{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:09:10Z","timestamp":1788815350168,"version":"build-2803163510"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Complex public health screening"},{"name":"Hungarian Mobile Health Screening Program","award":["1234\/2017"],"award-info":[{"award-number":["1234\/2017"]}]},{"name":"Hungarian Mobile Health Screening Program","award":["EFOP-1.8.1-VEKOP-15-2016-00001"],"award-info":[{"award-number":["EFOP-1.8.1-VEKOP-15-2016-00001"]}]},{"name":"iPAAC"},{"name":"Health Programme of the European Union","award":["801520\u2014iPAAC\u2013HP-JA-2017"],"award-info":[{"award-number":["801520\u2014iPAAC\u2013HP-JA-2017"]}]},{"name":"National Research, Development and Innovation Fund of the Ministry of Culture and Innovation"},{"name":"National Laboratories"},{"name":"National Tumour Biology Laboratory","award":["2022-2.1.1-NL-2022-00010"],"award-info":[{"award-number":["2022-2.1.1-NL-2022-00010"]}]},{"name":"Hungarian Thematic Excellence","award":["TKP2021-EGA-44"],"award-info":[{"award-number":["TKP2021-EGA-44"]}]},{"name":"National Research, Development and Innovation Office; and the EUnetCCC JA","award":["101183407"],"award-info":[{"award-number":["101183407"]}]},{"name":"National Research, Development and Innovation Office; and the EUnetCCC JA","award":["EU4H-2023-JA-3-IBA"],"award-info":[{"award-number":["EU4H-2023-JA-3-IBA"]}]},{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Incidence and mortality of oral cancer slightly decreased in recent years in Hungary; however, age-standardized estimated incidence and mortality for both sexes are still among the highest in Europe. The objective of the large observational study was to conduct oral cancer screening in Hungary using mobile screening units to examine 5000 individuals living in converging municipalities with low population density and under challenging socio-economic conditions. The study also aimed to develop related patient pathways, and to educate the population on the prevention of oral malignancies. The population screened for oral cancers using Visual Oral Examination (VOE) between 21 June 2021 and 31 March 2023 included individuals of 18\u2009years of age or older, living in converging municipalities and in other geographical locations across Hungary. In 2024, a retrospective cross-sectional study was carried out to analyze the results. During the studied time period, a total of 8266 people attended the oral cancer screening study from converging municipalities (n\u2009=\u20094275; 51.7%), and from other geographical locations (n\u2009=\u20093991; 48.3%). Oral mucosal lesions were detected in 1725 individuals, of whom only 66 people (3.8%)\u201413 men and 53 women\u2014visited a specialist, and 6 were diagnosed with malignant neoplasms. Mobile screening units can be an effective tool of secondary prevention for screening high-risk groups in rural, socio-economically challenging settings. However, low compliance of screen positive individuals to attend follow-up visits poses a threat to the effectiveness of the screening programs and it needs to be addressed by optimizing patient pathways.<\/jats:p>","DOI":"10.1093\/eurpub\/ckag086","type":"journal-article","created":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T22:44:13Z","timestamp":1783896253000},"source":"Crossref","is-referenced-by-count":0,"title":["Oral cancer large observational screening study in Hungary"],"prefix":"10.1093","volume":"36","author":[{"given":"Edit","family":"Marosi","sequence":"first","affiliation":[{"name":"International Relations Department, National Institute of Oncology , Budapest 1122,","place":["Hungary"]},{"name":"Doctoral School of Health Sciences, University of Debrecen , Debrecen 4032,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istv\u00e1n","family":"Kenessey","sequence":"additional","affiliation":[{"name":"Hungarian National Cancer Registry and Biostatistical Center, National Institute of Oncology , Budapest 1122,","place":["Hungary"]},{"name":"Department of Pathology, Forensic and Insurance Medicine, Semmelweis University , Budapest 1091,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c9va","family":"Sz\u00e9kelyhidi","sequence":"additional","affiliation":[{"name":"Department of Screening Management, National Center for Public Health and Pharmacy , Budapest 1097,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin","family":"Nagy","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery, University of Szeged , Szeged 6720,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferenc","family":"Oberna","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, National Institute of Oncology , Budapest 1122,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"Tak\u00e1csi-Nagy","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy, National Institute of Oncology , Budapest 1122,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"W\u00e9ber","sequence":"additional","affiliation":[{"name":"Hungarian National Cancer Registry and Biostatistical Center, National Institute of Oncology , Budapest 1122,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csilla","family":"Egri \u00c1rv\u00e1n\u00e9","sequence":"additional","affiliation":[{"name":"Department of Screening Management, National Center for Public Health and Pharmacy , Budapest 1097,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e1ta","family":"Tam\u00e1s Bert\u00f3kn\u00e9","sequence":"additional","affiliation":[{"name":"Department of Screening Management, National Center for Public Health and Pharmacy , Budapest 1097,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orsolya","family":"Surj\u00e1n","sequence":"additional","affiliation":[{"name":"National Center for Public Health and Pharmacy , Budapest 1097,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Nagy","sequence":"additional","affiliation":[{"name":"Department of Molecular Immunology and Toxicology and the National Tumor Biology Laboratory, National Institute of Oncology , Budapest 1122,","place":["Hungary"]},{"name":"Department of Oncology, Semmelweis University , Budapest 1083,","place":["Hungary"]},{"name":"Department of Anatomy and Histology, HUN-REN-UVMB Laboratory of Redox Biology Research Group, University of Veterinary Medicine , Budapest 1078,","place":["Hungary"]},{"name":"Chemistry Coordinating Institute, University of Debrecen , Debrecen 4032,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cec\u00edlia","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"National Center for Public Health and Pharmacy , Budapest 1097,","place":["Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,12]]},"reference":[{"key":"2026090716341609300_ckag086-B1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"2026090716341609300_ckag086-B2","doi-asserted-by":"publisher","first-page":"104551","DOI":"10.1016\/j.oraloncology.2019.104551","article-title":"Global patterns and trends in cancers of the lip, tongue and mouth","volume":"102","author":"Miranda-Filho","year":"2020","journal-title":"Oral Oncol"},{"key":"2026090716341609300_ckag086-B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/2057178x17701517","article-title":"Oral and pharyngeal cancer in Europe","volume":"2","author":"Diz","year":"2017","journal-title":"Transl Res Oral Oncol"},{"key":"2026090716341609300_ckag086-B4","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1556\/650.2024.33062","article-title":"A rosszindulat\u00fa daganatok hazai epidemiol\u00f3giai helyzete a XXI. sz\u00e1zad m\u00e1sodik \u00e9vtized\u00e9ben. [the Hungarian situation of cancer epidemiology in the second decade of the 21st century]","volume":"66","author":"Kenessey","year":"2022","journal-title":"Magy Onkol"},{"key":"2026090716341609300_ckag086-B5","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1016\/j.oraloncology.2008.06.002","article-title":"Global epidemiology of oral and oropharyngeal cancer","volume-title":"Oral Oncol","author":"Warnakulasuriya","year":"2009"},{"key":"2026090716341609300_ckag086-B6","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1002\/ijc.29063","article-title":"Estimating and explaining the effect of education and income on head and neck cancer risk: INHANCE consortium pooled analysis of 31 case-control studies from 27 countries","volume":"136","author":"Conway","year":"2015","journal-title":"Int J Cancer"},{"key":"2026090716341609300_ckag086-B7","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1007\/s12663-012-0359-5","article-title":"Poor oral hygiene may be the sole cause of oral cancer","volume":"11","author":"Oji","year":"2012","journal-title":"J Maxillofac Oral Surg"},{"key":"2026090716341609300_ckag086-B8","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1007\/s13193-018-0836-5","article-title":"Role of poor oral hygiene in causation of oral cancer\u2014a review of literature","volume":"10","author":"Mathur","year":"2019","journal-title":"Indian J Surg Oncol"},{"key":"2026090716341609300_ckag086-B9","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1056\/NEJM200104123441503","article-title":"Human papillomavirus infection as a risk factor for squamous-cell carcinoma of the head and neck","volume":"344","author":"On","year":"2001","journal-title":"N Engl J Med"},{"key":"2026090716341609300_ckag086-B10","doi-asserted-by":"publisher","first-page":"1772","DOI":"10.1093\/jnci\/djg107","article-title":"Human papillomavirus and oral cancer: the international agency for research on cancer multicenter study","volume":"95","author":"Herrero","year":"2003","journal-title":"J Natl Cancer Inst"},{"key":"2026090716341609300_ckag086-B11","doi-asserted-by":"publisher","first-page":"S129","DOI":"10.1016\/j.jaad.2007.04.034","article-title":"Cutaneous ultraviolet exposure and its relationship to the development of skin cancer","volume":"58","author":"Rigel","year":"2008","journal-title":"J Am Acad Dermatol"},{"key":"2026090716341609300_ckag086-B12","doi-asserted-by":"publisher","first-page":"55","DOI":"10.7326\/M13-2568","article-title":"Screening for oral cancer: U.S. Preventive services task force recommendation statement","volume":"160","author":"Moyer","year":"2014","journal-title":"Ann Intern Med"},{"key":"2026090716341609300_ckag086-B13","first-page":"1","article-title":"Oral cancer prevention","volume-title":"IARC Handb Cancer Prev","year":"2023"},{"key":"2026090716341609300_ckag086-B14","author":"UK National Screening Committee","year":"2020"},{"key":"2026090716341609300_ckag086-B15","author":"Ministry of Human Resources","year":"2017"},{"key":"2026090716341609300_ckag086-B16","first-page":"45","article-title":"BSc. dent\u00e1lhigi\u00e9nikusok \u00e1ltal v\u00e9gzett sztomato-onkol\u00f3giai sz\u0171r\u0151vizsg\u00e1lat a \u2018helybe vissz\u00fck a sz\u0171r\u0151vizsg\u00e1latokat\u2019 program keret\u00e9ben. 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[assessment of oral hygiene practices and socio-demographic factors differentiating them among the adult hungarian population]","volume":"65","author":"Kar\u00e1csony","year":"2024","journal-title":"Eg\u00e9szs\u00e9gfejleszt\u00e9s"},{"key":"2026090716341609300_ckag086-B28","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/0964-1955(94)90022-1","article-title":"Determinants of compliance with an early detection programme for cancer of the head and neck in North-Eastern Italy","volume":"30","author":"Talamini","year":"1994","journal-title":"Eur J Cancer B Oral Oncol"},{"key":"2026090716341609300_ckag086-B29","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1016\/j.oraloncology.2012.11.004","article-title":"Long term effect of visual screening on oral cancer incidence and mortality in a randomized trial in Kerala, India","volume":"49","author":"Sankaranarayanan","year":"2013","journal-title":"Oral Oncol"},{"key":"2026090716341609300_ckag086-B30","doi-asserted-by":"publisher","first-page":"S68","DOI":"10.1038\/sj.bjc.6605394","article-title":"Oral cancer screening in the Bangladeshi community of tower hamlets: a social model","volume":"101","author":"Nunn","year":"2009","journal-title":"Br J Cancer"},{"key":"2026090716341609300_ckag086-B31","doi-asserted-by":"publisher","first-page":"1597","DOI":"10.1002\/cncr.30517","article-title":"Population-based screening program for reducing oral cancer mortality in 2,334,299 Taiwanese cigarette smokers and\/or betel quid chewers","volume":"123","author":"Chuang","year":"2017","journal-title":"Cancer"},{"key":"2026090716341609300_ckag086-B32","doi-asserted-by":"publisher","first-page":"1927","DOI":"10.1016\/S0140-6736(05)66658-5","article-title":"Effect of screening on oral cancer mortality in Kerala, India: a cluster-randomised controlled trial","volume":"365","author":"Sankaranarayanan","year":"2005","journal-title":"Lancet"},{"key":"2026090716341609300_ckag086-B33","doi-asserted-by":"publisher","first-page":"e107\u201316","DOI":"10.4317\/medoral.26863","article-title":"Oral pathology in a population observed within an oral cancer screening developed in Portugal","volume":"30","author":"Pereira","year":"2025","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"2026090716341609300_ckag086-B34","doi-asserted-by":"crossref","DOI":"10.1007\/978-94-009-7564-4","volume-title":"Oral Leukoplakia","author":"B\u00e1n\u00f3czy","year":"1982"},{"key":"2026090716341609300_ckag086-B35","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1111\/j.1600-0528.2012.00710.x","article-title":"A review of risk factors for oral cavity cancer: the importance of a standardized case definition","volume":"41","author":"Rado\u00ef","year":"2013","journal-title":"Community Dent Oral Epidemiol"},{"key":"2026090716341609300_ckag086-B36","first-page":"244","article-title":"A rosszindulat\u00fa daganatos betegs\u00e9gek morbidit\u00e1si \u00e9s mortalit\u00e1si kock\u00e1zat\u00e1nak eloszl\u00e1sa haz\u00e1nkban a depriv\u00e1ci\u00f3val \u00f6sszef\u00fcgg\u00e9sben. [distribution of morbidity and mortality risk of malignant neoplasms in Hungary in relation to deprivation]","volume":"71","author":"\u00c1d\u00e1ny","year":"2018","journal-title":"Magy Belorv Arch"},{"key":"2026090716341609300_ckag086-B37","first-page":"95","article-title":"A rosszindulat\u00fa daganatos betegs\u00e9gek incidenci\u00e1j\u00e1nak \u00e9s mortalit\u00e1s\u00e1nak v\u00e1rmegy\u00e9nk\u00e9nti k\u00fcl\u00f6nbs\u00e9gei magyarorsz\u00e1gon 2005 \u00e9s 2019 k\u00f6z\u00f6tt. [county differences in incidence and mortality of malignant neoplasms in Hungary between 2005 and 2019]","volume":"68","author":"W\u00e9ber","year":"2024","journal-title":"Magy Onkol"},{"key":"2026090716341609300_ckag086-B38","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta10140","article-title":"The cost-effectiveness of screening for oral cancer in primary care executive summary the cost-effectiveness of screening for oral cancer in primary care","volume":"10","author":"Speight","year":"2006","journal-title":"Health Technol Assess"},{"key":"2026090716341609300_ckag086-B39","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1093\/aje\/kwz259","article-title":"Risk prediction models for head and neck cancer in the US population from the INHANCE consortium","volume":"189","author":"Lee","year":"2020","journal-title":"Am J Epidemiol"},{"key":"2026090716341609300_ckag086-B40","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.1556\/650.2016.30447","article-title":"A sz\u00e1j\u00fcregi szur\u00e9s k\u00f6lts\u00e9ghat\u00e9konys\u00e1ga magyarorsz\u00e1gon. [cost-effectiveness of oral cancer screening in Hungary]","volume":"157","author":"Vok\u00f3","year":"2016","journal-title":"Orv Hetil"}],"container-title":["European Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurpub\/article-pdf\/36\/4\/ckag086\/68761073\/ckag086.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurpub\/article-pdf\/36\/4\/ckag086\/68761073\/ckag086.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T20:34:23Z","timestamp":1788813263000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurpub\/article\/doi\/10.1093\/eurpub\/ckag086\/8732797"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,10]]},"references-count":40,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,6,10]]}},"URL":"https:\/\/doi.org\/10.1093\/eurpub\/ckag086","relation":{},"ISSN":["1101-1262","1464-360X"],"issn-type":[{"value":"1101-1262","type":"print"},{"value":"1464-360X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,6,10]]},"article-number":"ckag086"}}