Patient centric factors affecting delay in self-diagnosis and seeking medical care for oral cancer: a cross-sectional study

Authors

  • Nivedha K. Department of Public Health Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu India
  • Madankumar P. D. Department of Public Health Dentistry, Ragas Dental College and Hospital, Chennai, Tamil Nadu India
  • K. Ranganathan Department of Oral Pathology, Ragas Dental College and Hospital, Chennai, Tamil Nadu India
  • M. B. Aswath Narayanan The Tamil Nadu Dr. M. G. R. Medical University, Chennai, Tamil Nadu. India
  • M. Kuzhalmozhi Department of Pathology, Arignar Anna Memorial Cancer Hospital and Research Institute, Kancheepuram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20240611

Keywords:

Early diagnosis, Oral cancer, Patient delay, Quality of life

Abstract

Background: Oral cancer is often detected in the advanced stage, with a low survival rate of 5 years and with increase in mortality which, affects patient quality of life. The early diagnosis would reduce the mortality rate and morbidity rate, by bringing a change in the quality of life.

Methods: The study utilized convenient sampling method to select the participants. Participants who were diagnosed with oral cancer currently at 3rd and 4th stage. Data collection was done using pre-validated self-administered questionnaire, which was provided to the participants through Google forms.

Results: The study demonstrated 43.1% people diagnosed with stage-3 oral cancer had an average delay of 34.6 months and 26% of stage-4 cancer patient had an average delay of 59.9 months to their first visit to treatment center. In this study 34% of the study participants were unaware and had lack of knowledge about oral cancer related symptoms. Self-medications/herbal medications, fear for the treatment, socio-economic factors, COVID-19/ lockdown restriction were also other reasons reported by patients.

Conclusions: The prompt treatment is necessary in both advanced cases and early cases of oral cancer. Radiotherapy, chemotherapy, and surgery are all part of the treatment when given timely. Thus, early diagnosis plays a vital role in saving many live.

References

International Agency for Research on Cancer. World Health Organization. GLOBOCAN 2018. Available from: https://gco.iarc.fr/today/data/ factsheets/cancers/39-All-cancers-fact-sheet.pdf. Assessed on 12 November 2022.

Borse V, Konwar AN, Buragohain P. Oral cancer diagnosis and perspectives in India. Sens Int. 2020;1:100046.

Sharma S, Satyanarayana L, Asthana S, Shivalingesh KK, Goutham BS, Ramachandra S. Oral cancer statistics in India on the basis of first report of 29 population-based cancer registries. J Oral Maxillofac Pathol. 2018;22(1):18-26.

Bray F, Ferlay J, Laversanne M, Brewster DH, Gombe Mbalawa C, Kohler B, et al. Cancer Incidence in Five Continents: Inclusion criteria, highlights from Volume X and the global status of cancer registration. Int J Cancer. 2015;137(9):2060-71.

Gyanchandani A, Shukla S, Vagha S, Acharaya S, Kadu RP. Diagnostic utility of cytokeratin 17 expression in oral squamous cell carcinoma: a review. Cureus. 2022;14(7):e27041.

Brierley J, Gospodarowicz M, O'Sullivan B. The principles of cancer staging. Ecancermedicalscience. 2016;10:ed61.

Joshi P, Nair S, Chaturvedi P, Nair D, Agarwal JP, D'Cruz AK. Delay in seeking specialized care for oral cancers: experience from a tertiary cancer center. Indian J Cancer. 2014;51(2):95-7.

Pollaers K, Massingham I, Friedland PL, Farah CS. The economic burden of oral squamous cell carcinoma in Australia. J Oral Pathol Med. 2019;48(7):588-94.

Jafari A, Najafi SH, Moradi F, Kharazifard M, Khami M. Delay in the diagnosis and treatment of oral cancer. J Dent. 2013;14(3):146-50.

Kerdpon D, Sriplung H. Factors related to delay in diagnosis of oral squamous cell carcinoma in southern Thailand. Oral Oncol. 2001;37(2):127-31.

Stefanuto P, Doucet JC, Robertson C. Delays in treatment of oral cancer: a review of the current literature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;117(4):424-9.

Akram M, Siddiqui SA, Karimi AM. Patient related factors associated with delayed reporting in oral cavity and oropharyngeal cancer. Int J Prev Med. 2014;5(7):915-9.

Gupta N, Gupta R, Acharya AK, Patthi B, Goud V, Reddy S, et al. Changing trends in oral cancer- a global scenario. Nepal J Epidemiol. 2016;6(4):613-619.

Dhanuthai K, Rojanawatsirivej S, Thosaporn W, Kintarak S, Subarnbhesaj A, Darling M, et al. Oral cancer: a multicenter study. Med Oral Patol Oral Cir Bucal. 2018;23(1):e23-9.

Shield KD, Ferlay J, Jemal A, Sankaranarayanan R, Chaturvedi AK, Bray F, et al. The global incidence of lip, oral cavity, and pharyngeal cancers by subsite in 2012. CA Cancer J Clin. 2017;67(1):51-64.

Novaes LCM, Alves Filho P, Novaes TA, Corvino MPF. Factors associated with need for dental treatment: a cross-sectional study at Fluminense Federal University, Rio de Janeiro, Brazil, 2013. Epidemiol Serv Saude. 2018;27:1-8.

Ligier K, Dejardin O, Launay L, Benoit E, Babin E, Bara S, et al. Professional health and early detection of head cancer and cancer: a basic population study in an area of high incidence. BMC Cancer. 2016;16:1-9.

Nocini R, Capocasale G, Marchioni D, Zotti F. A snapshot of knowledge about oral cancer in italy: a 505 person survey. Int J Environ Res Public Health. 2020;17:1-16.

Downloads

Published

2024-02-29

How to Cite

K., N., P. D., M., Ranganathan, K., Narayanan, M. B. A., & Kuzhalmozhi, M. (2024). Patient centric factors affecting delay in self-diagnosis and seeking medical care for oral cancer: a cross-sectional study. International Journal Of Community Medicine And Public Health, 11(3), 1148–1152. https://doi.org/10.18203/2394-6040.ijcmph20240611

Issue

Section

Original Research Articles