ABSTRACT
PURPOSE: The Palliative Care Study Group in conjunction with the Oral Care Study Group of the Multinational Association for Supportive Care in Cancer (MASCC) formed a sub-group to develop evidence-based guidance on the management of common oral problems in patients with advanced cancer. METHODS: This guidance was developed in accordance with the MASCC Guidelines Policy. A search strategy for Medline was developed, and the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were explored for relevant reviews and trials, respectively. Guidance was categorised by the level of evidence, and "category of guideline" (i.e., "recommendation", "suggestion" or "no guideline possible"). RESULTS: Twelve generic suggestions (level of evidence - 5), three problem-specific recommendations and 14 problem-specific suggestions were generated. The generic suggestions relate to oral hygiene measures, assessment of problems, principles of management, re-assessment of problems and the role of dental/oral medicine professionals. CONCLUSIONS: This guidance provides a framework for the management of common oral problems in patients with advanced cancer, although every patient requires individualised management.
Subject(s)
Neoplasms , Stomatitis , Humans , Expert Testimony , Neoplasms/complications , Palliative Care , Systematic Reviews as TopicABSTRACT
The Oral Health Policy of the Federal District State Health Secretariat was in a fragmented state, similarly to the entire health system. There was no integration between oral health teams and other Primary Care professionals and performance at the other levels was inconsistent and limited, preventing the effective establishment of the Care Network. In 2017, the head management chose to convert the system organically based on the family health strategy and the logic of the care networks. The aim of this study is to report on the main actions carried out so that oral health care would conform to the changes, developing into the construction of the specific Care Line in the area, allowing increased access and qualification of care .
A Saúde Bucal Pública no âmbito da SESDF inseria-se no contexto de fragmentação, do qual toda rede padecia. Não havia integração entre as equipes de saúde bucal e os demais profissionais na Atenção Primária e os outros níveis atuavam de forma errática e insular, impedindo o efetivo estabelecimento da Rede de Atenção. Em 2017, a gestão à frente da pasta optou por converter o sistema organicamente com base na estratégia saúde da família e na lógica das redes de atenção. O presente estudo tem por objetivo relatar quais as principais ações postas em prática para que a saúde bucal pudesse acompanhar a conversão, evoluindo para construção da Linha de Cuidado específica da área, permitindo a ampliação do acesso e a qualificação da Atenção .
Subject(s)
Dental Care/organization & administration , Health Policy , National Health Programs/organization & administration , Oral Health , Brazil , Delivery of Health Care/organization & administration , Family Health , Health Services Accessibility , Humans , Primary Health Care/organization & administrationABSTRACT
Resumo A Saúde Bucal Pública no âmbito da SESDF inseria-se no contexto de fragmentação, do qual toda rede padecia. Não havia integração entre as equipes de saúde bucal e os demais profissionais na Atenção Primária e os outros níveis atuavam de forma errática e insular, impedindo o efetivo estabelecimento da Rede de Atenção. Em 2017, a gestão à frente da pasta optou por converter o sistema organicamente com base na estratégia saúde da família e na lógica das redes de atenção. O presente estudo tem por objetivo relatar quais as principais ações postas em prática para que a saúde bucal pudesse acompanhar a conversão, evoluindo para construção da Linha de Cuidado específica da área, permitindo a ampliação do acesso e a qualificação da Atenção .
Abstract The Oral Health Policy of the Federal District State Health Secretariat was in a fragmented state, similarly to the entire health system. There was no integration between oral health teams and other Primary Care professionals and performance at the other levels was inconsistent and limited, preventing the effective establishment of the Care Network. In 2017, the head management chose to convert the system organically based on the family health strategy and the logic of the care networks. The aim of this study is to report on the main actions carried out so that oral health care would conform to the changes, developing into the construction of the specific Care Line in the area, allowing increased access and qualification of care .