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Impact of the COVID-19 pandemic period on patients with head and neck carcinoma: a systematic review

dc.contributor.authorPereira, Maria Carolina Pinto
dc.contributor.authorFernandes, Juliana Campos Hasse
dc.contributor.authorFernandes, Gustavo Vicentis Oliveira
dc.contributor.authorNor, Felipe
dc.contributor.authorMarques, Tiago
dc.contributor.authorCouto, Patrícia
dc.date.accessioned2023-04-19T13:37:38Z
dc.date.available2023-04-19T13:37:38Z
dc.date.issued2023-04-10
dc.description.abstractIntroduction: The COVID-19 pandemic has significantly impacted all public life and the global economy. Since its discovery, the disease has spread rapidly, which led to an unprecedented public health crisis and the adoption of extreme measures to limit community and hospital spread. As a result of a confluence of extraordinary circumstances caused by this pandemic, the doctrines of treatment for patients with head and neck carcinoma had to be reanalyzed, guaranteeing the well-being of both patients and health professionals as well as society itself. Objective: The aim of our systematic review was to study the impact of the COVID-19 pandemic period on head and neck cancer patients, the effects on the health care provided and on patient health. Materials and Methods: This systematic review was based on the PRISMA guidelines and PICO strategy, with the focus question, “How has the COVID-19 pandemic period conditioned the treatment of patients with head and neck carcinoma?” Thus, electronic research was carried out on six databases: LILACS, PubMed/MedLine, Web of Science, the Cochrane COVID-19 Study Register, Scielo, and Scopus, aiming to answer the research question by considering the objective and defined criteria. The following information was extracted: author and year of the publication, patients’ age, gender, time until the first appointment, time from the first appointment to the surgery, the period in the hospital, time in intensive care, TNM, general stage of cancer, diagnostic procedures, oncological procedures, reconstructive surgery, and postoperative complications. Results: Initially, 837 articles were found. After removing duplicates, we obtained 471 studies. After screening by title and abstract, 67 articles were selected for full-text reading (k = 92) in order to assess their eligibility. Thus, nine articles were included (k = 1.0). All data and statistical results were obtained and contrasted. The included studies made it possible to reveal distinct impacts felt in different institutions of several countries, not allowing generalizable conclusions to be drawn. However, some of the variables analyzed are worrying, namely, the limitations that occurred in some types of oncological surgeries, as well as the increase in the number of patients admitted with higher TNM classifications and more debilitated general conditions. Conclusion: Within the limitation of this review, the results showed efforts made to prevent the pandemic from affecting the healthcare provided. There were no significant differences in days inside the intensive care unit, postoperative complications, and, in most cases, length of stay in the hospital. There were no differences in the number of patients admitted with a history of recurrence or neoadjuvant treatment. However, some variables raise concerns, such as the increase in patients with more advanced stage and TNM classification and a decrease in certain oncological procedures.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3390/diseases11020061pt_PT
dc.identifier.eid85162953510
dc.identifier.issn2079-9721
dc.identifier.pmcPMC10123687
dc.identifier.pmid37092443
dc.identifier.urihttp://hdl.handle.net/10400.14/40888
dc.identifier.wos001014254700001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHead and neck cancerpt_PT
dc.subjectCOVID-19pt_PT
dc.subjectTreatmentpt_PT
dc.subjectImpactpt_PT
dc.subjectLifept_PT
dc.subjectConsequencespt_PT
dc.titleImpact of the COVID-19 pandemic period on patients with head and neck carcinoma: a systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue2pt_PT
oaire.citation.titleDiseasespt_PT
oaire.citation.volume11pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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