Exploring the reasons for delay in treatment of oral cancer

Zachary S. Peacock, M. Anthony Pogrel, Brian Schmidt

Research output: Contribution to journalArticle

Abstract

Background. Oral cancer continues to be diagnosed and treated at a late stage, which has a negative effect on outcomes. This study identified and quantified delays in diagnosis and treatment. Methods. The authors conducted a study that included all new patients seen in the Department of Oral and Maxulofadal Surgery, University of California, San Francisco, between 2003 and 2007 who had a diagnosis of squamous cell carcinoma of the oral cavity. They identified the time intervals for six stages, beginning with the time at which patients first became aware of symptoms and ending with the time at which definitive treatment began. Results. The total time from patients' first sign or symptoms to commencement of treatment was a mean of 205.9 days (range, 52-786 days). The longest delay was from the time symptoms first appeared to the initial visit to a health care professional (mean time, 104.7 days; range, 0-730 days). Conclusions. Health care professionals need to place greater emphasis on patient education to encourage early self-referrals. Clinical Implications. Patients should be encouraged to visit a health care professional when signs or symptoms of oral cancer first develop.

Original languageEnglish (US)
Pages (from-to)1346-1352
Number of pages7
JournalJournal of the American Dental Association
Volume139
Issue number10
StatePublished - Oct 2008

Fingerprint

Mouth Neoplasms
Delivery of Health Care
Signs and Symptoms
Therapeutics
San Francisco
Oral Surgery
Patient Education
Mouth
Squamous Cell Carcinoma
Referral and Consultation

Keywords

  • Delay in diagnosis
  • Early diagnosis
  • Oral cancer

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Exploring the reasons for delay in treatment of oral cancer. / Peacock, Zachary S.; Pogrel, M. Anthony; Schmidt, Brian.

In: Journal of the American Dental Association, Vol. 139, No. 10, 10.2008, p. 1346-1352.

Research output: Contribution to journalArticle

Peacock, Zachary S. ; Pogrel, M. Anthony ; Schmidt, Brian. / Exploring the reasons for delay in treatment of oral cancer. In: Journal of the American Dental Association. 2008 ; Vol. 139, No. 10. pp. 1346-1352.
@article{d4e38ccf8d504cdda35648d36bb46aa1,
title = "Exploring the reasons for delay in treatment of oral cancer",
abstract = "Background. Oral cancer continues to be diagnosed and treated at a late stage, which has a negative effect on outcomes. This study identified and quantified delays in diagnosis and treatment. Methods. The authors conducted a study that included all new patients seen in the Department of Oral and Maxulofadal Surgery, University of California, San Francisco, between 2003 and 2007 who had a diagnosis of squamous cell carcinoma of the oral cavity. They identified the time intervals for six stages, beginning with the time at which patients first became aware of symptoms and ending with the time at which definitive treatment began. Results. The total time from patients' first sign or symptoms to commencement of treatment was a mean of 205.9 days (range, 52-786 days). The longest delay was from the time symptoms first appeared to the initial visit to a health care professional (mean time, 104.7 days; range, 0-730 days). Conclusions. Health care professionals need to place greater emphasis on patient education to encourage early self-referrals. Clinical Implications. Patients should be encouraged to visit a health care professional when signs or symptoms of oral cancer first develop.",
keywords = "Delay in diagnosis, Early diagnosis, Oral cancer",
author = "Peacock, {Zachary S.} and Pogrel, {M. Anthony} and Brian Schmidt",
year = "2008",
month = "10",
language = "English (US)",
volume = "139",
pages = "1346--1352",
journal = "Journal of the American Dental Association",
issn = "0002-8177",
publisher = "American Dental Association",
number = "10",

}

TY - JOUR

T1 - Exploring the reasons for delay in treatment of oral cancer

AU - Peacock, Zachary S.

AU - Pogrel, M. Anthony

AU - Schmidt, Brian

PY - 2008/10

Y1 - 2008/10

N2 - Background. Oral cancer continues to be diagnosed and treated at a late stage, which has a negative effect on outcomes. This study identified and quantified delays in diagnosis and treatment. Methods. The authors conducted a study that included all new patients seen in the Department of Oral and Maxulofadal Surgery, University of California, San Francisco, between 2003 and 2007 who had a diagnosis of squamous cell carcinoma of the oral cavity. They identified the time intervals for six stages, beginning with the time at which patients first became aware of symptoms and ending with the time at which definitive treatment began. Results. The total time from patients' first sign or symptoms to commencement of treatment was a mean of 205.9 days (range, 52-786 days). The longest delay was from the time symptoms first appeared to the initial visit to a health care professional (mean time, 104.7 days; range, 0-730 days). Conclusions. Health care professionals need to place greater emphasis on patient education to encourage early self-referrals. Clinical Implications. Patients should be encouraged to visit a health care professional when signs or symptoms of oral cancer first develop.

AB - Background. Oral cancer continues to be diagnosed and treated at a late stage, which has a negative effect on outcomes. This study identified and quantified delays in diagnosis and treatment. Methods. The authors conducted a study that included all new patients seen in the Department of Oral and Maxulofadal Surgery, University of California, San Francisco, between 2003 and 2007 who had a diagnosis of squamous cell carcinoma of the oral cavity. They identified the time intervals for six stages, beginning with the time at which patients first became aware of symptoms and ending with the time at which definitive treatment began. Results. The total time from patients' first sign or symptoms to commencement of treatment was a mean of 205.9 days (range, 52-786 days). The longest delay was from the time symptoms first appeared to the initial visit to a health care professional (mean time, 104.7 days; range, 0-730 days). Conclusions. Health care professionals need to place greater emphasis on patient education to encourage early self-referrals. Clinical Implications. Patients should be encouraged to visit a health care professional when signs or symptoms of oral cancer first develop.

KW - Delay in diagnosis

KW - Early diagnosis

KW - Oral cancer

UR - http://www.scopus.com/inward/record.url?scp=54449093765&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=54449093765&partnerID=8YFLogxK

M3 - Article

VL - 139

SP - 1346

EP - 1352

JO - Journal of the American Dental Association

JF - Journal of the American Dental Association

SN - 0002-8177

IS - 10

ER -