Assessment and prevention of behavioural and social risk factors associated with oral cancer: protocol for a systematic review of clinical guidelines and systematic reviews to inform primary care dental professionals

Mathur, S., Conway, D. J. , Worlledge-Andrew, H. , Macpherson, L. M.D. and Ross, A. J. (2015) Assessment and prevention of behavioural and social risk factors associated with oral cancer: protocol for a systematic review of clinical guidelines and systematic reviews to inform primary care dental professionals. Systematic Reviews, 4, 184. (doi:10.1186/s13643-015-0169-1) (PMID:26693826) (PMCID:PMC4689050)

Mathur, S., Conway, D. J. , Worlledge-Andrew, H. , Macpherson, L. M.D. and Ross, A. J. (2015) Assessment and prevention of behavioural and social risk factors associated with oral cancer: protocol for a systematic review of clinical guidelines and systematic reviews to inform primary care dental professionals. Systematic Reviews, 4, 184. (doi:10.1186/s13643-015-0169-1) (PMID:26693826) (PMCID:PMC4689050)

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Abstract

Background: Tobacco and alcohol are recognised as the major risk factors for both oral cavity (mouth) and oropharyngeal (throat) cancers, with increasing acceptance of the role of human papillomavirus (HPV) in the aetiology of oropharyngeal cancers. In addition, there is a significant increased risk for oral cancer among lower socioeconomic groups, males and older age groups. There is a growing evidence for the potential role of primary care professionals in smoking cessation and reducing alcohol-related harm. However, there are uncertainties about the best approaches/strategies to assess risk factors associated with oral cancer, effective components of preventive interventions for behaviour change and implementation strategies in primary care dental settings. Thus, in order to contribute to the prevention of oral cancer effectively, dental professionals need to assess patients on the major risk factors (tobacco, alcohol and HPV/sexual behaviours) and deliver appropriate prevention, taking into account the patient’s sociodemographic context. Aim: The study aims to synthesise evidence on the best practice for undertaking an assessment of major behavioural risk factors associated with oral cancer and delivering effective behaviour change preventive interventions (e.g. advice, counselling, patient recall, signposting/referral to preventive services) by dental professionals in primary care dental settings. Method: The study involves a systematic review and evidence appraisal. We will search for clinical guidelines and systematic reviews from the following databases: Cochrane Library, Ovid MEDLINE, EMBASE, Web of Science, PsychINFO, PubMed, TRIP and Google Scholar. We will also search websites of professional organisations/agencies and bibliographies/reference lists of selected papers. Quality will be assessed with the AGREE II (Appraisal of Guidelines for Research & Evaluation II) instrument for included clinical guidelines and the AMSTAR (A Measurement Tool to Assess Systematic Reviews) and ROBIS instruments for included systematic reviews. The best practice evidence will be assessed via a narrative synthesis of extracted data, considering publication quality. Discussion: This systematic review will synthesise evidence on the best practice for oral cancer risk factor assessment and prevention and evaluate the relationship between available clinical guidelines and the review evidence base. This collation of evidence will be useful for making recommendations for future intervention, research and guideline development.

Item Type:Articles (Other)
Additional Information:The project has received funding from NHS Education for Scotland and the Glasgow Dental Educational Trust.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Mathur, Miss Sweta and Macpherson, Professor Lorna and Conway, Professor David and Worlledge-Andrew, Mrs Heather and Ross, Dr Alastair
Authors: Mathur, S., Conway, D. J., Worlledge-Andrew, H., Macpherson, L. M.D., and Ross, A. J.
Subjects:R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RK Dentistry
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
University Services > Library and Collection Services > Library
Journal Name:Systematic Reviews
Publisher:BioMed Central Ltd
ISSN:2046-4053
ISSN (Online):2046-4053
Copyright Holders:Copyright © 2015 Mathur et al.
First Published:First published in Systematic Reviews 4:184
Publisher Policy:Reproduced under a Creative Commons License

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