Teledentistry: A Tool to Promote Continuing Education Actions on Oral Medicine for Primary Healthcare Professionals
Background: Difficulties in diagnosis of oral mucosal lesions are a significant cause of delayed oral cancer diagnosis, and this difficulty may be due to gaps in knowledge. This study evaluated the diagnostic skills of primary healthcare professionals regarding oral cancer and presented them with an...
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| Veröffentlicht in: | Telemedicine journal and e-health 2017-04, Vol.23 (4), p.327-333 |
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| creator | Roxo-Gonçalves, Michelle Strey, Jéssica R. Bavaresco, Caren S. Martins, Marco Antonio T. Romanini, Juliana Pilz, Carlos Harzheim, Erno Umpierre, Roberto Martins, Manoela D. Carrard, Vinicius C. |
| description | Background:
Difficulties in diagnosis of oral mucosal lesions are a significant cause of delayed oral cancer diagnosis, and this difficulty may be due to gaps in knowledge. This study evaluated the diagnostic skills of primary healthcare professionals regarding oral cancer and presented them with an e-learning course.
Materials and Methods:
Forty-seven primary healthcare professionals (32 dentists and 15 nondentists) enrolled in a 24-h course on oral medicine delivered through an e-learning platform. A test, based on 33 clinical images of oral lesions, was used to evaluate the diagnostic skills of participants. The participants were requested to classify each lesion as benign, potentially malignant, or malignant as well as to inform their clinical impression. Three specialists also took the test as the gold standard.
Results:
Twenty-seven participants completed the test. Nondentists and dentists showed a comparable sensitivity of 68.8 ± 11.1 and 63.7 ± 15.8, respectively. Specialists performed somewhat better; however, the difference was not statistically significant (81.0% ± 4.1%,
p
= 0.16). Dentists and specialists (70.0% ± 16.6% and 95.5% ± 3.1%, respectively) showed higher specificity than nondentists (39.3 ± 20.6,
p |
| doi_str_mv | 10.1089/tmj.2016.0101 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835000790</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1835000790</sourcerecordid><originalsourceid>FETCH-LOGICAL-c403t-5a0ce3ebd776569b1ee95ccb58d0c419063771164af40f4ea9b8bd3a08148bd13</originalsourceid><addsrcrecordid>eNqFkLtOxDAQRS0E4l3SIpc0WWbixE7oVqvlIYGWYqkjx5lAUBKD7RT8PY4WaKnmyj5zpTmMXSAsEIryOgzvixRQLgAB99gx5rlMhJTl_pwFJLlM1RE78f4dADJU6SE7SlUBKaI6Zn5LPTU0hs4H93XDl3xrbc-D5c_ODjYQX9n4OU7d-MrXzWR06OzIl2Yense4cbrnT9R0phuJt9bFzW7Q7ovfk-7Dm9GO5rKWvI87uvdn7KCNg85_5il7uV1vV_fJ4-buYbV8TEwGIiS5BkOC6kYpmcuyRqIyN6bOiwZMhiVIoRSizHSbQZuRLuuiboSGArMYUJyyq13vh7OfE_lQDZ031Pd6JDv5CguRRyeqhIgmO9Q4672jtvrYHVEhVLPnKnquZs_V7Dnylz_VUz1Q80f_io2A2AHzsx7HvqOaXPin9hvqXYtU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1835000790</pqid></control><display><type>article</type><title>Teledentistry: A Tool to Promote Continuing Education Actions on Oral Medicine for Primary Healthcare Professionals</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Roxo-Gonçalves, Michelle ; Strey, Jéssica R. ; Bavaresco, Caren S. ; Martins, Marco Antonio T. ; Romanini, Juliana ; Pilz, Carlos ; Harzheim, Erno ; Umpierre, Roberto ; Martins, Manoela D. ; Carrard, Vinicius C.</creator><creatorcontrib>Roxo-Gonçalves, Michelle ; Strey, Jéssica R. ; Bavaresco, Caren S. ; Martins, Marco Antonio T. ; Romanini, Juliana ; Pilz, Carlos ; Harzheim, Erno ; Umpierre, Roberto ; Martins, Manoela D. ; Carrard, Vinicius C.</creatorcontrib><description>Background:
Difficulties in diagnosis of oral mucosal lesions are a significant cause of delayed oral cancer diagnosis, and this difficulty may be due to gaps in knowledge. This study evaluated the diagnostic skills of primary healthcare professionals regarding oral cancer and presented them with an e-learning course.
Materials and Methods:
Forty-seven primary healthcare professionals (32 dentists and 15 nondentists) enrolled in a 24-h course on oral medicine delivered through an e-learning platform. A test, based on 33 clinical images of oral lesions, was used to evaluate the diagnostic skills of participants. The participants were requested to classify each lesion as benign, potentially malignant, or malignant as well as to inform their clinical impression. Three specialists also took the test as the gold standard.
Results:
Twenty-seven participants completed the test. Nondentists and dentists showed a comparable sensitivity of 68.8 ± 11.1 and 63.7 ± 15.8, respectively. Specialists performed somewhat better; however, the difference was not statistically significant (81.0% ± 4.1%,
p
= 0.16). Dentists and specialists (70.0% ± 16.6% and 95.5% ± 3.1%, respectively) showed higher specificity than nondentists (39.3 ± 20.6,
p
< 0.01). Nondentists had a higher number of unanswered questions (
p
< 0.01) for classification and clinical impression (50.0% ±45.1% and 72.0% ± 25.0%, respectively) than dentists (5.7% ±11.9% and 19.8% ± 20%, respectively). Both dentists and nondentists had low attendance in the course (44.57% ± 37.38% and 26.53% ± 26.53%, respectively,
p
= 0.26). To the best of our knowledge, this is the first study to assess the diagnostic skills of public health workers belonging to different professional categories.
Conclusion:
Both dentists and nondentists have a fairly good capacity for discriminating the nature of oral lesions. Early squamous cell carcinoma is the most challenging situation and remains an issue to be addressed.</description><identifier>ISSN: 1530-5627</identifier><identifier>EISSN: 1556-3669</identifier><identifier>DOI: 10.1089/tmj.2016.0101</identifier><identifier>PMID: 27802117</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adult ; Clinical Competence ; Cross-Sectional Studies ; Dentists - education ; Education, Continuing - methods ; Education, Distance - methods ; Female ; Health Personnel - education ; Humans ; Internet ; Male ; Mouth Diseases - diagnosis ; Mouth Neoplasms - diagnosis ; Original Research ; Primary Health Care ; Reproducibility of Results</subject><ispartof>Telemedicine journal and e-health, 2017-04, Vol.23 (4), p.327-333</ispartof><rights>2017, Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-5a0ce3ebd776569b1ee95ccb58d0c419063771164af40f4ea9b8bd3a08148bd13</citedby><cites>FETCH-LOGICAL-c403t-5a0ce3ebd776569b1ee95ccb58d0c419063771164af40f4ea9b8bd3a08148bd13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27802117$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roxo-Gonçalves, Michelle</creatorcontrib><creatorcontrib>Strey, Jéssica R.</creatorcontrib><creatorcontrib>Bavaresco, Caren S.</creatorcontrib><creatorcontrib>Martins, Marco Antonio T.</creatorcontrib><creatorcontrib>Romanini, Juliana</creatorcontrib><creatorcontrib>Pilz, Carlos</creatorcontrib><creatorcontrib>Harzheim, Erno</creatorcontrib><creatorcontrib>Umpierre, Roberto</creatorcontrib><creatorcontrib>Martins, Manoela D.</creatorcontrib><creatorcontrib>Carrard, Vinicius C.</creatorcontrib><title>Teledentistry: A Tool to Promote Continuing Education Actions on Oral Medicine for Primary Healthcare Professionals</title><title>Telemedicine journal and e-health</title><addtitle>Telemed J E Health</addtitle><description>Background:
Difficulties in diagnosis of oral mucosal lesions are a significant cause of delayed oral cancer diagnosis, and this difficulty may be due to gaps in knowledge. This study evaluated the diagnostic skills of primary healthcare professionals regarding oral cancer and presented them with an e-learning course.
Materials and Methods:
Forty-seven primary healthcare professionals (32 dentists and 15 nondentists) enrolled in a 24-h course on oral medicine delivered through an e-learning platform. A test, based on 33 clinical images of oral lesions, was used to evaluate the diagnostic skills of participants. The participants were requested to classify each lesion as benign, potentially malignant, or malignant as well as to inform their clinical impression. Three specialists also took the test as the gold standard.
Results:
Twenty-seven participants completed the test. Nondentists and dentists showed a comparable sensitivity of 68.8 ± 11.1 and 63.7 ± 15.8, respectively. Specialists performed somewhat better; however, the difference was not statistically significant (81.0% ± 4.1%,
p
= 0.16). Dentists and specialists (70.0% ± 16.6% and 95.5% ± 3.1%, respectively) showed higher specificity than nondentists (39.3 ± 20.6,
p
< 0.01). Nondentists had a higher number of unanswered questions (
p
< 0.01) for classification and clinical impression (50.0% ±45.1% and 72.0% ± 25.0%, respectively) than dentists (5.7% ±11.9% and 19.8% ± 20%, respectively). Both dentists and nondentists had low attendance in the course (44.57% ± 37.38% and 26.53% ± 26.53%, respectively,
p
= 0.26). To the best of our knowledge, this is the first study to assess the diagnostic skills of public health workers belonging to different professional categories.
Conclusion:
Both dentists and nondentists have a fairly good capacity for discriminating the nature of oral lesions. Early squamous cell carcinoma is the most challenging situation and remains an issue to be addressed.</description><subject>Adult</subject><subject>Clinical Competence</subject><subject>Cross-Sectional Studies</subject><subject>Dentists - education</subject><subject>Education, Continuing - methods</subject><subject>Education, Distance - methods</subject><subject>Female</subject><subject>Health Personnel - education</subject><subject>Humans</subject><subject>Internet</subject><subject>Male</subject><subject>Mouth Diseases - diagnosis</subject><subject>Mouth Neoplasms - diagnosis</subject><subject>Original Research</subject><subject>Primary Health Care</subject><subject>Reproducibility of Results</subject><issn>1530-5627</issn><issn>1556-3669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkLtOxDAQRS0E4l3SIpc0WWbixE7oVqvlIYGWYqkjx5lAUBKD7RT8PY4WaKnmyj5zpTmMXSAsEIryOgzvixRQLgAB99gx5rlMhJTl_pwFJLlM1RE78f4dADJU6SE7SlUBKaI6Zn5LPTU0hs4H93XDl3xrbc-D5c_ODjYQX9n4OU7d-MrXzWR06OzIl2Yense4cbrnT9R0phuJt9bFzW7Q7ovfk-7Dm9GO5rKWvI87uvdn7KCNg85_5il7uV1vV_fJ4-buYbV8TEwGIiS5BkOC6kYpmcuyRqIyN6bOiwZMhiVIoRSizHSbQZuRLuuiboSGArMYUJyyq13vh7OfE_lQDZ031Pd6JDv5CguRRyeqhIgmO9Q4672jtvrYHVEhVLPnKnquZs_V7Dnylz_VUz1Q80f_io2A2AHzsx7HvqOaXPin9hvqXYtU</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Roxo-Gonçalves, Michelle</creator><creator>Strey, Jéssica R.</creator><creator>Bavaresco, Caren S.</creator><creator>Martins, Marco Antonio T.</creator><creator>Romanini, Juliana</creator><creator>Pilz, Carlos</creator><creator>Harzheim, Erno</creator><creator>Umpierre, Roberto</creator><creator>Martins, Manoela D.</creator><creator>Carrard, Vinicius C.</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Teledentistry: A Tool to Promote Continuing Education Actions on Oral Medicine for Primary Healthcare Professionals</title><author>Roxo-Gonçalves, Michelle ; Strey, Jéssica R. ; Bavaresco, Caren S. ; Martins, Marco Antonio T. ; Romanini, Juliana ; Pilz, Carlos ; Harzheim, Erno ; Umpierre, Roberto ; Martins, Manoela D. ; Carrard, Vinicius C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-5a0ce3ebd776569b1ee95ccb58d0c419063771164af40f4ea9b8bd3a08148bd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Clinical Competence</topic><topic>Cross-Sectional Studies</topic><topic>Dentists - education</topic><topic>Education, Continuing - methods</topic><topic>Education, Distance - methods</topic><topic>Female</topic><topic>Health Personnel - education</topic><topic>Humans</topic><topic>Internet</topic><topic>Male</topic><topic>Mouth Diseases - diagnosis</topic><topic>Mouth Neoplasms - diagnosis</topic><topic>Original Research</topic><topic>Primary Health Care</topic><topic>Reproducibility of Results</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roxo-Gonçalves, Michelle</creatorcontrib><creatorcontrib>Strey, Jéssica R.</creatorcontrib><creatorcontrib>Bavaresco, Caren S.</creatorcontrib><creatorcontrib>Martins, Marco Antonio T.</creatorcontrib><creatorcontrib>Romanini, Juliana</creatorcontrib><creatorcontrib>Pilz, Carlos</creatorcontrib><creatorcontrib>Harzheim, Erno</creatorcontrib><creatorcontrib>Umpierre, Roberto</creatorcontrib><creatorcontrib>Martins, Manoela D.</creatorcontrib><creatorcontrib>Carrard, Vinicius C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Telemedicine journal and e-health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roxo-Gonçalves, Michelle</au><au>Strey, Jéssica R.</au><au>Bavaresco, Caren S.</au><au>Martins, Marco Antonio T.</au><au>Romanini, Juliana</au><au>Pilz, Carlos</au><au>Harzheim, Erno</au><au>Umpierre, Roberto</au><au>Martins, Manoela D.</au><au>Carrard, Vinicius C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Teledentistry: A Tool to Promote Continuing Education Actions on Oral Medicine for Primary Healthcare Professionals</atitle><jtitle>Telemedicine journal and e-health</jtitle><addtitle>Telemed J E Health</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>23</volume><issue>4</issue><spage>327</spage><epage>333</epage><pages>327-333</pages><issn>1530-5627</issn><eissn>1556-3669</eissn><abstract>Background:
Difficulties in diagnosis of oral mucosal lesions are a significant cause of delayed oral cancer diagnosis, and this difficulty may be due to gaps in knowledge. This study evaluated the diagnostic skills of primary healthcare professionals regarding oral cancer and presented them with an e-learning course.
Materials and Methods:
Forty-seven primary healthcare professionals (32 dentists and 15 nondentists) enrolled in a 24-h course on oral medicine delivered through an e-learning platform. A test, based on 33 clinical images of oral lesions, was used to evaluate the diagnostic skills of participants. The participants were requested to classify each lesion as benign, potentially malignant, or malignant as well as to inform their clinical impression. Three specialists also took the test as the gold standard.
Results:
Twenty-seven participants completed the test. Nondentists and dentists showed a comparable sensitivity of 68.8 ± 11.1 and 63.7 ± 15.8, respectively. Specialists performed somewhat better; however, the difference was not statistically significant (81.0% ± 4.1%,
p
= 0.16). Dentists and specialists (70.0% ± 16.6% and 95.5% ± 3.1%, respectively) showed higher specificity than nondentists (39.3 ± 20.6,
p
< 0.01). Nondentists had a higher number of unanswered questions (
p
< 0.01) for classification and clinical impression (50.0% ±45.1% and 72.0% ± 25.0%, respectively) than dentists (5.7% ±11.9% and 19.8% ± 20%, respectively). Both dentists and nondentists had low attendance in the course (44.57% ± 37.38% and 26.53% ± 26.53%, respectively,
p
= 0.26). To the best of our knowledge, this is the first study to assess the diagnostic skills of public health workers belonging to different professional categories.
Conclusion:
Both dentists and nondentists have a fairly good capacity for discriminating the nature of oral lesions. Early squamous cell carcinoma is the most challenging situation and remains an issue to be addressed.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>27802117</pmid><doi>10.1089/tmj.2016.0101</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 1530-5627 |
| ispartof | Telemedicine journal and e-health, 2017-04, Vol.23 (4), p.327-333 |
| issn | 1530-5627 1556-3669 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Clinical Competence Cross-Sectional Studies Dentists - education Education, Continuing - methods Education, Distance - methods Female Health Personnel - education Humans Internet Male Mouth Diseases - diagnosis Mouth Neoplasms - diagnosis Original Research Primary Health Care Reproducibility of Results |
| title | Teledentistry: A Tool to Promote Continuing Education Actions on Oral Medicine for Primary Healthcare Professionals |
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