Non-Cochrane · DTA · PM42137481

Risk prediction models for oral squamous cell carcinoma and oral potentially malignant disorders in Asian populations: a systematic review and meta-analysis.

Drokow Emmanuel Kwateng, Amponsem Boateng Cecilia, Zhang Yongping, et al. · Frontiers in oral health · 2026 · PubMed · doi:10.3389/froh.2026.1779476

Findings

Population Asymptomatic adults in Asian countries (screening and community settings)

8 findings

Multivariable risk prediction models for OSCC/OPMDReference standard (histopathological or clinical diagnosis)Sensitivity
Community, clinic and hospital based screening in Asia · Validation type: external (3 studies) vs internal only (4 studies)
Meta-regression coefficient (logit sensitivity) 0.982
GRADE not reported
7 studies
Multivariable risk prediction models for OSCC/OPMDReference standard (histopathological or clinical diagnosis)Specificity
Community, clinic and hospital based screening in Asia · Validation type: external (3 studies) vs internal only (4 studies)
Meta-regression coefficient (logit false positive rate) -0.421
GRADE not reported
7 studies
Multivariable risk prediction models for OSCC/OPMDReference standard (histopathological or clinical diagnosis)Sensitivity
Community, clinic and hospital based screening in Asia · Target condition: combined OPMD/OSCC (3 studies) vs OSCC only (4 studies)
Meta-regression coefficient (logit sensitivity) 1.217
GRADE not reported
7 studies
Multivariable risk prediction models for OSCC/OPMDReference standard (histopathological or clinical diagnosis)Specificity
Community, clinic and hospital based screening in Asia · Random-effects HSROC model; overall
Pooled specificity 0.8 [0.67, 0.89]
GRADE not reported
7 studies
Multivariable risk prediction models for OSCC/OPMDReference standard (histopathological or clinical diagnosis)Specificity
Community, clinic and hospital based screening in Asia · Common effect model; overall
Pooled specificity 0.56 [0.56, 0.56]
GRADE not reported
7 studies
Multivariable risk prediction models for OSCC/OPMDReference standard (histopathological or clinical diagnosis)Sensitivity
Community, clinic and hospital based screening in Asia · Random-effects HSROC model; overall
Pooled sensitivity 0.84 [0.78, 0.89]
GRADE not reported
7 studies
Multivariable risk prediction models for OSCC/OPMDReference standard (histopathological or clinical diagnosis)Sensitivity
Community, clinic and hospital based screening in Asia · Common effect model; overall
Pooled sensitivity 0.77 [0.76, 0.78]
GRADE not reported
7 studies
Multivariable risk prediction models for OSCC/OPMDReference standard (histopathological or clinical diagnosis)Specificity
Community, clinic and hospital based screening in Asia · Target condition: combined OPMD/OSCC (3 studies) vs OSCC only (4 studies)
Meta-regression coefficient (logit false positive rate) -0.503
GRADE not reported
7 studies

Included primary studies 19

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Miao 2016
Association of microRNA polymorphisms with the risk of head and neck squamous cell carcinoma in a Chinese population: a case-control study.
PMID:27515039
20161 other reviewnot statednot extracted yet
Adeoye 2022
Performance of a simplified scoring system for risk stratification in oral cancer and oral potentially malignant disorders screening
DOI:10.1111/jop.13293
2022this review onlynot statednot extracted yet
Adeoye 2022
Performance of a simplified scoring system for risk stratification in oral cancer and oral potentially malignant disorders screening.
PMID:35312123
2022this review onlynot statednot extracted yet
Amarasinghe 2010
Derivation and validation of a risk-factor model for detection of oral potentially malignant disorders in populations with high prevalence
DOI:10.1038/sj.bjc.6605778
2010this review onlynot statednot extracted yet
Amarasinghe 2010
Derivation and validation of a risk-factor model for detection of oral potentially malignant disorders in populations with high prevalence.
PMID:20628386
2010this review onlynot statednot extracted yet
Chen F 2018
Nomograms and risk scores for predicting the risk of oral cancer in different sexes: a large-scale case-control study.
PMID:30026853
2018this review onlynot statednot extracted yet
Chen Q 2021
Association between serum arsenic and oral cancer risk: A case‐control study in southeast China
DOI:10.1111/cdoe.12633
2021this review onlynot statednot extracted yet
Chen Q 2022
Association between serum arsenic and oral cancer risk: A case-control study in southeast China.
PMID:33748987
2022this review onlynot statednot extracted yet
Chiu 2002
A Scoring System for the Early Detection of Oral Submucous Fibrosis Based on a Self‐administered Questionnaire
DOI:10.1111/j.1752-7325.2002.tb03417.x
2002this review onlynot statednot extracted yet
Chiu 2002
A scoring system for the early detection of oral submucous fibrosis based on a self-administered questionnaire.
PMID:14700086
2002this review onlynot statednot extracted yet
Chung 2017
Combined Genetic Biomarkers and Betel Quid Chewing for Identifying High-Risk Group for Oral Cancer Occurrence
DOI:10.1158/1940-6207.capr-16-0259
2017this review onlynot statednot extracted yet
Chung 2017
Combined Genetic Biomarkers and Betel Quid Chewing for Identifying High-Risk Group for Oral Cancer Occurrence.
PMID:28400480
2017this review onlynot statednot extracted yet
Hung 2020
Assessment of the Risk of Oral Cancer Incidence in A High-Risk Population and Establishment of A Predictive Model for Oral Cancer…
DOI:10.3390/ijerph17020665
2020this review onlynot statednot extracted yet
Hung 2020
Assessment of the Risk of Oral Cancer Incidence in A High-Risk Population and Establishment of A Predictive Model for Oral Cancer…
PMID:31968579
2020this review onlynot statednot extracted yet
Krishna Rao 2016
A screening model for oral cancer using risk scores: development and validation
DOI:10.1111/cdoe.12192
2015this review onlynot statednot extracted yet
Krishna Rao 2016
A screening model for oral cancer using risk scores: development and validation.
PMID:26308953
2016this review onlynot statednot extracted yet
Miao 2016
Association of microRNA polymorphisms with the risk of head and neck squamous cell carcinoma in a Chinese population: a case–control study
DOI:10.1186/s40880-016-0136-9
2016this review onlynot statednot extracted yet
Wang 2019
A personalized computational model predicts cancer risk level of oral potentially malignant disorders and its web application for…
DOI:10.1111/jop.12983
2020this review onlynot statednot extracted yet
Wang 2020
A personalized computational model predicts cancer risk level of oral potentially malignant disorders and its web application for…
PMID:31823403
2020this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationAsymptomatic adults aged 18 years or older in any Asian country, no prior OSCC diagnosisAsian community, clinic and hospital screening populations (n=171 to 1,719,191 per study)
InterventionDevelopment or validation of multivariable risk prediction models for OSCC or OPMDMultivariable risk models: logistic regression (8), Cox regression (1), machine learning (2) (n=11)
ComparisonReference standard (histopathological diagnosis for OSCC; clinical or histological diagnosis for OPMD)Reference standard diagnosis of OSCC or OPMD
OutcomesIncident OSCC or detection of OPMD; sensitivity, specificity, AUCPooled sensitivity 0.84, pooled specificity 0.80 (n=7 studies in meta-analysis)
Study designsCohort, cross-sectional and case-control studies, prospective or retrospective9 prospective and 2 retrospective studies (n=11)
TimingIncident OSCC over defined follow-up or OPMD at point of screeningNot specified