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Authors
Abstract(s)
Introdução: A COVID-19 é uma doença altamente contagiosa, que no último ano, tornouse um grande desafio a nível mundial. Devido ao cenário de pandemia e à obrigatoriedade
de distanciamento, a triagem de lesões potencialmente malignas pode ser
significativamente prejudicada, levando a diagnósticos atrasados e/ou perdidos.
A telemedicina é uma plataforma muito usada nos dias de hoje, uma vez que consegue
fornecer atenção médica à distância, possibilitando uma diminuição das deslocações e
diminuindo o risco de infeção a pacientes mais vulneráveis.
Materiais e Métodos: Realizou-se uma revisão sistemática, utilizando várias bases de
dados, com uma estratégia de pesquisa específica, combinando termos MeSH e termos de
pesquisa livre. A pesquisa foi baseada na questão PICO(Qual o impacto da COVID-19 no
diagnóstico precoce do cancro oral?) com os seguintes critérios de seleção: estudos que
avaliem o impacto da COVID-19 no diagnóstico precoce do cancro oral na população, com
data de publicação entre 2020-2021. Os estudos foram analisados respeitando os critérios
de inclusão e exclusão previamente estabelecidos. O presente estudo seguiu as normas
orientadoras pelas guidelines PRISMA.
Resultados: Através dos artigos incluídos(14 artigos) constatou-se que houve um impacto
negativo, em especial nos pacientes oncológicos, que viram as suas consultas e
tratamentos negligenciados. Observou-se uma diminuição no número de biópsias
realizadas e consequentemente, no número de casos diagnosticados. Estes atrasos
potenciaram o aumento do estadio e malignidade, levando a tratamentos mais agressivos
e prognósticos potencialmente reservados. A telemedicina foi uma ferramenta eficaz uma
vez que permitiu a redução do número de visitas e deslocamentos aos centros hospitalares,
descongestionando os mesmos.
Conclusão: É fundamental, intervir nos fatores que influenciam o diagnóstico precoce, quer
a nível do paciente, quer do profissional de saúde, uma vez que a demora no
reconhecimento dos sinais e sintomas constitui uma das principais razões para o atraso na
deteção de lesões potencialmente malignas.
A telemedicina teve um impacto extremamente positivo, em tempo de pandemia, que
possibilitou a realização de avaliações e follow-ups de lesões em pacientes impedidos de
se deslocar para os centros hospitalares.
Introduction: COVID-19 is a highly contagious disease that in the last year has become a major challenge worldwide. Due to the pandemic scenario and the mandatory distance, screening for potentially malignant lesions can be significantly impaired, leading to delayed and/or missed diagnoses. Telemedicine is a widely used platform these days, as it can provide medical care from a distance, enabling a reduction in travel and reducing the risk of infection for the most vulnerable patients. Materials and Methods: A systematic review was carried out, using several databases, with a specific search strategy, combining MeSH terms and free search terms. The research was based on the PICO question (What is the impact of COVID-19 on the early diagnosis of oral cancer?) with the following selection criteria: studies that assess the impact of COVID-19 on the early diagnosis of oral cancer in the population, with date publication between 2020-2021. The studies were analyzed respecting the previously established inclusion and exclusion criteria. The present study followed the guidelines of the PRISMA guidelines. Results: Through the articles included(14 articles included), it was found that there was a negative impact, especially on cancer patients, who saw their consultations and treatments neglected. There was a decrease in the number of biopsies performed and, consequently, in the number of diagnosed cases. These delays potentiated the increase in stage and malignancy, leading to more aggressive treatments and potentially poor prognosis. Telemedicine was, is and will be an effective tool since it allowed the reduction of the number of visits and displacements to hospital centers, decongesting them. Conclusion: It is essential to intervene in the factors that influence early diagnosis, both at the level of the patient and the health professional, since the delay in recognizing signs and symptoms is one of the main reasons for the delay in the detection of potentially injuries evil. Telemedicine had an extremely positive impact during the time of the pandemic, which made it possible to carry out assessments and follow-ups of injuries to patients who were unable to travel to hospital centers.
Introduction: COVID-19 is a highly contagious disease that in the last year has become a major challenge worldwide. Due to the pandemic scenario and the mandatory distance, screening for potentially malignant lesions can be significantly impaired, leading to delayed and/or missed diagnoses. Telemedicine is a widely used platform these days, as it can provide medical care from a distance, enabling a reduction in travel and reducing the risk of infection for the most vulnerable patients. Materials and Methods: A systematic review was carried out, using several databases, with a specific search strategy, combining MeSH terms and free search terms. The research was based on the PICO question (What is the impact of COVID-19 on the early diagnosis of oral cancer?) with the following selection criteria: studies that assess the impact of COVID-19 on the early diagnosis of oral cancer in the population, with date publication between 2020-2021. The studies were analyzed respecting the previously established inclusion and exclusion criteria. The present study followed the guidelines of the PRISMA guidelines. Results: Through the articles included(14 articles included), it was found that there was a negative impact, especially on cancer patients, who saw their consultations and treatments neglected. There was a decrease in the number of biopsies performed and, consequently, in the number of diagnosed cases. These delays potentiated the increase in stage and malignancy, leading to more aggressive treatments and potentially poor prognosis. Telemedicine was, is and will be an effective tool since it allowed the reduction of the number of visits and displacements to hospital centers, decongesting them. Conclusion: It is essential to intervene in the factors that influence early diagnosis, both at the level of the patient and the health professional, since the delay in recognizing signs and symptoms is one of the main reasons for the delay in the detection of potentially injuries evil. Telemedicine had an extremely positive impact during the time of the pandemic, which made it possible to carry out assessments and follow-ups of injuries to patients who were unable to travel to hospital centers.
Description
Keywords
Cancro oral SARS-Cov-2 Diagnóstico precoce Telemedicina Oral cancer Early diagnosis Telemedicine