A pre-cancer treatment oral health management system: Dentists and clinical oncologists cooperate to improve patient outcomes

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  • Hata Hironobu
    Department of Dentistry and Oral surgery, National Hospital Organization Hokkaido Cancer Center
  • Edo Minako
    Department of Dentistry and Oral surgery, National Hospital Organization Hokkaido Cancer Center
  • Imamachi Kenji
    Department of Dentistry and Oral surgery, National Hospital Organization Hokkaido Cancer Center
  • Watanabe Kenichi
    Department of Breast surgery, National Hospital Organization Hokkaido Cancer Center
  • Kikuchi Kumiko
    Regional medical cooperation room, National Hospital Organization Hokkaido Cancer Center
  • Katou Hidenori
    Department of Gynecology, National Hospital Organization Hokkaido Cancer Center

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Other Title
  • がん診療医科歯科前連携システム構築に向けた取り組み
  • ガン シンリョウ イカ シカ ゼン レンケイ システム コウチク ニ ムケタ トリクミ

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Abstract

<p>Since 2012, to promote the medical-dentistry cooperation programs in the cancer treatment, many cooperative cancer dentists were registered in Japan. But practical oral management before the cancer treatment was confined to in-hospital dentists, and cooperation between local dental clinics and oncologists was not common. Therefore, we started developing a medical cooperation model which preceded the cancer treatment in that the oral management is done at a patient's local dental clinic by request from the hospital oncologists.</p><p>At the beginning, we performed the first stage cooperation trial for twelve patients before operation. Subsequently, we performed the second stage cooperation trial for twenty-five patients before the dosage of bone modifying agents or anti-cancer agents. In the second stage trial, to obtain understanding of the need of the dentistry consultation, dental hygienists performed orientation.</p><p>To evaluate this system, we performed questionnaire survey for the medical doctor, the dentists who received patients, and the patients. This survey revealed high patient satisfaction and stability of our system.</p><p>In conclusion, we succeeded to construct the stable medical-dentistry cooperation system throughout two terms of trial.</p>

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