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References

Smittenaar CR, Petersen KA, Stewart K, Moitt N. Cancer incidence and mortality projections in the UK until 2035. Br J Cancer. 2016; 115:1147-1155
Cancer Research UK. Cancer cure rates improving in Europe. 2009. http://info.cancerresearchuk.org/news/archive/newsarchive/2009/march/19090650 (Accessed 01 September 2017)
Scrambler SJ, Scott SE, Asimakopoulou KG.Cambridge: Polity Press; 2016
Gao W, Guo CB. Factors related to delay in diagnosis of oral squamous cell carcinoma. J Oral Maxillofac Surg. 2009; 67:1015-1020
Scott SE, Grunfeld EA, McGurk M. Patient delay in oral cancer: a systematic review. Community Dent Oral Epidemiol. 2006; 34:337-343
Mignogna MD, Fedele S, Lo Russo L Oral and pharyngeal cancer: lack of prevention and early detection by health care providers. Eur J Cancer Prev. 2001; 10:381-383
Kagan J, Havemann E., 3rd edn. New York: Harcourt Brace Jovanovich; 1976
Llewellyn CD, Johnson NW, Warnakulasuriya KA. Risk factors for squamous cell carcinoma of the oral cavity in young people – a comprehensive literature review. Oral Oncol. 2001; 37:401-418
Paleri V, Roland N. Introduction to the United Kingdom National Multidisciplinary Guidelines for Head and Neck Cancer. J Laryngol Otol. 2016; 130:S1-S224
Walter F, Webster A, Scott S, Emery J. The Andersen Model of Total Patient Delay: a systematic review of its application in cancer diagnosis. J Health Surv Res Pol. 2012; 17:10-18
Scott SE, Grunfeld EA, Auyeung V, McGurk M. Barriers and triggers to seeking help for potentially malignant oral symptoms: implications for interventions. J Public Health Dent. 2009; 69:34-40
Allison P, Franco E, Black M, Feine J. The role of professional diagnostic delays in the prognosis of upper aerodigestive tract carcinoma. Oral Oncol. 1998; 34:147-153
Hollows P, McAndrew PG, Perini MG. Delays in the referral and treatment of oral squamous cell carcinoma. Br Dent J. 2000; 188:262-265
: NHS Digital; 2009
Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc. 1984; 109:247-251
Smith LK, Pope C, Botha JL. Patients’ help-seeking experiences and delay in cancer presentation: a qualitative synthesis. Lancet. 2005; 366:(9488)825-831
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; 117:424-429
Brouha XD, Tromp DM, Hordijk GJ, Winnubst JA, de Leeuw JR. Oral and pharyngeal cancer: analysis of patient delay at different tumor stages. Head Neck. 2005; 27:939-945
de Nooijer J, Lechner L, de Vries H. A qualitative study on detecting cancer symptoms and seeking medical help; an application of Andersen’s model of total patient delay. Patient Educ Couns. 2001; 42:145-157
Humphris G. Psychological management for head and neck cancer patients: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol. 2016; 130:(Suppl S2)S45-S48
Onizawa K. Diagnostic delay of oral cancer: a literature review. Austral-Asian J Cancer. 2005; 4
Scott SE, Grunfeld EA, McGurk M. Patient delay in oral cancer: a systematic review. Community Dent Oral Epidemiol. 2006; 34:337-343
Noonan B. Understanding the reasons why patients delay seeking treatment for oral cancer symptoms from a primary health care professional: an integrative literature review. Eur J Oncol Nurs. 2014; 18:118-124
Panzarella V, Pizzo G, Calvino F, Compilato D, Colella G, Campisi G. Diagnostic delay in oral squamous cell carcinoma: the role of cognitive and psychological variables. Int J Oral Sci. 2014; 6:39-45
Newton T, Asimakopoulou K, Daly B, Scambler S, Scott S. The management of dental snxiety: time for a sense of proportion?. Br Dent J. 2012; 213:271-227

Fear Factor: Anxiety - a Cause of Delayed Presentation of Oral Cancer

From Volume 47, Issue 2, February 2020 | Pages 121-126

Authors

Sukbir Nandra

BDS, MFDS RCSEd, PGCertMedEd

Restorative and Paediatric Dentistry, Bristol Dental Hospital, UK

Articles by Sukbir Nandra

Oluwatoyin Aiyegbusi

BDS, MFDS RCSGlas

Oral Maxillofacial Surgery, Restorative and Special Care Dentistry at Royal Preston Hospital

Articles by Oluwatoyin Aiyegbusi

Email Oluwatoyin Aiyegbusi

Abstract

If oral cancer is diagnosed at an advanced stage, 5-year survival prognosis can be particularly poor. The existing literature indicates that patient anxiety is a contributing factor to patient delay in oral cancer diagnosis.

CPD/Clinical Relevance: This article explores the causes of delay in oral cancer diagnosis and encourages practitioners to play an active role in the early diagnosis of oral cancer. Practitioners should appreciate the need to take a holistic approach to patient management and understand that treatment of patients must be tailored to account for their general or specific anxiety issues.

Article

Despite efforts to reduce predisposing risk factors, incidence rates for head and neck cancer in the UK have increased by 30% since the early 1990s and are projected to rise by a further 33% over the next 20 years.1 It has been suggested that there is poorer survival from cancer in the United Kingdom than other European countries; this can be attributed to more advanced cancer progression at initial presentation.2 Unfortunately, oral cancer is often diagnosed late, which results in higher mortality rates. If oral cancer is identified at an advanced stage, when tumour size is large and there is lymph node involvement or metastases, 5-year survival rate can be as low as 20%.3 In contrast, early detection of oral cancer may limit the extent of treatment required and improve survival rates. The 5-year survival rate has been found to be higher than 90% if a diagnosis is made in the initial stages of the disease.4

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