Impact of the anatomical location, alcoholism and smoking on the prevalence of advanced oral cancer in Brazil
Med. oral patol. oral cir. bucal (Internet)
; 23(3): e295-e301, mayo 2018. tab
Artigo
em Inglês
| IBECS
| ID: ibc-175880
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
BACKGROUND:
To evaluate the prevalence of oral cancer in Brazil according to the clinical stage, anatomical location, alcoholism and smoking. MATERIAL ANDMETHODS:
Data referring to 31,217 cases of oral cancer, from 2000 to 2010, were obtained from the Integrator Module of the Hospital Registry of Cancer. Inconsistent data ("non-classified" cases) was eliminated and 21,160 cases were analyzed. The frequency distribution according to clinical stage, anatomical location, alcoholism and smoking was analyzed descriptively and through a binary logistic regression model (α<0.05). The clinical stage (dependent variable) was dichotomized in early stage (I and II) or advanced stage (III and IV). The year of diagnosis, anatomical location and deleterious habits (alcoholism and smoking) were considered independent variables.RESULTS:
The most frequent characteristics were oropharynx location (n=3856, 18.41%), clinical stage IV (n=11924, 56.09%) and combined use of alcohol and tobacco (n=19226; 61.59%). The year 2009 (p < 0.01, PR = 1.162, CI- 95%=1.053-1.283) and location at the base of tongue (p < 0.01, PR = 2.485, CI-95% = 2.182-2.807) presented a higher prevalence ratio for advanced stage oral cancer. The combined use of alcohol and tobacco showed a higher prevalence rate for the advanced clinical stage of cancer (p < 0.01, PR =1.449, CI-95%=1.382-1.520) if compared to individuals without habits, or just alcoholics.CONCLUSIONS:
Higher prevalence of advanced stage of oral cancer is related to the localization at the base of the tongue and to the concomitant use of alcohol and tobacco. Therefore, it can be suggested that all these characteristics lead to a worse prognosis of oral cancer
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
Problema de saúde:
Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
/
Álcool
Base de dados:
IBECS
Assunto principal:
Neoplasias Bucais
/
Fumar
/
Alcoolismo
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Med. oral patol. oral cir. bucal (Internet)
Ano de publicação:
2018
Tipo de documento:
Artigo
Instituição/País de afiliação:
Federal University of Paraiba/Brazil