The Impact of the Covid-19 Pandemic on a Reference Oral Medicine Service in Brazil

DOI: https://doi.org/10.5935/2525-5711.20230234
Palavras-chave: COVID-19, oral medicine, mouth neoplasms, diagnosis
Edição: Vol. 8 (2023)

Resumo

The COVID-19 pandemic in 2020 had a global impact on healthcare services, leading to a decrease and delay in diagnosing various diseases and initiating treatment. Dentistry was quickly recognized as a high-risk area for contamination, resulting in a reduction in the number of consultations conducted. The objective of this study was to identify the main characteristics of consultations at the Oral Medicine Outpatient Clinic from our institution, comparing the number of consultations and diagnoses performed during regular years from 2016 to 2019 with the years of the COVID-19 pandemic. Materials and Methods: Data were collected and analyzed from clinical records of all patients seen at the Oral Medicine Outpatient Clinic from March 2016 to May 2021. Sociodemographic data and the diagnosis stablished for these patients were collected. In the pre-pandemic period, an average of 324 patients per year were treated. In the pandemic period average was 248.5 per year, indicating a 23.3% reduction in the number of patients treated at the service. When comparing the number and overall percentage of diagnosis stablished, a higher number of malignant neoplasms were identified during the pandemic, despite the reduction in services provided. Thus, we conclude that the COVID-19 pandemic had a negative impact on the total number of new patients admitted to our service but we were able to continue diagnosing cases of malignant neoplasms. This reinforces the importance of maintaining the service, considered essential to the population, during this critical period we have gone through.

Autores

Esther Ferreira Marques
Aluna de Graduação – Universidade Estadual de Londrina

Viviane Nascimento Sousa
Aluna de Graduação – Universidade Estadual de Londrina

Eduardo Henrique Campos
Aluno de Graduação – Universidade Estadual de Londrina

Fabio Augusto Ito
Docente da Área de Diagnóstico Oral – Universidade Estadual de Londrina

Willian Ricardo Pires
Docente da Área de Diagnóstico Oral – Universidade Estadual de Londrina

Jefferson Luís Oshiro Tanaka
Docente da Área de Diagnóstico Oral – Universidade Estadual de Londrina

Ademar Takahama Junior*
Docente da Área de Diagnóstico Oral – Universidade Estadual de Londrina

Referências

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China. N Engl J Med. 2020 Feb;382(8):727-33.

Yang P, Wang X. COVID-19: a new challenge for human beings. Cell Mol Immunol. 2020;17:555-7.

Ohannessian R, Duong TA, Odone A. Global telemedicine implementation and integration within health systems to fight the COVID-19 pandemic: a call to action. JMIR Public Health Surveill. 2020;6(2):e18810.

Cabrera-Tasayco FDP, Rivera-Carhuavilca JM, Atoche-Socola KJ, Peña-Soto C, Arriola-Guillén LE. Biosafety measures at the dental office after the appearance of COVID-19: a systematic review. Disaster Med Public Health Prep. 2021 Dec;15(6):e34-e8.

Wei J, Li Y. Airborne spread of infectious agents in the indoor environment. Am J Infect Control. 2016 Sep;44(Suppl 9):S102-S8.

Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020 Mar;12:9.

Santos-Silva AR, Lopes MA, Pedroso CM, Ribeiro ACP, Fonseca FP, Brandão TB, et al. Oral medicine (oral medicine) in Brazil: the first 50 years and counting. Oral Surg Oral Med Oral Pathol Oral Radiol. 2022 Jul;134(1):57-64.

Arduino PG, Conrotto D, Broccoletti R. The outbreak of novel coronavirus disease (COVID-19) caused a worrying delay in the diagnosis of oral cancer in north-west Italy: the Turin Metropolitan Area experience. Oral Dis. 2021 Apr;(Suppl 3):S742-S3.

Al-Maweri SA, Halboub E, Warnakulasuriya S. Impact of COVID-19 on the early detection of oral cancer: a special emphasis on high-risk populations. Oral Oncol. 2020 Jul;106:104760.

Coulthard P. Dentistry and coronavirus (COVID-19) – moral decision-making. Br Dent J. 2020 Apr;228(7):503-5.

Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res. 2020 May;99(5):481-7.

Dave M, Seoudi N, Coulthard P. Urgent dental care for patients during the COVID-19 pandemic. Lancet. 2020 Apr;395(10232):1257.

Jones D, Neal RD, Duffy SRG, Scott SE, Whitaker KL, Brain K. Impact of the COVID-19 pandemic on the symptomatic diagnosis of cancer: the view from primary care. Lancet Oncol. 2020 Jun;21(6):748-50.

Dinmohamed AG, Visser O, Verhoeven RHA, Louwman MWJ, Van Nederveen FH, Willems SM, et al. Fewer cancer diagnoses during the COVID-19 epidemic in the Netherlands. Lancet Oncol. 2020 Jun;21(6):750-1.

London JW, Fazio-Eynullayeva E, Palchuk MB, Sankey P, McNair C. Effects of the COVID-19 pandemic on cancer-related patient encounters. JCO Clin Cancer Inform. 2020 Jul;4:657-65.

Patt D, Gordan L, Diaz M, Okon T, Grady L, Harmison M, et al. Impact of COVID-19 on cancer care: how the pandemic is delaying cancer diagnosis and treatment for American seniors. JCO Clin Cancer Inform. 2020 Nov;4:1059-71.

Caldeira PC, Soto AML, Aguiar MCF, Martins CC. Tumor depth of invasion and prognosis of early-stage oral squamous cell carcinoma: a meta-analysis. Oral Dis. 2020 Oct;26(7):1357-65.

Arduino PG, Carrozzo M, Chiecchio A, Broccoletti R, Tirone F, Borra E, et al. Clinical and histopathologic independent prognostic factors in oral squamous cell carcinoma: a retrospective study of 334 cases. J Oral Maxillofac Surg. 2008 Aug;66(8):1570-9.

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018 Nov;68(6):394-424.

Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359-E86.