Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare
This study aims to evaluate the time-to-treatment of oral cancer and potentially malignant oral disorders (PMOD) in a Malaysian public healthcare setting while exploring its contributing factors. It consists of (1) a cross-sectional patient survey to quantify time to seek care and barriers faced, an...
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my.um.eprints.438432024-02-15T07:06:11Z http://eprints.um.edu.my/43843/ Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare Raman, Sivaraj Shafie, Asrul Akmal Abraham, Mannil Thomas Kiong, Shim Chen Maling, Thaddius Herman Rajendran, Senthilmani Cheong, Sok Ching RK Dentistry This study aims to evaluate the time-to-treatment of oral cancer and potentially malignant oral disorders (PMOD) in a Malaysian public healthcare setting while exploring its contributing factors. It consists of (1) a cross-sectional patient survey to quantify time to seek care and barriers faced, and (2) a retrospective medical record abstraction to determine treatment and management intervals. Time intervals were aggregated and analyzed by their primary contributor—patient, professional, or healthcare system. The average total time-to-treatment of the 104 patients investigated was 167 days (SD = 158). This was predominantly contributed by the patient interval of 120 days (SD = 152). In total, 67.0 of patients delayed their visit to primary healthcare centers because they assumed the lesions were not dangerous or of concern. Additionally, there was a significant difference between patients ‘facing’ and ‘not facing’ difficulties to seek care, at 157 vs. 103 days (p = 0.028). System and professional delays were comparably shorter, at 33 days (SD = 20) and 10 days (SD = 15) respectively. Both demonstrated a significant difference between oral cancer and PMOD, at 43 vs. 29 days (p < 0.001) and 5 vs. 17 days (p < 0.001). The findings reiterate the need to reform current initiatives to better promote early lesion recognition by patients and implement strategies for the elimination of their access barriers. © 2022 by the authors. MDPI 2022 Article PeerReviewed Raman, Sivaraj and Shafie, Asrul Akmal and Abraham, Mannil Thomas and Kiong, Shim Chen and Maling, Thaddius Herman and Rajendran, Senthilmani and Cheong, Sok Ching (2022) Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare. Dentistry Journal, 10 (11). ISSN 2304-6767, DOI https://doi.org/10.3390/dj10110199 <https://doi.org/10.3390/dj10110199>. 10.3390/dj10110199 |
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RK Dentistry Raman, Sivaraj Shafie, Asrul Akmal Abraham, Mannil Thomas Kiong, Shim Chen Maling, Thaddius Herman Rajendran, Senthilmani Cheong, Sok Ching Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare |
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This study aims to evaluate the time-to-treatment of oral cancer and potentially malignant oral disorders (PMOD) in a Malaysian public healthcare setting while exploring its contributing factors. It consists of (1) a cross-sectional patient survey to quantify time to seek care and barriers faced, and (2) a retrospective medical record abstraction to determine treatment and management intervals. Time intervals were aggregated and analyzed by their primary contributor—patient, professional, or healthcare system. The average total time-to-treatment of the 104 patients investigated was 167 days (SD = 158). This was predominantly contributed by the patient interval of 120 days (SD = 152). In total, 67.0 of patients delayed their visit to primary healthcare centers because they assumed the lesions were not dangerous or of concern. Additionally, there was a significant difference between patients ‘facing’ and ‘not facing’ difficulties to seek care, at 157 vs. 103 days (p = 0.028). System and professional delays were comparably shorter, at 33 days (SD = 20) and 10 days (SD = 15) respectively. Both demonstrated a significant difference between oral cancer and PMOD, at 43 vs. 29 days (p < 0.001) and 5 vs. 17 days (p < 0.001). The findings reiterate the need to reform current initiatives to better promote early lesion recognition by patients and implement strategies for the elimination of their access barriers. © 2022 by the authors. |
format |
Article |
author |
Raman, Sivaraj Shafie, Asrul Akmal Abraham, Mannil Thomas Kiong, Shim Chen Maling, Thaddius Herman Rajendran, Senthilmani Cheong, Sok Ching |
author_facet |
Raman, Sivaraj Shafie, Asrul Akmal Abraham, Mannil Thomas Kiong, Shim Chen Maling, Thaddius Herman Rajendran, Senthilmani Cheong, Sok Ching |
author_sort |
Raman, Sivaraj |
title |
Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare |
title_short |
Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare |
title_full |
Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare |
title_fullStr |
Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare |
title_full_unstemmed |
Time-to-treatment of oral cancer and potentially malignant oral disorders: Findings in Malaysian public healthcare |
title_sort |
time-to-treatment of oral cancer and potentially malignant oral disorders: findings in malaysian public healthcare |
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MDPI |
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2022 |
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http://eprints.um.edu.my/43843/ |
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1792148414662705152 |
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13.18916 |