Indicadores da malignidade das lesões bucais no município de São Carlos, SP / Indicators of malignancy of oral lesions in São Carlos, SP

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

26/07/2011

RESUMO

This retrospective study aimed to assess the association between oral lesions and demographic variables and related to habits and to identify risk indicators of malignancy of oral lesions in São Carlos - SP. Data were collected from a digital file provided by the Center for Dental Specialties (CEO), São Carlos, Brazil, between 2006 and 2010. The study population consisted of 885 users referred to the CEO by the Units of Primary Health Clinic of São Carlos to a specialist for diagnostic biopsy of the oral cavity. The prevalence of potentially malignant lesion or malignant was 20.34% (n=180). To test the association between dependent variable (potentially malignant lesion or malignant) and independent (type of unit, area, age, gender, number of lesions, risk factor, smoking, alcohol use, drug use continued, family history of cancer, immunocompromising systemic diseases, other diseases, sun exposure, trauma prosthesis, other mechanical trauma, previous history of cancer, reduction of stomach and other digestive tract problems, dry mouth, oral hygiene, fair, poor or very poor , pregnancy, chemotherapy or radiotherapy, dental examination, treatment or dropout), a bivariate analysis was conducted using the chi-square test or Fisher exact test. Multiple logistic regression analysis was performed, estimating the odds ratio (OR), the respective 95% confidence interval (CI) and p values. Sun exposure (OR = 7.519), smoking (OR = 3.356), rural residence (OR = 1.788), male gender (OR = 1.972), absence of trauma prosthesis (OR = 4.606) and immunocompromising systemic diseases (OR = 3.300) were risk indicators for the presence of malignant or premalignant lesions. Knowing these indicators is important for planning the collective care in the prevention and early diagnosis of cancer of the mouth and throat, allowing for a screening of risk groups and strengthen health surveillance on them

ASSUNTO(S)

neoplasias bucais epidemiologia mouth neoplasms epidemiology

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