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Oral Cancer PreventionThe Role of Family Practitioners
Harold S. Goodman, DMD, MPH;
Janet A. Yellowitz, DMD, MPH;
Alice M. Horowitz, PhD
Arch Fam Med. 1995;4(7):628-636.
Abstract
We assess the knowledge, opinions, and practices of health care providers and the public concerning oral cancer. Despite a simple and effective screening examination to detect early, localized lesions, most oral cancers are diagnosed late. Consequently, oral cancer has a low 5-year survival rate (52%) relative to most cancers. Early detection through oral cancer screening increases the proportion of localized lesions found. Family practitioners are critical to these efforts because they are more likely than dentists to care for individuals at risk for oral cancer. The public lacks knowledge of risk factors and signs and symptoms of oral cancer, and people do not request oral cancer examinations. Reducing the mortality rate requires comprehensive educational, behavioral, and procedural interventions for oral cancer that target health care providers and the public.
Author Affiliations
From the Department of Veterans Affairs Medical Center, Perry Point, Md (Dr Goodman); Dental School, University of Maryland at Baltimore (Dr Yellowitz); and National Institute of Dental Research, National Institutes of Health, Bethesda, Md (Dr Horowitz).
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