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A prevalência da doença periodontal e da cárie dentária em pacientes com cancro da cabeça e pescoço no Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE : um estudo transversal
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Advisor(s)
Abstract(s)
Contexto: O cancro oral é um dos tipos de cancro mais prevalentes, sendo o carcinoma pavimento celular (CPC) o mais comum. Estes pacientes apresentam um maior risco de doenças orais, menor literacia em saúde oral e, consequentemente, uma qualidade de vida deteriorada. Este estudo teve como objetivo reportar o estado de saúde oral de pacientes com CPC oral seguidos no Instituto Português de Oncologia de Lisboa
Francisco Gentil (IPOLFG) e a associação com o nível de valorização para a saúde oral e qualidade de vida relacionada com a saúde oral (QdVRSO).
Materiais e Métodos: Este estudo transversal foi desenvolvido no IPOLFG, recebeu aprovação da respetiva Comissão de Revisão Institucional (Comissão de Ética do IPOLFG, ID: 1539) e seguiu a Declaração de Helsínquia de 1975, revista em 2013. Os pacientes com um primeiro diagnóstico de CPC preencheram um questionário que incluía dados sociodemográficos, o Oral Health Value Scale (OHVSPT),
o Oral Health impact profile (OHIP14) para medir a QdVRSO e o estado periodontal auto-reportado.
A experiência de cárie dentária foi medida através do índice CPOD, registado por observação clínica.
Resultados: A amostra consistiu em 46 pacientes com diagnóstico confirmado de CPC oral. A idade média foi de 70.0 anos (± 13.2). Verificou-se uma diferença estatisticamente significativa quanto aos valores de saúde oral entre sexos, relativamente à retenção de dentes naturais (p=0.021), sendo superior nas mulheres.
Também, a Periodontite auto-reportada apresentou relação significativa com a limitação funcional (p=0.039) e a dor física (p=0.049). Em relação ao índice CPOD, os dentes posteriores foram os mais perdidos (59.2%).
Discussão e Conclusões: Os pacientes com CPC oral apresentaram deterioração elevada do seu estado de saúde oral compatível com os dados reportados pelos mesmos.
Estes resultados servirão para desenvolver estudos de maior dimensão, prospetivos e projetar futuros programas de saúde oral no Serviço Nacional de Saúde (SNS).
Background: Oral cancer is one of the most prevalent types of cancer, with squamous cell carcinoma (SCC) being the most common. These patients have a higher risk of oral diseases, lower oral health literacy and, consequently, a deteriorated quality of life. This study aimed to report the oral health status of patients with an oral SCC followed at the Instituto Português de Oncologia de Lisboa Francisco Gentil (IPOLFG) and the association with the level of valuation for oral health and oral healthrelated quality of life (OHRQoL). Materials and Methods: This crosssectional study was developed at IPOLFG, received approval from the respective Institutional Review Board (Ethics Committee of IPOLFG, ID: 1539) and followed the Helsinki Declaration of 1975, revised in 2013. Patients with a first diagnosis of an oral SCC completed a questionnaire that included sociodemographic data, the Oral Health Value Scale (OHVSPT), the Oral Health impact profile (OHIP14) to measure OHRQoL and selfreported periodontal status. Dental caries experience was measured using the DMF index, recorded by clinical observation. Results: The sample consisted of 46 patients with a confirmed diagnosis of an oral SCC. The mean age was 70.0 years (± 13.2). There was a statistically significant difference in oral health values between genders regarding retention of natural teeth (p=0.021), being higher on females. Also, selfreported periodontitis showed a significant relationship with functional limitation (p=0.039) and physical pain (p=0.049). Regarding the DMF index, the posterior teeth were the most lost (59.2%). Discussion and Conclusions: Patients with an oral SCC showed high deterioration of their oral health status related to the data reported by patients. These results will serve to develop larger, prospective studies and design future oral health programmes in the national health system.
Background: Oral cancer is one of the most prevalent types of cancer, with squamous cell carcinoma (SCC) being the most common. These patients have a higher risk of oral diseases, lower oral health literacy and, consequently, a deteriorated quality of life. This study aimed to report the oral health status of patients with an oral SCC followed at the Instituto Português de Oncologia de Lisboa Francisco Gentil (IPOLFG) and the association with the level of valuation for oral health and oral healthrelated quality of life (OHRQoL). Materials and Methods: This crosssectional study was developed at IPOLFG, received approval from the respective Institutional Review Board (Ethics Committee of IPOLFG, ID: 1539) and followed the Helsinki Declaration of 1975, revised in 2013. Patients with a first diagnosis of an oral SCC completed a questionnaire that included sociodemographic data, the Oral Health Value Scale (OHVSPT), the Oral Health impact profile (OHIP14) to measure OHRQoL and selfreported periodontal status. Dental caries experience was measured using the DMF index, recorded by clinical observation. Results: The sample consisted of 46 patients with a confirmed diagnosis of an oral SCC. The mean age was 70.0 years (± 13.2). There was a statistically significant difference in oral health values between genders regarding retention of natural teeth (p=0.021), being higher on females. Also, selfreported periodontitis showed a significant relationship with functional limitation (p=0.039) and physical pain (p=0.049). Regarding the DMF index, the posterior teeth were the most lost (59.2%). Discussion and Conclusions: Patients with an oral SCC showed high deterioration of their oral health status related to the data reported by patients. These results will serve to develop larger, prospective studies and design future oral health programmes in the national health system.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Cancro oral Carcinoma pavimento celular oral Qualidade de vida Saúde oral