Lecture #4 – June 4, 2003

Population, Screening, and Guidelines

Screening –
a form of needs assessment

Screening –
a form of needs assessment

Screening –
a form of needs assessment

Screening –
a form of needs assessment

Screening –
a form of needs assessment

Slide 8

Screening -  
a form of needs assessment

"2 questions need to ask"

Factors that make disease approp-riate for screening

Attributes of good screening test

Attributes of good screening test

(Not) attributes of good screening test

Attributes of good screening test

Attributes of good screening test

Early Oral Cancer Detection

Oral Ca as appropriate for screening:
Early tx better than late tx?

Oral Ca as appropriate for screening:
Has a pre-clinical detectable period?

Oral Ca as appropriate for screening:
The disease is serious (mortality, morbidity)?
Early tx better than late tx?

Oral Ca as appropriate for screening:
 The disease is serious (mortality, morbidity)?

Oral Ca as appropriate for screening:
 The disease is serious (mortality, morbidity)?
The disease is prevalent in a tested population?

Oral Ca as appropriate for screening:
 The disease is prevalent in a tested population?

Oral Ca as appropriate for screening:
 The disease is prevalent in a tested population?

"Is an oral cancer examination..."

Oral Ca exam as appropriate for screening

Oral Ca exam as appropriate for screening
Low risk to patient?
Tolerable or acceptable to the public?
Inexpensive or cost effective?

Oral Ca exam as appropriate for screening
Inexpensive or cost effective?

Oral Ca exam as appropriate for screening
Inexpensive or cost effective?

Oral Ca exam as appropriate for screening
Inexpensive or cost effective?

Oral Ca exam as appropriate for screening
Inexpensive or cost effective?

Oral Ca exam as appropriate for screening
Inexpensive or cost effective?

Evidence base for oral ca screening

Evidence base for oral cancer screening

Evidence base for oral cancer screening

Evidence base for oral cancer screening

Evidence base for oral cancer screening

Evidence base for oc screening
Clinical Practice Guidelines

Evidence base for oc screening
Clinical Practice Guidelines

Evidence base for oc screening
Clinical Practice Guidelines

Evidence base for oc screening
Clinical Practice Guidelines

Evidence base for oc screening
Clinical Practice Guidelines

Evidence base for oc screening
Clinical Practice Guidelines

Evidence base for oc screening
Clinical Practice Guidelines

Evidence base for oc screening
Clinical Practice Guidelines

Population, Screening, and Guidelines

"Barriers to early oral cancer..."

To consider barriers to performing oral ca detection

To consider barriers to performing oral ca detection

To consider barriers to performing oral ca detection

To consider barriers to performing oral ca detection