ABSTRACT
ABSTRACT Objective The aim of the present study was to identify the profile of patients diagnosed with oral squamous cell carcinoma (SCC) and factors associated with the clinical stage of the disease. Materials and Method A cross-sectional study was conducted with a sample of 293 medical charts of patients with SCC treated at an oncology reference center in the city of Campina Grande (Brazil) between 2000 and 2006. Descriptive and inferential statistics were performed with robust Poisson regression (α=5%). Results Males (56.6%), non-white individuals (49.0%) and individuals over than 60 years of age (74.1%) were the most affected by SCC. The tongue (35.1%) and palate (21.5%) were the most common sites. A large portion of the patients were smokers (37.6%) and 60.2% were in an advanced stage of the disease. Clinical staging was not associated with sex, age, skin color or drinking and/or smoking habits. Conclusion There was a higher incidence of SCC in men, older patients, non-white individuals and smokers. Clinical staging was not associated with the variables analyzed.(AU)
RESUMEN Objetivos Identificar el perfil de los pacientes con diagnóstico de carcinoma de células escamosas (CCE) de la boca y los factores asociados a la estadificación clínica de la enfermedad. Métodos Estudio transversal con muestra de 293 historias de pacientes portadores de CEC, atendidos en un Centro de Referencia de Oncología del municipio de Campina Grande (PB), de 2000 a 2006. Se utilizó estadística descriptiva e inferencial por medio de la Regresión Robusta de Poisson (α=5%). Resultados El sexo masculino (56,6%), los no blancos¿? (49,0%) y el grupo de más de 60 años (74,1%) fueron los más afectados por la neoplasia; la lengua (35,1%) y el paladar (21,5%) fueron los sitios más afectados; la mayoría poseía hábito de tabaquismo (37,6%) y el 60,2% presentaba etapa avanzada de la enfermedad. La estadificación clínica no se asoció al sexo, la edad, el color de la piel y a los hábitos de beber y/o fumar. Conclusiones Se observó una mayor ocurrencia de CEC en hombres, en pacientes con edad más avanzada, no blancos y que poseían hábitos de tabaquismo, pero sin asociación estadística.(AU)
Subject(s)
Humans , Mouth Neoplasms/pathology , Carcinoma, Squamous Cell/epidemiology , Neoplasm Staging , Brazil/epidemiology , Epidemiology, Descriptive , Cross-Sectional Studies/instrumentationABSTRACT
O objetivo deste estudo foi analisar o comportamento do adolescente em relação aos hábitos de higiene oral e a influência da variável socioeconômica no município de Caruaru-PE. Para isso foram entrevistados com um formulário semi-estruturado com perguntas abertas e fechadas, 279 alunos, 139 de uma escola pública e 140 de uma escola particular no ano de 2006. O teste estatístico utilizado foi o Qui-quadrado. O cirurgião-dentista foi à principal fonte de informação sobre doenças bucais (80,2%). O número de escovações diárias, apresentou diferença significativa entre os dois tipos de escola, sendo que a maioria recebeu orientações do cirurgião-dentista sobre o assunto (96,1%) e um menor número quanto ao tipo de escova (58,1%), porém estes últimos sem diferença significativa. 94,9% respondeu que há situações em que demoram mais na escovação (p<0,05), sendo que as respostas ao sair e a ao sentir mau hálito apresentaram diferença signicativa entre os dois tipos de escola. Um percentual de 66,1% relatou fazer uso do fio dental (p<0,05) e recebeu orientação do cirurgião-dentista quanto ao assunto (63,3%), p>0,05. O período da última consulta ao cirurgião-dentista (menos de um ano, 62,2%), a prevenção (52,2%) e a obturação (21%) como motivo da consulta foram os dados que apresentaram diferença significativa entre os dois tipos de escola. Estudos regionais, com vistas a contribuir com a implementação de programas em saúde bucal, na tentativa de reversão dos índices insatisfatórios, assim como possibilitar a elaboração de indicadores de saúde bucal na adolescência se fazem necessários.
The objective of this study was to analyze the behavior of adolescents in respect to the habits of oral hygiene and the influence of the socioeconomic variable in the city of Caruaru-PE. 279 students were interviewed with a semi-structured form, with open and closed questions, 139 from a public school and 140 from a private school, in 2006. The statistical test used was the Chi-square. The dental surgeon was the main source of information on mouth diseases ( 80.2%). The number of daily brushing presented a significant difference in each type of school, the majority receiving orientation from the dental surgeon on the subject (96.1%) and a smaller number on the type of toothbrush (58.1%), although these without a significant difference. 94.9% answered that there are situations in which they take longer brushing (p>0.05), but the answers when going out and halitosis showed a significant difference in the two types of school. A percentage of 66.1% reported to use dental floss (p<0.05) and received orientation from the dental surgeon on the subject (63.3%), p>0.05. The period of the last consult to the dental surgeon (less than a year, 62.2%), prevention (52.2%) and fillings (21%) as motive for the consult were the data that presented significant difference in the types of school. Regional studies, with the intent of contributing to the implementation of oral health programs, attempting to reverse unsatisfactory indexes, as well as to make possible the elaboration of oral health indicators in adolescence are necessary.