{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T14:24:51Z","timestamp":1787408691783,"version":"build-2736575974"},"reference-count":54,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Employees often remain underserved in healthcare due to demanding work schedules, limited access to services, and socioeconomic constraints. Risk-prone lifestyles further increase their vulnerability to oral potentially malignant disorders (OPMD) and oral cancer. Workplace-based screening represents a feasible and risk-based strategy for early detection and prevention. This review evaluated workplace-based OPMD screening by estimating prevalence and examining its role in early diagnosis and prevention of oral cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The protocol was registered in PROSPERO (CRD42024574036). Comprehensive searches across major databases were performed using predefined eligibility criteria. Data were extracted after de-duplication. Study quality and risk of bias were assessed using Joanna Briggs Institute (JBI), Cochrane Risk of Bias in Non-Randomized studies of Exposure, and GRADEpro. A random-effects meta-analysis estimated pooled prevalence and associated risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nineteen studies (1988\u20132024), predominantly cross-sectional, identified 4480 OPMDs among 30,358 screened workers, yielding a pooled prevalence of 17% (95% CI: 0.12\u20130.23) with substantial heterogeneity (I\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200999.3%). The pooled point estimates were above 1 for tobacco users and males; however, the 95% confidence intervals included 1, indicating that these associations were not statistically significant. The estimate for age was close to 1 and was also not statistically significant. Most studies showed low (n\u2009=\u20098) to moderate (n\u2009=\u20099) methodological quality (JBI) and low to very low certainty of evidence (Grading of Recommendations, Assessment, Development, and Evaluations), with marked publication bias.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nearly one-fifth of workers had an OPMD, with risks amplified by tobacco, age, and gender. Periodic workplace screening, awareness activities, intersectoral coordination, and a common risk factor approach are essential to strengthen oral cancer prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413261477031","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:28:32Z","timestamp":1787239712000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Workplace-based screening for oral potentially malignant disorders: A systematic review and meta-analysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7315-1545","authenticated-orcid":false,"given":"Shubhi","family":"Goel","sequence":"first","affiliation":[{"name":"Public Health Foundation of India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1336-8720","authenticated-orcid":false,"given":"Saurav","family":"Basu","sequence":"additional","affiliation":[{"name":"ESI-PGIMSR and ESIC Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3796-0964","authenticated-orcid":false,"given":"Shubhanjali","family":"Roy","sequence":"additional","affiliation":[{"name":"Public Health Foundation of India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8350-4519","authenticated-orcid":false,"given":"Adarsh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vipul","family":"Yadav","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Dental Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-025-03933-9"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-020-01677-9"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2023.1292720"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.3910"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13061321"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2021.1931712"},{"key":"e_1_3_2_8_2","first-page":"181","article-title":"Advances in clinical chemistry","volume":"91","author":"Chakraborty D","year":"2019","unstructured":"Chakraborty D, Natarajan C, Mukherjee A. Advances in clinical chemistry. Adv Clin Chem 2019; 91: 181\u2013200.","journal-title":"Adv Clin Chem"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms23031562"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/odi.13704"},{"key":"e_1_3_2_11_2","article-title":"Innovations in screening and diagnosis of periodontal disease in tobacco users: a review","volume":"16","author":"Parihar AS","year":"2024","unstructured":"Parihar AS, Shinkre R, Boddun M, et al. Innovations in screening and diagnosis of periodontal disease in tobacco users: a review. J Pharm Bioallied Sci 2024; 16: S1962\u2013S1964.","journal-title":"J Pharm Bioallied Sci"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.02855"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16234110"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12924"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.47626\/1679-4435-2021-644"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/odi.15001"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/00220345211014795"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12448"},{"key":"e_1_3_2_19_2","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Br Med J 2021; 372: n71.","journal-title":"Br Med J"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-08"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2024.108602"},{"key":"e_1_3_2_22_2","unstructured":"GRADEpro GDT: GRADEpro Guideline Development Tool [Software]. McMaster University and Evidence Prime 2026. gradepro.org. (Accessed 6 October 2025)."},{"key":"e_1_3_2_23_2","unstructured":"Sch\u00fcnemann H Bro\u017cek J Guyatt G Oxman A (eds). GRADE Handbook for Grading Quality of Evidence and Strength of Recommendations. Updated October 2013. The GRADE Working Group 2013. guidelinedevelopment.org\/handbook. (Accessed 11 October 2025)."},{"key":"e_1_3_2_24_2","article-title":"Risk of oral submucous fibrosis among the factory workers of Kerala, south India, exposed to cashew","author":"Rajendran R","year":"1988","unstructured":"Rajendran R, Anil S, Vijayakumar T. Risk of oral submucous fibrosis among the factory workers of Kerala, south India, exposed to cashew. Int Conf Prim Health Care 1988: H25\u2013H29.","journal-title":"Int Conf Prim Health Care"},{"key":"e_1_3_2_25_2","first-page":"26","article-title":"Oral health status and treatment needs of female beedi factory workers in Mangalore city India","volume":"7","author":"Vanishree N","year":"2014","unstructured":"Vanishree N, Peter SS, Rao A, et al. Oral health status and treatment needs of female beedi factory workers in Mangalore city India. Al Ameen J Med Sci 2014; 7: 26\u201333.","journal-title":"Al Ameen J Med Sci"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10024-2109"},{"key":"e_1_3_2_27_2","first-page":"1","article-title":"Tobacco abuse and associated potentially malignant disorders among 18 years and above sugar factory workers, in a Pune district of Maharashtra: a cross-sectional study","volume":"4","author":"Andhalkar K","year":"2019","unstructured":"Andhalkar K, Shetty V, Garcha V, et al. Tobacco abuse and associated potentially malignant disorders among 18 years and above sugar factory workers, in a Pune district of Maharashtra: a cross-sectional study. Int J Tob Oral Health 2019; 4: 1\u20133.","journal-title":"Int J Tob Oral Health"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijoem.ijoem_223_21"},{"key":"e_1_3_2_29_2","article-title":"The predominance of tobacco propensities and tobacco-related oral lesions in textile mill workers of Bhopal: a cross-sectional study","volume":"15","author":"Kaur A","year":"2023","unstructured":"Kaur A, Chauhan NS, Shivakumar S. The predominance of tobacco propensities and tobacco-related oral lesions in textile mill workers of Bhopal: a cross-sectional study. Cureus 2023; 15: e41085.","journal-title":"Cureus"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0299594"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.52768\/2833-5465\/1146"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0714.2007.00583.x"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.1995.tb00206.x"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0714.2003.00027.x"},{"key":"e_1_3_2_35_2","article-title":"Prevalence of leukoplakia, oral submucous fibrosis, papilloma and its relation with stress among green marbles mine laborers, India","volume":"13","author":"Dagli RJ","year":"2008","unstructured":"Dagli RJ, Kumar S, Mathur A, et al. Prevalence of leukoplakia, oral submucous fibrosis, papilloma and its relation with stress among green marbles mine laborers, India. Med Oral Patol Oral Cir Bucal 2008; 13: E687\u2013E692.","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0714.2010.00915.x"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.7314\/APJCP.2012.13.2.527"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.17795\/ijcp-3876"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_687_20"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0970-2199(11)52005-3"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.4103\/jiaphd.jiaphd_10_20"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.4103\/2278-330X.173177"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0113385"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.IJMR_2020_17"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-025-01124-5"},{"key":"e_1_3_2_46_2","volume-title":"National oral health survey and fluoride mapping (2002\u20132003)","author":"Bali RK","year":"2004","unstructured":"Bali RK, Mathur VB, Talwar PP, et al. National oral health survey and fluoride mapping (2002\u20132003). Dental Council of India, 2004."},{"key":"e_1_3_2_47_2","doi-asserted-by":"publisher","DOI":"10.4103\/WHO-SEAJPH.WHO-SEAJPH_105_24"},{"key":"e_1_3_2_48_2","unstructured":"AIIMS Bhopal Leads Landmark Survey to Strengthen Oral Health in Madhya Pradesh https:\/\/www.pib.gov.in\/www.pib.gov.in\/Pressreleaseshare.aspx?PRID=2157944 (Accessed 11 October 2025)."},{"key":"e_1_3_2_49_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijph.ijph_534_24"},{"key":"e_1_3_2_50_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10389-023-02161-3"},{"key":"e_1_3_2_51_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2022-074520"},{"key":"e_1_3_2_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2021.106825"},{"key":"e_1_3_2_53_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13142-017-0476-2"},{"key":"e_1_3_2_54_2","doi-asserted-by":"publisher","DOI":"10.1177\/2165079920952761"},{"key":"e_1_3_2_55_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-025-03000-0"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09691413261477031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09691413261477031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09691413261477031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T13:50:57Z","timestamp":1787406657000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09691413261477031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,20]]},"references-count":54,"alternative-id":["10.1177\/09691413261477031"],"URL":"https:\/\/doi.org\/10.1177\/09691413261477031","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,20]]},"article-number":"09691413261477031"}}