (OR 0.62; 95% CI 0.4-1.1); tobacco consumption [>2 packs/day] (OR 1.62; 95% CI 0.8-3.3); non-white patients (OR 2.00; 95% CI 1.1-3.8) and patients presenting problems with dentures (OR 0.40; 95% CI 0.2-0.7). Correlates of doctors delay were prior tonsillectomy (OR 0.12; 95% CI 0.04-0.4); patients using dentures without problems (OR 0.59; 95% CI 0.4-1.0); poor dental status (OR 1.87; 95% CI 1.2-3.0); presence of dysphagia (OR 1.80; 95% CI 1.0-3.3); and patients who went to the dentist prior to the physician consultation (OR 4.31; 95% CI 2.1-8.8). Conclusions: Different factors were associated with patients and doctors delay. Educational programs regarding recognition of cancer signs and symptoms by both patient and health care professionals should be encouraged in order to diminish delays.

UR - http://www.scopus.com/inward/record.url?scp=33747664887&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33747664887&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:33747664887

VL - 37

JO - Oral Oncology

JF - Oral Oncology

SN - 1368-8375

IS - SUPPL. 1

ER -