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06.01.2021 | Original Article

The influence of the SARS-CoV-2 pandemic on oral and maxillofacial surgery: a nationwide survey among 54 hospitals and 240 private practices in Germany

verfasst von: Andreas Pabst, Alexander–N. Zeller, Robert Sader, Jörg-Ulf Wiegner, Matthias Schneider, Michael Ehrenfeld, Jürgen Hoffmann

Erschienen in: Clinical Oral Investigations | Ausgabe 6/2021

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Abstract

Objective

The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic has created hitherto unknown challenges for healthcare systems and patient care. This study aimed to analyze its influence on patient care and healthcare management in oral and maxillofacial surgery (OMFS) in Germany.

Materials and methods

A nationwide survey of the German Association of Oral and Maxillofacial Surgery was performed. Individual questionnaires containing 10 questions for university as well as non-university hospitals and 15 questions for private practices (PPs) for OMFS were created to collect data for patient numbers and surgical procedures conducted, usage of personal protection equipment (PPE), SARS-CoV-2 tests, and economic aspects.

Results

Fifty-four hospitals and 240 PPs participated in the study. The reduction in ward capacities and number of surgical procedures ranged from 17 to 78%. PPE consisted of standard surgical masks (58% hospitals, 64% PPs) and FFP2/N95/KN95 respirators (45% hospitals, 48% PPs). Preoperative SARS-CoV-2 tests were more frequently performed in hospitals (34% vs 2%). At PPs, turnover for medical and dental procedures billed to the public insurance had reduced to 58.81% and 62.43%, respectively, of the corresponding values for 2019, and 58.75% of the PPs had applied for short-time allowances.

Conclusion

With the exception of some elective procedures, primary patient care in OMFS has been assured during the pandemic. However, the immense economic burden on hospitals and PPs cannot be conclusively assessed at this point.

Clinical relevance

For OMFS, the German healthcare system has shown the ability to adapt to emergency situations such as the SARS-CoV-2 pandemic. Adequate surgical capacities in OMFS are necessary even during pandemics.

https://www.aerzteblatt.de/nachrichten/112048/Spahn-Schrittweise-Rueckkehr-in-einen-Regelbetrieb-in-Kliniken; source last assessed online on July 18, 2020

Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR (2020) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents 55(3):105924. https://doi.org/10.1016/j.ijantimicag.2020.105924CrossRefPubMedPubMedCentral

Saggese NP, Cardo VA (2020) A perspective from a NYC chief oral and maxillofacial surgery resident during the COVID-19 pandemic. Br J Oral Maxillofac Surg. 58:730–731. https://doi.org/10.1016/j.bjoms.2020.04.042CrossRefPubMedPubMedCentral

Fu Y, Cheng Y, Wu Y (2020) Understanding SARS-CoV-2-mediated inflammatory responses: from mechanisms to potential therapeutic tools. Virol Sin 35(3):266–271. https://doi.org/10.1007/s12250-020-00207-4CrossRefPubMedPubMedCentral

Zheng Z, Peng F, Xu B, Zhao J, Liu H, Peng J, Li Q, Jiang C, Zhou Y, Liu S, Ye C, Zhang P, Xing Y, Guo H, Tang W (2020) Risk factors of critical & mortal COVID-19 cases: a systematic literature review and meta-analysis. J Infect. 81:e16–e25. https://doi.org/10.1016/j.jinf.2020.04.021CrossRefPubMedPubMedCentral

Ackermann M, Verleden SE, Kuehnel M, Haverich A, Welte T, Laenger F, Vanstapel A, Werlein C, Stark H, Tzankov A, Li WW, Li VW, Mentzer SJ, Jonigk D (2020) Pulmonary vascular endothelialitis, thrombosis, and angiogenesis in Covid-19. N Engl J Med 383(2):120–128. https://doi.org/10.1056/NEJMoa2015432CrossRefPubMedPubMedCentral

Remuzzi A, Remuzzi G (2020) COVID-19 and Italy: what next? Lancet 395(10231):1225–1228. https://doi.org/10.1016/S0140-6736(20)30627-9CrossRefPubMedPubMedCentral

Kowalski LP, Sanabria A, Ridge JA, Ng WT, de Bree R, Rinaldo A, Takes RP, Makitie AA, Carvalho AL, Bradford CR, Paleri V, Hartl DM, Vander Poorten V, Nixon IJ, Piazza C, Lacy PD, Rodrigo JP, Guntinas-Lichius O, Mendenhall WM, D'Cruz A, Lee AWM, Ferlito A (2020) COVID-19 pandemic: effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Head Neck 42(6):1259–1267. https://doi.org/10.1002/hed.26164CrossRefPubMedPubMedCentral

Zeng L, Su T, Huang L (2020) Strategic plan for management in oral and maxillofacial surgery during COVID-19 epidemic. Oral Oncol 105:104715. https://doi.org/10.1016/j.oraloncology.2020.104715CrossRefPubMedPubMedCentral

Sabino-Silva R, Jardim ACG, Siqueira WL (2020) Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis. Clin Oral Investig 24(4):1619–1621. https://doi.org/10.1007/s00784-020-03248-xCrossRefPubMed

10.

Thamboo A, Lea J, Sommer DD, Sowerby L, Abdalkhani A, Diamond C, Ham J, Heffernan A, Cai Long M, Phulka J, Wu YQ, Yeung P, Lammers M (2020) Clinical evidence based review and recommendations of aerosol generating medical procedures in otolaryngology - head and neck surgery during the COVID-19 pandemic. J Otolaryngol Head Neck Surg 49(1):28. https://doi.org/10.1186/s40463-020-00425-6CrossRefPubMedPubMedCentral

11.

Day AT, Sher DJ, Lee RC, Truelson JM, Myers LL, Sumer BD, Stankova L, Tillman BN, Hughes RS, Khan SA, Gordin EA (2020) Head and neck oncology during the COVID-19 pandemic: reconsidering traditional treatment paradigms in light of new surgical and other multilevel risks. Oral Oncol 105:104684. https://doi.org/10.1016/j.oraloncology.2020.104684CrossRefPubMedPubMedCentral

12.

Diegritz C, Manhart J, Bucher K, Grabein B, Schuierer G, Kuhnisch J, Kunzelmann KH, Hickel R, Fotiadou C (2020) A detailed report on the measures taken in the Department of Conservative Dentistry and Periodontology in Munich at the beginning of the COVID-19 outbreak. Clin Oral Investig 24(8):2931–2941. https://doi.org/10.1007/s00784-020-03440-zCrossRefPubMed

13.

Zhao Z, Gao D (2020) Precaution of 2019 novel coronavirus infection in department of oral and maxillofacial surgery. Br J Oral Maxillofac Surg 58(3):250–253. https://doi.org/10.1016/j.bjoms.2020.03.001CrossRefPubMedPubMedCentral

14.

Panesar K, Dodson T, Lynch J, Bryson-Cahn C, Chew L, Dillon J (2020) Evolution of COVID-19 Guidelines for University of Washington Oral and Maxillofacial Surgery Patient Care. J Oral Maxillofac Surg 78(7):1136–1146. https://doi.org/10.1016/j.joms.2020.04.034CrossRefPubMedPubMedCentral

15.

Givi B, Schiff BA, Chinn SB, Clayburgh D, Iyer NG, Jalisi S, Moore MG, Nathan CA, Orloff LA, O'Neill JP, Parker N, Zender C, Morris LGT, Davies L (2020) Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic. JAMA Otolaryngol Head Neck Surg. 146:579–584. https://doi.org/10.1001/jamaoto.2020.0780CrossRefPubMed

16.

Blackhall KK, Downie IP, Ramchandani P, Kusanale A, Walsh S, Srinivasan B, Shields H, Brennan PA, Singh RP (2020) Provision of emergency maxillofacial service during the COVID-19 Pandemic: a Collaborative Five Centre UK Study. Br J Oral Maxillofac Surg. 58:698–703. https://doi.org/10.1016/j.bjoms.2020.05.020CrossRefPubMedPubMedCentral

17.

Guo H, Zhou Y, Liu X, Tan J (2020) The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci. https://doi.org/10.1016/j.jds.2020.02.002

18.

Yang Y, Zhou Y, Liu X, Tan J (2020) Health services provision of 48 public tertiary dental hospitals during the COVID-19 epidemic in China. Clin Oral Investig 24(5):1861–1864. https://doi.org/10.1007/s00784-020-03267-8CrossRefPubMed

19.

Ishack S, Lipner SR (2020) Applications of 3D printing technology to address COVID-19-related supply shortages. Am J Med 133(7):771–773. https://doi.org/10.1016/j.amjmed.2020.04.002CrossRefPubMedPubMedCentral

20.

Swennen GRJ, Pottel L, Haers PE (2020) Custom-made 3D-printed face masks in case of pandemic crisis situations with a lack of commercially available FFP2/3 masks. Int J Oral Maxillofac Surg 49(5):673–677. https://doi.org/10.1016/j.ijom.2020.03.015CrossRefPubMedPubMedCentral

21.

Latz CA, Boitano LT, Png CYM, Tanious A, Kibrik P, Conrad M, Eagleton M, Dua A (2020) Early vascular surgery response to the COVID-19 pandemic: results of a nationwide survey. J Vasc Surg. https://doi.org/10.1016/j.jvs.2020.05.032

22.

Hemingway JF, Singh N, Starnes BW (2020) Emerging practice patterns in vascular surgery during the COVID-19 pandemic. J Vasc Surg. 72:396–402. https://doi.org/10.1016/j.jvs.2020.04.492CrossRefPubMedPubMedCentral

23.

Valentini V, Pucci R, Battisti A, Cassoni A (2020) Head and neck cancer cannot wait for this pandemic to end: risks, challenges and perspectives of oral-maxillofacial surgeon during COVID-19. Oral Oncol 106:104758. https://doi.org/10.1016/j.oraloncology.2020.104758CrossRefPubMedPubMedCentral

24.

Maffia F, Fontanari M, Vellone V, Cascone P, Mercuri LG (2020) Impact of COVID-19 on maxillofacial surgery practice: a worldwide survey. Int J Oral Maxillofac Surg 49(6):827–835. https://doi.org/10.1016/j.ijom.2020.04.015CrossRefPubMedPubMedCentral

25.

Huntley RE, Ludwig DC, Dillon JK (2020) Early effects of COVID-19 on oral and maxillofacial surgery residency training-results from a National Survey. J Oral Maxillofac Surg. 78:1257–1267. https://doi.org/10.1016/j.joms.2020.05.026CrossRefPubMedPubMedCentral

26.

Costa SM, Lacerda GT, Villafort RN, Silveira RL, Amaral MBF (2020) We know about COVID-19: Oral and Maxillofacial Surgeons Survey. J Craniofac Surg. https://doi.org/10.1097/SCS.0000000000006658 Publish Ahead of Print

27.

Hong KH, Lee SW, Kim TS, Huh HJ, Lee J, Kim SY, Park JS, Kim GJ, Sung H, Roh KH, Kim JS, Kim HS, Lee ST, Seong MW, Ryoo N, Lee H, Kwon KC, Yoo CK (2020) Guidelines for laboratory diagnosis of coronavirus disease 2019 (COVID-19) in Korea. Ann Lab Med 40(5):351–360. https://doi.org/10.3343/alm.2020.40.5.351CrossRefPubMedPubMedCentral

28.

Grenache DG, Sever C, Mathur G, Mathur S (2020) Antibody testing for COVID-19. Am J Clin Pathol. 154:425–426. https://doi.org/10.1093/ajcp/aqaa110CrossRefPubMedPubMedCentral

29.

Scohy A, Anantharajah A, Bodeus M, Kabamba-Mukadi B, Verroken A, Rodriguez-Villalobos H (2020) Low performance of rapid antigen detection test as frontline testing for COVID-19 diagnosis. J Clin Virol 129:104455. https://doi.org/10.1016/j.jcv.2020.104455CrossRefPubMedPubMedCentral

30.

Kumleben N, Bhopal R, Czypionka T, Gruer L, Kock R, Stebbing J, Stigler FL (2020) Test, test, test for COVID-19 antibodies: the importance of sensitivity, specificity and predictive powers. Public Health 185:88–90. https://doi.org/10.1016/j.puhe.2020.06.006CrossRefPubMedPubMedCentral

31.

Yang Y, Soh HY, Cai ZG, Peng X, Zhang Y, Guo CB (2020) Experience of diagnosing and managing patients in oral maxillofacial surgery during the prevention and control period of the new coronavirus pneumonia. Chin J Dent Res 23(1):57–62. https://doi.org/10.3290/j.cjdr.a44339CrossRefPubMed

32.

Zimmermann M, Nkenke E (2020) Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic. J Craniomaxillofac Surg 48(5):521–526. https://doi.org/10.1016/j.jcms.2020.03.011CrossRefPubMedPubMedCentral

33.

Schwendicke F, Krois J, Gomez J (2020) Impact of SARS-CoV2 (Covid-19) on dental practices: economic analysis. J Dent:103387. https://doi.org/10.1016/j.jdent.2020.103387

34.

Ferneini EM (2020) The financial impact of COVID-19 on our practice. J Oral Maxillofac Surg 78(7):1047–1048. https://doi.org/10.1016/j.joms.2020.03.045CrossRefPubMedPubMedCentral

35.

Giudice A, Barone S, Muraca D, Averta F, Diodati F, Antonelli A, Fortunato L (2020) Can teledentistry improve the monitoring of patients during the Covid-19 dissemination? a descriptive pilot study. Int J Environ Res Public Health 17(10). https://doi.org/10.3390/ijerph17103399

36.

Cirillo N (2020) COVID-19 outbreak: succinct advice for dentists and oral healthcare professionals. Clin Oral Investig 24(7):2529–2535. https://doi.org/10.1007/s00784-020-03323-3CrossRefPubMed

37.

Patel NA, Ji YD, Odera SL (2020) The role of oral and maxillofacial surgeons in COVID-19 response. J Oral Maxillofac Surg 78(7):1052–1053. https://doi.org/10.1016/j.joms.2020.04.016CrossRefPubMedPubMedCentral

Titel: The influence of the SARS-CoV-2 pandemic on oral and maxillofacial surgery: a nationwide survey among 54 hospitals and 240 private practices in Germany
verfasst von: Andreas Pabst
Alexander–N. Zeller
Robert Sader
Jörg-Ulf Wiegner
Matthias Schneider
Michael Ehrenfeld
Jürgen Hoffmann
Publikationsdatum: 06.01.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 6/2021
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03715-5

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The influence of the SARS-CoV-2 pandemic on oral and maxillofacial surgery: a nationwide survey among 54 hospitals and 240 private practices in Germany