A public survey about oral cancer in Northern Italian adults

ISRCTN ISRCTN17199640
DOI https://doi.org/10.1186/ISRCTN17199640
Submission date
16/10/2023
Registration date
04/12/2023
Last edited
04/12/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Oral cancer represents one of the most common malignant tumours in the world with an incidence that has tripled in the last 3 years. Mortality of patients with oral cancer is among the highest in oncology. Currently, 5-year survival is less than 50%, and the necessary surgical, radiotherapy and chemotherapy therapies are highly invasive, complex, and debilitating. Today, the only effective prevention strategies aim to control the risk factors to reduce their onset and make an early diagnosis to improve the prognosis. For there to be an early diagnosis, it is essential that people are aware of the pathology including early signs, symptoms, and specialists to contact in case of doubt. Currently, different articles investigate the population’s knowledge of oral cancer in different parts of the world, such as China, Australia, Spain, and Kuwait. However, most of these studies focused on a selected population, such as dental patients or university students. According to their results, controversial data based on the different geographical areas was highlighted and in general, a low level of awareness and knowledge about the pathology, signs, symptoms, and risk factors was highlighted. To the researcher’s knowledge, to date only one previous study investigated the awareness of the pathology in the Italian population, focusing on a single city located in the northeast part of Italy (Trieste). Furthermore, the study was based on an online questionnaire and as highlighted by the study’s authors, more research in different Italian geographical areas is required. The first aim of the present study will be to investigate the general population’s knowledge of oral cancer in the Piedmont area (northwest Italian region) as well as its risk factors and manifestations. The second aim will be to improve the population’s awareness by releasing an informative brochure on the topic to patients who will be enrolled in the study.

Who can participate?
Adult patients aged between 18 and 90 years old who visit pharmacies in the Piedmont area of Italy

What does the study involve?
Each questionnaire, without any sensitive data, will be designed as a multichoice questionnaire with a series of 12 questions to acquire data about the population’s knowledge of oral cancers, including the following topics:
1. Background-related data (age, gender, educational background, frequency of dental check-ups, smoke habits, urban vs rural resident)
2. Oral cancer awareness data (whether they have never heard about oral cancer and the way)
3. Knowledge about oral cancer (risk factors, whether the oral cancer is a malignant or benignant tumour, survival rate, early diagnosis, age of onset, signs and symptoms, specialists to contact in case of suspicions)
4. Information about the channel they would consider more valuable to share more information about oral cancer

What are the possible benefits and risks of participating?
There are no risks of participating. We supposed that most of the individuals did not receive counseling on oral cancer by dentists, physicians, or other health care providers. The benefit will be the improvement in oral cancer knowledge in the Piedmont population.

Where is the study run from?
University of Turin (Italy)

When is the study starting and how long is it expected to run for?
January 2023 to December 2024

Who is funding the study?
Investigator initiated and funded (Italy)

Who is the main contact?
Prof Paolo Giacomo Arduino, paologiacomo.arduino@unito.it

Contact information

Prof Paolo Giacomo Arduino
Public, Scientific, Principal Investigator

Via Nizza 230
Turin
10100
Italy

ORCiD logoORCID ID 0000-0002-8798-7834
Phone +390116331522
Email paologiacomo.arduino@unito.it

Study information

Study designCross-sectional study
Primary study designObservational
Secondary study designCross sectional study
Study setting(s)Community
Study typePrevention
Participant information sheet Not available in web format, please use the contact details below to request a participant information sheet.
Scientific titleKnowledge and understanding of oral cancer in adults: a cross-sectional survey in North-Western Italy
Study acronymKnowOC
Study objectivesKnowledge of oral cancer is very low in the common population
Ethics approval(s)

Approved 11/09/2023, Ethical Review Board of the University of Turin (Via Verdi 8, Turin, 10100, Italy; +39 116704377; Staff.cba@unito.it), ref: Prot. n. 0494208

Health condition(s) or problem(s) studiedOral cancer
InterventionThe aim of the study is to verify the knowledge on oral cancer and to assess possible differences in awareness and information basing on different demographic and subject-related factors.

An anonymous survey will be provided to random subjects attending selected pharmacy in Piedmont region. Forty-five pharmacies (n = 45) will be selected for the purpose.

Twenty anonymous questionnaires (n = 20) will be provided to each pharmacy for a total questionnaire number of 900 (n = 900). People who will go to the pharmacies and will meet the following inclusion/exclusion criteria will be asked on a volunteering basis to participate in the study and complete the questionnaire. Ten trained students of pharmacology will provide the questionnaire. Each questionnaire, without any sensitive data, will be designed as a multi-choices questionnaire with a series of 12 questions to acquire data about the population’s knowledge on oral cancers, including the following topics: (1) Background-related data (age, gender, educational background, frequency of dental check-ups, smoke habits, urban vs rural resident); (2) oral cancer awareness data (whether they have never heard about oral cancer and the way); (3) knowledges about oral cancer (risk factors, whether the oral cancer is a malignant or benignant tumour, survival rate, early diagnosis, age of onset, sign and symptoms, specialists to contact in case of suspicions); (4) information about the channel they would consider more valuable to share more information about the oral cancer.

At the end of the study, statistical analysis will be performed in order to evaluate the influence of different demographic variables on knowledge of oral cancer and its risk factors.
Intervention typeOther
Primary outcome measureOral cancer knowledge measured using a questionnaire at a single time point.
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/01/2023
Completion date31/12/2024

Eligibility

Participant type(s)Population
Age groupMixed
Lower age limit18 Years
Upper age limit90 Years
SexBoth
Target number of participants900
Key inclusion criteria1. Age ≥ 18 years old
2. People who go to the pharmacies for any reason
3. Agreement to participate in the study
Key exclusion criteria1. Aged <18 years old
2. Cognitive deficit
3. Refusal to participate in the study
4. People with an existing diagnosis of oral cancer
Date of first enrolment01/10/2023
Date of final enrolment01/06/2024

Locations

Countries of recruitment

  • Italy

Study participating centre

University of Turin, CIR-Dental School
Via Nizza 230
Turin
10100
Italy

Sponsor information

University of Turin
University/education

Department of Surgical Sciences
Via Nizza 230
Turin
10100
Italy

Phone +39 3356011953
Email segr_cirdental@unito.it
Website http://en.unito.it/
ROR logo "ROR" https://ror.org/048tbm396

Funders

Funder type

Not defined

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/12/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
Publication and dissemination planPlanned publication in a high-impact and peer-reviewed journal
IPD sharing planThe datasets generated and/or analysed during the current study will be published as a supplement to the results publication

Editorial Notes

27/10/2023: Trial's existence confirmed by University of Turin.