Adjunctive screening devices for oral lesions: their use by Canadian Dental Hygienists and the need for knowledge translation
Screening for oral cancer and other mucosal conditions is a knowledge‐to‐action objective that should be easy: there is supportive evidence, it is fast and non‐invasive, and the oral cavity is easy to visualize. However, over 60% of oral cancers are diagnosed late, when treatment is complex and prog...
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Published in | International journal of dental hygiene Vol. 15; no. 3; pp. 187 - 194 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
England
Blackwell Publishing Ltd
01.08.2017
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Subjects | |
Online Access | Get full text |
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Abstract | Screening for oral cancer and other mucosal conditions is a knowledge‐to‐action objective that should be easy: there is supportive evidence, it is fast and non‐invasive, and the oral cavity is easy to visualize. However, over 60% of oral cancers are diagnosed late, when treatment is complex and prognosis poor. Adjunctive screening devices (ASDs), e.g. toluidine blue (TB), fluorescence visualization (FV), chemiluminescence (CL) and brush biopsies, were designed to assess risk of oral lesions or aid in identification and localization of oral premalignant and malignant lesions. Little is known on how clinicians feel about using ASDs.
Objectives
To evaluate use and level of comfort in using ASDs for oral cancer screening among dental hygienists.
Methods
Online email survey of a stratified random sample of nearly 3000 dental hygienists from four Canadian provinces.
Results
A total of 369 hygienists responded about ASDs. Ninety‐three (25%) had used an ASD. Use was associated with six or more continuing education (CE) courses per year (P = 0.030), having a CE course in oral pathology within the last 3 years (P = 0.003) and having a screening protocol (P = 0.008). The most commonly used ASD is FV, which was the tool hygienists felt most comfortable using. Few used brush biopsies. Older graduates were more comfortable using TB (P = 0.014) and CL (0.033).
Conclusion
Current evidence and education through CE appears to bolster knowledge translation efforts for hygienists to become more comfortable in the use of ASDs. ASDs with minimal supporting evidence and not specifically targeted to hygienists, such as the brush biopsies, are not well utilized. |
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AbstractList | Screening for oral cancer and other mucosal conditions is a knowledge-to-action objective that should be easy: there is supportive evidence, it is fast and non-invasive, and the oral cavity is easy to visualize. However, over 60% of oral cancers are diagnosed late, when treatment is complex and prognosis poor. Adjunctive screening devices (ASDs), e.g. toluidine blue (TB), fluorescence visualization (FV), chemiluminescence (CL) and brush biopsies, were designed to assess risk of oral lesions or aid in identification and localization of oral premalignant and malignant lesions. Little is known on how clinicians feel about using ASDs.OBJECTIVESTo evaluate use and level of comfort in using ASDs for oral cancer screening among dental hygienists.METHODSOnline email survey of a stratified random sample of nearly 3000 dental hygienists from four Canadian provinces.RESULTSA total of 369 hygienists responded about ASDs. Ninety-three (25%) had used an ASD. Use was associated with six or more continuing education (CE) courses per year (P = 0.030), having a CE course in oral pathology within the last 3 years (P = 0.003) and having a screening protocol (P = 0.008). The most commonly used ASD is FV, which was the tool hygienists felt most comfortable using. Few used brush biopsies. Older graduates were more comfortable using TB (P = 0.014) and CL (0.033).CONCLUSIONCurrent evidence and education through CE appears to bolster knowledge translation efforts for hygienists to become more comfortable in the use of ASDs. ASDs with minimal supporting evidence and not specifically targeted to hygienists, such as the brush biopsies, are not well utilized. Screening for oral cancer and other mucosal conditions is a knowledge‐to‐action objective that should be easy: there is supportive evidence, it is fast and non‐invasive, and the oral cavity is easy to visualize. However, over 60% of oral cancers are diagnosed late, when treatment is complex and prognosis poor. Adjunctive screening devices (ASDs), e.g. toluidine blue (TB), fluorescence visualization (FV), chemiluminescence (CL) and brush biopsies, were designed to assess risk of oral lesions or aid in identification and localization of oral premalignant and malignant lesions. Little is known on how clinicians feel about using ASDs. Objectives To evaluate use and level of comfort in using ASDs for oral cancer screening among dental hygienists. Methods Online email survey of a stratified random sample of nearly 3000 dental hygienists from four Canadian provinces. Results A total of 369 hygienists responded about ASDs. Ninety‐three (25%) had used an ASD. Use was associated with six or more continuing education (CE) courses per year (P = 0.030), having a CE course in oral pathology within the last 3 years (P = 0.003) and having a screening protocol (P = 0.008). The most commonly used ASD is FV, which was the tool hygienists felt most comfortable using. Few used brush biopsies. Older graduates were more comfortable using TB (P = 0.014) and CL (0.033). Conclusion Current evidence and education through CE appears to bolster knowledge translation efforts for hygienists to become more comfortable in the use of ASDs. ASDs with minimal supporting evidence and not specifically targeted to hygienists, such as the brush biopsies, are not well utilized. Abstract Screening for oral cancer and other mucosal conditions is a knowledge‐to‐action objective that should be easy: there is supportive evidence, it is fast and non‐invasive, and the oral cavity is easy to visualize. However, over 60% of oral cancers are diagnosed late, when treatment is complex and prognosis poor. Adjunctive screening devices (ASDs), e.g. toluidine blue (TB), fluorescence visualization (FV), chemiluminescence (CL) and brush biopsies, were designed to assess risk of oral lesions or aid in identification and localization of oral premalignant and malignant lesions. Little is known on how clinicians feel about using ASDs. Objectives To evaluate use and level of comfort in using ASD s for oral cancer screening among dental hygienists. Methods Online email survey of a stratified random sample of nearly 3000 dental hygienists from four Canadian provinces. Results A total of 369 hygienists responded about ASD s. Ninety‐three (25%) had used an ASD . Use was associated with six or more continuing education ( CE ) courses per year ( P = 0.030), having a CE course in oral pathology within the last 3 years ( P = 0.003) and having a screening protocol ( P = 0.008). The most commonly used ASD is FV , which was the tool hygienists felt most comfortable using. Few used brush biopsies. Older graduates were more comfortable using TB ( P = 0.014) and CL (0.033). Conclusion Current evidence and education through CE appears to bolster knowledge translation efforts for hygienists to become more comfortable in the use of ASD s. ASD s with minimal supporting evidence and not specifically targeted to hygienists, such as the brush biopsies, are not well utilized. Screening for oral cancer and other mucosal conditions is a knowledge-to-action objective that should be easy: there is supportive evidence, it is fast and non-invasive, and the oral cavity is easy to visualize. However, over 60% of oral cancers are diagnosed late, when treatment is complex and prognosis poor. Adjunctive screening devices (ASDs), e.g. toluidine blue (TB), fluorescence visualization (FV), chemiluminescence (CL) and brush biopsies, were designed to assess risk of oral lesions or aid in identification and localization of oral premalignant and malignant lesions. Little is known on how clinicians feel about using ASDs. Objectives To evaluate use and level of comfort in using ASDs for oral cancer screening among dental hygienists. Methods Online email survey of a stratified random sample of nearly 3000 dental hygienists from four Canadian provinces. Results A total of 369 hygienists responded about ASDs. Ninety-three (25%) had used an ASD. Use was associated with six or more continuing education (CE) courses per year (P = 0.030), having a CE course in oral pathology within the last 3 years (P = 0.003) and having a screening protocol (P = 0.008). The most commonly used ASD is FV, which was the tool hygienists felt most comfortable using. Few used brush biopsies. Older graduates were more comfortable using TB (P = 0.014) and CL (0.033). Conclusion Current evidence and education through CE appears to bolster knowledge translation efforts for hygienists to become more comfortable in the use of ASDs. ASDs with minimal supporting evidence and not specifically targeted to hygienists, such as the brush biopsies, are not well utilized. Screening for oral cancer and other mucosal conditions is a knowledge-to-action objective that should be easy: there is supportive evidence, it is fast and non-invasive, and the oral cavity is easy to visualize. However, over 60% of oral cancers are diagnosed late, when treatment is complex and prognosis poor. Adjunctive screening devices (ASDs), e.g. toluidine blue (TB), fluorescence visualization (FV), chemiluminescence (CL) and brush biopsies, were designed to assess risk of oral lesions or aid in identification and localization of oral premalignant and malignant lesions. Little is known on how clinicians feel about using ASDs. To evaluate use and level of comfort in using ASDs for oral cancer screening among dental hygienists. Online email survey of a stratified random sample of nearly 3000 dental hygienists from four Canadian provinces. A total of 369 hygienists responded about ASDs. Ninety-three (25%) had used an ASD. Use was associated with six or more continuing education (CE) courses per year (P = 0.030), having a CE course in oral pathology within the last 3 years (P = 0.003) and having a screening protocol (P = 0.008). The most commonly used ASD is FV, which was the tool hygienists felt most comfortable using. Few used brush biopsies. Older graduates were more comfortable using TB (P = 0.014) and CL (0.033). Current evidence and education through CE appears to bolster knowledge translation efforts for hygienists to become more comfortable in the use of ASDs. ASDs with minimal supporting evidence and not specifically targeted to hygienists, such as the brush biopsies, are not well utilized. |
Author | Laronde, DM Corbett, KK |
Author_xml | – sequence: 1 givenname: DM surname: Laronde fullname: Laronde, DM email: dlaronde@dentistry.ubc.ca organization: BC Cancer Agency – sequence: 2 givenname: KK surname: Corbett fullname: Corbett, KK organization: University of Waterloo |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26694690$$D View this record in MEDLINE/PubMed |
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Keywords | fluorescence visualization decision-making oral cancer screening brush biopsy oral premalignant lesions toluidine blue knowledge translation |
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Snippet | Screening for oral cancer and other mucosal conditions is a knowledge‐to‐action objective that should be easy: there is supportive evidence, it is fast and... Screening for oral cancer and other mucosal conditions is a knowledge-to-action objective that should be easy: there is supportive evidence, it is fast and... Abstract Screening for oral cancer and other mucosal conditions is a knowledge‐to‐action objective that should be easy: there is supportive evidence, it is... |
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SubjectTerms | Adult Biopsy brush biopsy Canada Cancer screening Chemiluminescence Clinical Competence Coloring Agents decision‐making Dental Hygienists - psychology Dentistry Early Detection of Cancer - methods Education, Dental, Continuing Female fluorescence visualization Humans knowledge translation Localization Luminescent Measurements Male Mass Screening - methods Medical screening Microscopy, Fluorescence Mouth Neoplasms - diagnosis Mucosa Oral cancer oral cancer screening Oral cavity oral premalignant lesions Practice Patterns, Dentists Tolonium Chloride Toluidine toluidine blue Translational Medical Research |
Title | Adjunctive screening devices for oral lesions: their use by Canadian Dental Hygienists and the need for knowledge translation |
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