Barriers to early diagnosis and management of oral cancer in Latin America and the Caribbean
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Objective: This study aimed to explore perceived barriers to early diagnosis and management of oral cancer, as well as potential pathways for improvement in Latin America and the Caribbean (LAC). Methods: This cross-sectional study used a self-administered online questionnaire created via the Research Electronic Data Capture platform. The survey was distributed to health professionals trained in Oral Medicine, Oral Pathology, Oral and Maxillofacial Surgery, and Dentists with clinical and academic expertise in oral potentially malignant disorder (OPMD) and oral cancer. Data obtained were systematically organized and analyzed descriptively using Microsoft Excel. Results: Twenty-three professionals from 21 LAC countries participated. Major barriers included the limited implementation of OPMD and oral cancer control plans (17.4%25), low compulsory reporting for OPMD (8.7%25) and oral cancer (34.8%25), unclear referral pathways for OPMD (34.8%25) and oral cancer (43.5%25), and a shortage of trained professionals (8.7%25). Participants endorsed the utility of online education (100%25) and telemedicine (91.3%25). Conclusion: The survey highlights major perceived barriers to early diagnosis and management of OPMD and oral cancer in LAC, as well as potential avenues for improvement.
cancer registries; early detection; Latin America; oral cancer; oral medicine; oral potentially malignant disorders Adult; Attitude of Health Personnel; Caribbean Region; Cross-Sectional Studies; Early Detection of Cancer; Female; Health Services Accessibility; Humans; Latin America; Male; Mouth Neoplasms; Referral and Consultation; Surveys and Questionnaires; Telemedicine; adult; aged; Article; cancer control; cancer registry; cancer therapy; Caribbean; clinical pathway; control strategy; cross-sectional study; dental surgeon; dentist; descriptive research; digital health technology; e-learning; early cancer diagnosis; exploratory research; female; health care disparity; health care personnel; health care policy; health infrastructure; human; implementation science; internet access; male; mandatory reporting; medical education; mouth cancer; oral potentially malignant disorder; patient referral; personnel shortage; questionnaire; South and Central America; staff training; stakeholder engagement; stakeholder participation; telemedicine; total quality management; diagnosis; health care access; health personnel attitude; mouth tumor; therapy