Comparison of Views on the Need for Continuing Education on Oral Cancer Between General Dentists and Oral Medicine Experts: A Delphi Survey

Overview

Journal J Int Soc Prev Community Dent

Date 2016 Nov 29

PMID 27891314

Citations 6

Authors

S Leuci

M Aria

M Nicolo

G Spagnuolo

K Warnakulasuriya

M D Mignogna

Affiliations

Soon will be listed here.

Abstract

Objectives: The role of dental professionals in screening for oral cancer has been limited. The purpose of this study was to investigate and compare the educational priorities of oral medicine specialists, general dental practitioners, and doctors of dental surgery with regards to the diagnosis and management of oral cancers and potential malignant disorders.

Study Design: This was a longitudinal survey.

Materials And Methods: A Delphi survey was directed to a panel of 25 oral medicine specialists asking them to identify the major difficulties in diagnosing and managing patients with oral cancer or suspected malignancy. In a second phase, two groups of generalists were asked to express their ratings on the issues identified by experts.

Results: The response rate of the experts to the survey was 84%, while only 44% of the generalists participated. Although the three groups agreed on most of the issues, there were significant differences of opinions on 10 of the items proposed by specialists ( < 0.05 from the Kruskal-Wallis test), which were observed mainly between experts and general dental practitioners ( < 0.017 from the Mann-Whitney U test). The opinion of the participants about future investments in the field of education resulted in similar results ( > 0.05 from the Chi-square test), with the specialists ranking highest on mandatory annual thematic courses, while the generalists prioritizing more interactive and extensive pre-graduation courses on oral cancer detection.

Conclusion: This study confirms a clear need to improve the educational foundation on oral cancer by a didactic process starting with pre-graduation courses that should involve National Health Care Services, National Dental Associations, and academia.

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References

Baker J, Lovell K, Harris N . How expert are the experts? An exploration of the concept of 'expert' within Delphi panel techniques. Nurse Res. 2006; 14(1):59-70. DOI: 10.7748/nr2006.10.14.1.59.c6010. View

Diamond I, Grant R, Feldman B, Pencharz P, Ling S, Moore A . Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol. 2014; 67(4):401-9. DOI: 10.1016/j.jclinepi.2013.12.002. View

Cramer C, Klasser G, Epstein J, Sheps S . The Delphi process in dental research. J Evid Based Dent Pract. 2008; 8(4):211-20. DOI: 10.1016/j.jebdp.2008.09.002. View

Colella G, Gaeta G, Moscariello A, Angelillo I . Oral cancer and dentists: knowledge, attitudes, and practices in Italy. Oral Oncol. 2007; 44(4):393-9. DOI: 10.1016/j.oraloncology.2007.05.005. View

Welch D, Antalis T, Burnstein K, Vona-Davis L, Jensen R, Nakshatri H . Essential Components of Cancer Education. Cancer Res. 2015; 75(24):5202-5. PMC: 4681646. DOI: 10.1158/0008-5472.CAN-15-2077. View

Rahman B, Hawas N, Rahman M, Rabah A, Al Kawas S . Assessing dental students' knowledge of oral cancer in the United Arab Emirates. Int Dent J. 2013; 63(2):80-4. PMC: 9374903. DOI: 10.1111/idj.12017. View

Warnakulasuriya S . Living with oral cancer: epidemiology with particular reference to prevalence and life-style changes that influence survival. Oral Oncol. 2010; 46(6):407-10. DOI: 10.1016/j.oraloncology.2010.02.015. View

Rashid A, Warnakulasuriya S . The use of light-based (optical) detection systems as adjuncts in the detection of oral cancer and oral potentially malignant disorders: a systematic review. J Oral Pathol Med. 2014; 44(5):307-28. DOI: 10.1111/jop.12218. View

Horowitz A, Drury T, Canto M . Practices of Maryland dentists: oral cancer prevention and early detection--baseline data from 1995. Oral Dis. 2000; 6(5):282-8. DOI: 10.1111/j.1601-0825.2000.tb00140.x. View

10.

Guneri P, Epstein J . Late stage diagnosis of oral cancer: components and possible solutions. Oral Oncol. 2014; 50(12):1131-6. DOI: 10.1016/j.oraloncology.2014.09.005. View

11.

Greatorex J, Dexter T . An accessible analytical approach for investigating what happens between the rounds of a Delphi study. J Adv Nurs. 2000; 32(4):1016-24. View

12.

Monteiro L, Antunes L, Bento M, Warnakulasuriya S . Incidence rates and trends of lip, oral and oro-pharyngeal cancers in Portugal. J Oral Pathol Med. 2012; 42(4):345-51. DOI: 10.1111/jop.12010. View

13.

Keeney S, Hasson F, McKenna H . A critical review of the Delphi technique as a research methodology for nursing. Int J Nurs Stud. 2001; 38(2):195-200. DOI: 10.1016/s0020-7489(00)00044-4. View

14.

McMillan S, King M, Tully M . How to use the nominal group and Delphi techniques. Int J Clin Pharm. 2016; 38(3):655-62. PMC: 4909789. DOI: 10.1007/s11096-016-0257-x. View

15.

Broomfield D, Humphris G . Using the Delphi technique to identify the cancer education requirements of general practitioners. Med Educ. 2001; 35(10):928-37. View

16.

Mullen P . Delphi: myths and reality. J Health Organ Manag. 2003; 17(1):37-52. DOI: 10.1108/14777260310469319. View

17.

Awan K, Morgan P, Warnakulasuriya S . Evaluation of an autofluorescence based imaging system (VELscope™) in the detection of oral potentially malignant disorders and benign keratoses. Oral Oncol. 2011; 47(4):274-7. DOI: 10.1016/j.oraloncology.2011.02.001. View

18.

Efstathiou N, Coll A, Ameen J, Daly W . Do Greek healthcare users and healthcare providers share cancer care priorities? Analysing the results from two Delphi studies. Eur J Cancer Care (Engl). 2010; 20(2):179-86. DOI: 10.1111/j.1365-2354.2009.01176.x. View

19.

Carter L, Ogden G . Oral cancer awareness of undergraduate medical and dental students. BMC Med Educ. 2007; 7:44. PMC: 2213642. DOI: 10.1186/1472-6920-7-44. View

20.

van Agthoven M, van Ineveld B, de Boer M, Leemans C, Knegt P, Snow G . The costs of head and neck oncology: primary tumours, recurrent tumours and long-term follow-up. Eur J Cancer. 2001; 37(17):2204-11. DOI: 10.1016/s0959-8049(01)00292-1. View