Skip to main content Accessibility help
×
Home

Conceiving a national head and neck cancer screening programme

  • D S Gogarty (a1), A Shuman (a2), E M O'Sullivan (a3), P Sheahan (a4), J Kinsella (a5), C Timon (a5) and J P O'Neill (a6)...

Abstract

Background:

This study was undertaken to determine the optimum approach to screening for head and neck cancer based on international experiences.

Objective:

To determine whether or not head and neck cancer is suitable for screening, and, if so, what the ideal approach should be.

Methods:

An electronic search of online databases up to and including May 2014 was conducted. Key search terms included ‘head and neck’, ‘cancer’, ‘screening’, ‘larynx’, ‘oropharynx’ and ‘oral’.

Results:

Subset analysis of high-risk cohorts showed statistically significant improvements in early detection of head and neck cancer via screening.

Conclusion:

Current levels of public awareness regarding head and neck cancers are suboptimal, despite increased incidence and mortality. Scheduled and opportunistic screening, coupled with efforts to enhance education and health behaviour modification, are highly recommended for pre-defined, high-risk, targeted populations. This can enable early detection and therefore improve morbidity and mortality.

Copyright

Corresponding author

Address for correspondence: Dr Darragh Gogarty, 20 The Grove, Skerries Rock, Skerries, Co. Dublin,Ireland E-mail: gogartyd@gmail.com

References

Hide All
1Head and Neck Cancer Alliance. In: www.headandneck.org [21 October 2015]
2Mehanna, H, Paleri, V, West, CM, Nutting, C. Head and neck cancer – part 1: epidemiology, presentation, and prevention. BMJ 2010;341:c4684
3Boyle, P, Levin, B, eds. World Cancer Report 2008. Lyon: International Agency for Research on Cancer, 2008
4Mehana, H, West, CM, Nutting, C, Paleri, V. Head and neck cancer – part 2: treatment and prognostic factors. BMJ 2010;341:c4690
5Jackson, CR, Shuman, AG, Hogikyan, ND. A critical review of head and neck cancer screening. Eur J Clin Med Oncol 2011;3:3341
6Wilson, JM, Jungner, G. Principles and Practice of Screening for Disease. Geneva: World Health Organization, 1968
7Population screening programmes – guidance. Evidence and recommendations: NHS population screening. In: www.screening.nhs.uk/criteria [21 October 2015]
8Rose, G, Barker, D. Epidemiology for the uninitiated. Screening. Br Med J 1978;2:1417–18
9Gourin, CG, Kaboli, KC, Blume, EJ, Nance, MA, Koch, WM. Characteristics of participants in a free oral, head and neck cancer screening program. Laryngoscope 2009;119:679–82
10Shuman, AG, Entezami, P, Chernin, AS, Wallace, NE, Taylor, JM, Hogikyan, ND. Demographics and efficacy of head and neck cancer screening. Otolaryngol Head Neck Surg 2010;143:353–60
11Nunn, H, Lalli, A, Fortune, F, Croucher, R. Oral cancer screening in the Bangladeshi community of Tower Hamlets: a social model. Br J Cancer 2009;101:S6872
12O'Sullivan, EM. International variation in the incidence of oral and pharyngeal cancer. Community Dent Health 2008;25:148–53
13Cowan, CG, Gregg, TA, Kee, F. Trends in the incidence of histologically diagnosed intra-oral squamous cell carcinoma in Northern Ireland, 1975–89. Br Dent J 1992;173:231–3
14Gregg, TA, Cowan, CG, Kee, F. Trends in the relative frequency of histologically diagnosed epithelial dysplasia and intra-oral carcinoma in Northern Ireland, 1975–1989. Br Dent J 1992;173:234–6
15Oxford Cancer Intelligence Unit. Profile of Head and Neck Cancers in England: Incidence, Mortality and Survival. Oxford: Oxford Cancer Intelligence Unit, 2010
16National Cancer Registry Ireland. In: www.ncri.ie [21 October 2015]
17National Cancer Registry Ireland. Cancer Trends - Cancers of the head and neck, July 2011. In: http://www.ncri.ie/sites/ncri/files/pubs/CancerTrendsNo.10-CancersoftheHeadandNeck.pdf [21 October 2015]
18Decker, J, Goldstein, JC. Risk factors in head and neck cancer. N Engl J Med 1982;306:1151–5
19Goldenberg, D, Benoit, NE, Begum, S, Westra, WH, Cohen, Y, Koch, WM et al. Epstein-Barr virus in head and neck cancer assessed by quantitative polymerase chain reaction. Laryngoscope 2004;114:1027–31
20Brocklehurst, P, Kujan, O, Glenny, AM, Oliver, R, Sloan, P, Ogden, G et al. Screening programmes for the early detection and prevention of oral cancer. Cochrane Database Syst Rev 2010;(11):CD004150
21Conway, DI, Petticrew, M, Marlborough, H, Berthiller, J, Hashibe, M, Macpherson, LM. Socioeconomic inequalities and oral cancer risk: a systematic review and meta-analysis of case-control studies. Int J Cancer 2008;122:2811–19
22Hashibe, M, Jacob, BJ, Thomas, G, Ramadas, K, Mathew, B, Sankaranarayanan, R et al. Socioeconomic status, lifestyle factors and oral premalignant lesions. Oral Oncol 2003;39:664–71
23Marur, S, D'Souza, G, Westra, WH, Forastiere, AA. HPV-associated head and neck cancer: a virus-related epidemic. Lancet Oncol 2010;11:781–9
24Ang, KK, Harris, J, Wheeler, R, Weber, R, Rosenthal, DI, Nguyen-Tan, PF et al. Human papillomavirus and survival of patients with oropharyngeal cancer. N Engl J Med 2010;363:2435
25American Cancer Society. In: www.cancer.org [21 October 2015]
26Chien, YC, Chen, JY, Liu, MY, Yang, HI, Hsu, MM, Chen, CJ et al. Serologic markers of Epstein-Barr virus infection and nasopharyngeal carcinoma in Taiwanese men. N Engl J Med 2001;345:1877–82
27Chen, L, Gallicchio, L, Boyd-Lindsley, K, Tao, XG, Robinson, KA, Lam, TK et al. Alcohol consumption and the risk of nasopharyngeal carcinoma: a systematic review. Nutr Cancer 2009;61:115
28Lozano, R, Naghavi, M, Foreman, K, Lim, S, Shibuya, K, Aboyans, V et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2095–128
29Hjalgrim, H, Friborg, J, Melbye, M. The epidemiology of EBV and its association with malignant disease. In: Arvin, A, Campadelli-Fiume, G, Mocarski, E, Moore, PS, Roizman, B, Whitley, R et al. , eds. Human Herpesviruses: Biology, Therapy, and Immunoprophylaxis. Cambridge: Cambridge University Press, 2007;929–59
30Royal College of Pathologists. Standards and Datasets for Reporting Cancers: Datasets for Histopathology Reports on Head and Neck Carcinomas and Salivary Neoplasms, 2nd edn.London: Royal College of Pathologists, 2005
31US Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd edn.Washington, DC: Office of Disease Prevention and Health Promotion, 1996
32Prevention Committee – American Head and Neck Society: Position Statement on Screening for Head and Neck Cancer. In: http://www.ahns.info/documents/FinalScreeningPositionStatementPreventionCommitteFIN..pdf?8a5c02 [21 October 2015]
33Lingen, ML, Kalmar, JR, Karrison, T, Speight, PM. Critical evaluation of diagnostic aids for the detection of oral cancer. Oral Oncol 2008;44:1022
34Sankaranarayanan, R, Ramadas, K, Thomas, G, Muwonqe, R, Thara, S, Matthew, B et al. Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial. Lancet 2005;365:1927–33
35Warnakulasuriya, KA, Ekanayake, AN, Sivayoham, J, Stjernsward, J, Pindborg, JJ, Sobin, LH et al. Utilization of primary health care workers for early detection of oral cancer and precancer cases in Sri Lanka. Bull World Health Organ 1984;62:243–50
36Warnakulasuriya, KA, Nanayakkara, BG. Reproducibility of an oral cancer and precancer detection program using a primary health care model in Sri Lanka. Cancer Detect Prev 1991;15:331–4
37Mehta, FS, Gupta, PC, Bhonsle, RB, Murti, PR, Daftary, DK, Pindborg, JJ. Detection of oral cancer using basic health workers in an area of high oral cancer incidence in India. Cancer Detect Prev 1986;9:219–25
38Mathew, B, Sankaranarayan, R, Sunilkumar, KB, Kuruvila, B, Pisani, P, Nair, MK. Reproducibility and validity of oral visual inspection by trained health workers in the detection of oral precancer and cancer. Br J Cancer 1997;76:390–4
39Mathew, B, Wesley, R, Dutt, SC, Amma, S, Sreekumar, C. Cancer screening by local volunteers. World Health Forum 1995;17:377–8
40Sankaranarayanan, R. Health care auxiliaries in the detection and prevention of oral cancer. Oral Oncol 1997;33:149–54
41Frenández Garrote, L, Sankaranarayanan, R, Lence Anta, JJ, Rodriguez Salvá, A, Maxwell Parkin, D. An evaluation of the oral cancer control program in Cuba. Epidemiology 1995;6:428–31
42Santana, JC, Delgado, L, Miranda, J, Sánchez, M. Oral Cancer Case Finding Program (OCCFP). Oral Oncol 1997;33:1012
43Croucher, R, Islam, S, Jarvis, MJ, Garrett, M, Rahman, R, Shajahan, S et al. Oral tobacco cessation with UK resident Bangladeshi women: a community pilot investigation. Health Educ Res 2003;18:216–23
44Hapner, E, Wise, J. Results of a large-scale head and neck cancer screening of an at-risk population. J Voice 2011;25:480–3
45Shuman, AG, McKiernan, JT, Thomas, D, Patel, P, Palmer, FL, Shaffer, BT et al. Outcomes of a head and neck cancer screening clinic. Oral Oncol 2013;49:1136–40
46O'Sullivan, EM. Prevalence of oral mucosal abnormalities in addiction treatment centre residents in Southern Ireland. Oral Oncol 2011;47:395–9
47O'Sullivan, EM. Learning by doing: a practicum for head and neck cancer. In: Integrative Learning: International Research and Practice. New York: Routledge, 2015;261–74
48MacCarthy, D, McAlister, C, O'Sullivan, E. Mouth, Head and Neck Cancer Awareness Campaign in Ireland. J Ir Dent Assoc 2014;60:164

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed