Changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in Taiwan: A nationwide population-based retrospective study
Oral submucous fibrosis (OSF) has been regarded as a precancerous condition. Research examining the prevalence of OSF could be the first step in preventing or reducing malignant transformation. In this study, we probed a nationwide registered database to assess the prevalence, gender distribution, a...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-02-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664616304478 |
| _version_ | 1818496511698272256 |
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| author | Shun-Fa Yang Yu-Hsun Wang Ni-Yu Su Hui-Chieh Yu Chia-Yi Wei Chuan-Hang Yu Yu-Chao Chang |
| author_facet | Shun-Fa Yang Yu-Hsun Wang Ni-Yu Su Hui-Chieh Yu Chia-Yi Wei Chuan-Hang Yu Yu-Chao Chang |
| author_sort | Shun-Fa Yang |
| collection | DOAJ |
| description | Oral submucous fibrosis (OSF) has been regarded as a precancerous condition. Research examining the prevalence of OSF could be the first step in preventing or reducing malignant transformation. In this study, we probed a nationwide registered database to assess the prevalence, gender distribution, age, income, and urbanization status of OSF patients in Taiwan.
Methods: A retrospective study was conducted to analyze the registered database compiled by the National Health Insurance provided by the Ministry of Health and Welfare, Taiwan. We identified dental visit patients diagnosed with OSF during the period between January 1, 1996 and December 31, 2013. In addition, demographic characteristics were analyzed by multivariate Poisson regression.
Results: The prevalence of OSF increased significantly from 8.3 (per 105) in 1996 to 16.2 (per 105) in 2013 (p < 0.0001). Men had a significantly higher OSF prevalence than women (p < 0.001). The mean age of patients with OSF increased from 1996 to 2013. Individuals living in rural areas had a higher risk of OSF compared with those living in urban areas [relative risk (RR), 1.10; 95% confidence interval (CI), 1.07–1.13]. The higher income group had a lower risk of OSF compared with the lower income group (RR, 0.76; 95% CI, 0.73–0.80).
Conclusion: This large-scale government-centered survey demonstrates that the prevalence of OSF in Taiwan significantly increased from 1996 to 2013. The prevalence was higher among men than among women. |
| first_indexed | 2024-12-10T18:33:50Z |
| format | Article |
| id | doaj.art-99e867b2fd6345bdacb4b66f974e4afe |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-10T18:33:50Z |
| publishDate | 2018-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-99e867b2fd6345bdacb4b66f974e4afe2022-12-22T01:37:52ZengElsevierJournal of the Formosan Medical Association0929-66462018-02-01117214715210.1016/j.jfma.2017.01.012Changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in Taiwan: A nationwide population-based retrospective studyShun-Fa Yang0Yu-Hsun Wang1Ni-Yu Su2Hui-Chieh Yu3Chia-Yi Wei4Chuan-Hang Yu5Yu-Chao Chang6Institute of Medicine, Chung Shan Medical University, Taichung, TaiwanDepartment of Medical Research, Chung Shan Medical University Hospital, Taichung, TaiwanDepartment of Dentistry, Chung Shan Medical University Hospital, Taichung, TaiwanSchool of Dentistry, Chung Shan Medical University, Taichung, TaiwanSchool of Dentistry, Chung Shan Medical University, Taichung, TaiwanSchool of Dentistry, Chung Shan Medical University, Taichung, TaiwanDepartment of Dentistry, Chung Shan Medical University Hospital, Taichung, TaiwanOral submucous fibrosis (OSF) has been regarded as a precancerous condition. Research examining the prevalence of OSF could be the first step in preventing or reducing malignant transformation. In this study, we probed a nationwide registered database to assess the prevalence, gender distribution, age, income, and urbanization status of OSF patients in Taiwan. Methods: A retrospective study was conducted to analyze the registered database compiled by the National Health Insurance provided by the Ministry of Health and Welfare, Taiwan. We identified dental visit patients diagnosed with OSF during the period between January 1, 1996 and December 31, 2013. In addition, demographic characteristics were analyzed by multivariate Poisson regression. Results: The prevalence of OSF increased significantly from 8.3 (per 105) in 1996 to 16.2 (per 105) in 2013 (p < 0.0001). Men had a significantly higher OSF prevalence than women (p < 0.001). The mean age of patients with OSF increased from 1996 to 2013. Individuals living in rural areas had a higher risk of OSF compared with those living in urban areas [relative risk (RR), 1.10; 95% confidence interval (CI), 1.07–1.13]. The higher income group had a lower risk of OSF compared with the lower income group (RR, 0.76; 95% CI, 0.73–0.80). Conclusion: This large-scale government-centered survey demonstrates that the prevalence of OSF in Taiwan significantly increased from 1996 to 2013. The prevalence was higher among men than among women.http://www.sciencedirect.com/science/article/pii/S0929664616304478National Health Insurancenationwide populationoral submucous fibrosisprevalenceTaiwan |
| spellingShingle | Shun-Fa Yang Yu-Hsun Wang Ni-Yu Su Hui-Chieh Yu Chia-Yi Wei Chuan-Hang Yu Yu-Chao Chang Changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in Taiwan: A nationwide population-based retrospective study Journal of the Formosan Medical Association National Health Insurance nationwide population oral submucous fibrosis prevalence Taiwan |
| title | Changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in Taiwan: A nationwide population-based retrospective study |
| title_full | Changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in Taiwan: A nationwide population-based retrospective study |
| title_fullStr | Changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in Taiwan: A nationwide population-based retrospective study |
| title_full_unstemmed | Changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in Taiwan: A nationwide population-based retrospective study |
| title_short | Changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in Taiwan: A nationwide population-based retrospective study |
| title_sort | changes in prevalence of precancerous oral submucous fibrosis from 1996 to 2013 in taiwan a nationwide population based retrospective study |
| topic | National Health Insurance nationwide population oral submucous fibrosis prevalence Taiwan |
| url | http://www.sciencedirect.com/science/article/pii/S0929664616304478 |
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