O efeito da expansão da rede pública de saúde bucal na detecção do câncer de boca no Brasil no período de 2005 a 2014

The mouth cancer is the sixth most prevalent in the world, with most cases diagnosed late. The coping of this problem involves, among others, the access and organization of services network. The objective of this study was to analyze the effect of the expansion of the oral health public network in the detection of oral cancer in Brazil from 2005 to 2014. The research was developed in two phases. In phase 1, a review of scope sought to identify and discuss the gaps in the scientific literature and public initiatives worldwide in the prevention of oral cancer. In phase 2, we analyzed the individual cases of the Brazilian population-based cancer registry in a logistic regression model (p <0.05 and CI = 95%) by the Wald method, to investigate whether the expansion of services had an effect in the diagnosis. As a result, there is a predominance of anti-smoking actions worldwide and only England has presented a proposal for the organization of service networks for the purpose of reducing late diagnosis. In Brazil, the implantation of secondary services increased by 6.2 times the chances of cancer detection. It was concluded that the expansion of specialized public services in Brazil significantly increased the detection of oral cancer.