Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews
This study presents the results of systematic reviews on adjunctive tools in screening and diagnosis of oral squamous cell carcinoma (OSCC) and oral potentially malignant disorders (OPMD) and to determine if the current literature supports their use as either an adjunctive tool or replacement of gol...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Japanese Dental Science Review |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1882761623000704 |
| _version_ | 1797356320768131072 |
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| author | Jeremy Lau Guru O Saman Warnakulasuriya Ramesh Balasubramaniam Agnieszka Frydrych Omar Kujan |
| author_facet | Jeremy Lau Guru O Saman Warnakulasuriya Ramesh Balasubramaniam Agnieszka Frydrych Omar Kujan |
| author_sort | Jeremy Lau |
| collection | DOAJ |
| description | This study presents the results of systematic reviews on adjunctive tools in screening and diagnosis of oral squamous cell carcinoma (OSCC) and oral potentially malignant disorders (OPMD) and to determine if the current literature supports their use as either an adjunctive tool or replacement of gold standard techniques. Systemic reviews and meta-analysis that evaluated adjunctive tools including chemiluminescence, tissue autofluorescence, tissue fluorescence spectroscopy, vital staining and cytology techniques were systematically examined using AMSTAR II. Twenty-seven systematic reviews were included. Five studies had a low quality of evidence, and nine studies had a critically low quality of evidence. This review found limited evidence to recommend chemiluminescence, tissue autofluorescence tools and vital staining as diagnostic tools, but only serve as clinical adjuncts to conventional oral examination. Cytology techniques and narrow-band imaging may be utilised as a non-invasive diagnostic adjunctive tool for the detection of OSCC and the malignant transformation of OPMD. In conclusion, this paper provides evidence on several types of adjunctive tools and provides recommendations on their use in clinical practice. These tools are considered useful as clinical adjuncts but there is insufficient evidence for their use as a diagnostic tool to replace gold standard conventional oral examination and surgical biopsy. |
| first_indexed | 2024-03-08T14:25:51Z |
| format | Article |
| id | doaj.art-2976db9d9bf746a5a0a7730018fa35aa |
| institution | Directory Open Access Journal |
| issn | 1882-7616 |
| language | English |
| last_indexed | 2024-03-08T14:25:51Z |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Japanese Dental Science Review |
| spelling | doaj.art-2976db9d9bf746a5a0a7730018fa35aa2024-01-13T04:43:57ZengElsevierJapanese Dental Science Review1882-76162024-12-01605372Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviewsJeremy Lau0Guru O1Saman Warnakulasuriya2Ramesh Balasubramaniam3Agnieszka Frydrych4Omar Kujan5UWA Dental School, The University of Western Australia, Nedlands, WA, AustraliaUWA Dental School, The University of Western Australia, Nedlands, WA, AustraliaKing's College London and WHO Collaborating Centre for Oral Cancer, London, UKUWA Dental School, The University of Western Australia, Nedlands, WA, AustraliaUWA Dental School, The University of Western Australia, Nedlands, WA, AustraliaUWA Dental School, The University of Western Australia, Nedlands, WA, Australia; Correspondence to: Oral Medicine and Pathology, UWA Dental School, The University of Western Australia, 17 Monash Avenue, Nedlands 6009 WA, Australia.This study presents the results of systematic reviews on adjunctive tools in screening and diagnosis of oral squamous cell carcinoma (OSCC) and oral potentially malignant disorders (OPMD) and to determine if the current literature supports their use as either an adjunctive tool or replacement of gold standard techniques. Systemic reviews and meta-analysis that evaluated adjunctive tools including chemiluminescence, tissue autofluorescence, tissue fluorescence spectroscopy, vital staining and cytology techniques were systematically examined using AMSTAR II. Twenty-seven systematic reviews were included. Five studies had a low quality of evidence, and nine studies had a critically low quality of evidence. This review found limited evidence to recommend chemiluminescence, tissue autofluorescence tools and vital staining as diagnostic tools, but only serve as clinical adjuncts to conventional oral examination. Cytology techniques and narrow-band imaging may be utilised as a non-invasive diagnostic adjunctive tool for the detection of OSCC and the malignant transformation of OPMD. In conclusion, this paper provides evidence on several types of adjunctive tools and provides recommendations on their use in clinical practice. These tools are considered useful as clinical adjuncts but there is insufficient evidence for their use as a diagnostic tool to replace gold standard conventional oral examination and surgical biopsy.http://www.sciencedirect.com/science/article/pii/S1882761623000704Systematic reviewOralSquamous cell carcinomaOral potentially malignant disordersAdjunctive tool |
| spellingShingle | Jeremy Lau Guru O Saman Warnakulasuriya Ramesh Balasubramaniam Agnieszka Frydrych Omar Kujan Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews Japanese Dental Science Review Systematic review Oral Squamous cell carcinoma Oral potentially malignant disorders Adjunctive tool |
| title | Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews |
| title_full | Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews |
| title_fullStr | Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews |
| title_full_unstemmed | Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews |
| title_short | Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews |
| title_sort | adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders a systematic review of systematic reviews |
| topic | Systematic review Oral Squamous cell carcinoma Oral potentially malignant disorders Adjunctive tool |
| url | http://www.sciencedirect.com/science/article/pii/S1882761623000704 |
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