Toru Nagao|Hideo Miyazaki|Keiichi Fujiwara|Saman Warnakulasuriya|Noriaki Ikeda|Hideo Fukano
Oral cancer screening as an integral part of general health screening in Tokoname City, Japan
Aichi Gakuin University|Niigata University|Aichi Gakuin University|King's College London|Saitama International Medical Center
objectives measure attendance compliance rates oral mucosal screening oms offered part general health screen ghs undertaken organised programme japan methods 1996 adults age 40 years resident tokoname city invited letter attend free ghs annually conducted municipal cooperation medical dental societies tokoname city later years attended 1996 reinvited females aged less 39 years also allowed attend wished participate ghs ghs consisted completion self administered questionnaire identify past current illnesses medications used screened population coupled routine physical check chest x ray ecg blood urine examination ghs programmed annually years 1996 1998 attending ghs invited participate oms conducted roof visiting dentist n37 referral pathway established screen positives requiring follow results total 19 305 subjects 5955 males 13 350 females mean age 592 years 7033 1996 6289 1997 5983 1998 attended ghs attended ghs 19 056 987 attended oms 13 refused rate fairly constant three years excluding repeat examinations new cases recruited oms three years 8723 participating oms 4269 607 attended three years cohorts examined screening dentists recorded oral mucosal lesions 54 1996 40 1997 26 1998 overall amounted positive detection rate 41 49 excluding repeat examinations higher prevalence oral precancer recorded among male smokers conclusions overall results suggest although compliance attending free ghs low 262 among japanese subjects 40 years age complied 7476 reattended annually hence satisfactory participation rate obtained japan oms coupled ghs conducted visit