Affiliation:
1. Department of Surgery, University of São Paulo Medical School, São Paulo, Brazil
Abstract
Objective This study aims to evaluate the impact of COVID-19 and the current situation for cleft lip/palate treatment surgeries within Brazil's public health system. Design Our retrospective study analyzed CL/P corrective surgeries in Brazil's health system using DATASUS TabNet data from March 2020 to December 2022, with historical data from January 2016 to February 2020. We employed ARIMA analysis to estimate pandemic-related surgery cancellations. Results In 2020, 1992 (CI 95%: 989–2995) CL/P surgeries were not conducted due to pandemics, a 44.1% (CI 95%: 28.1–54.2%) decrease compared to expectations for march to December 2020. Between the onset of the pandemic in Brazil and the end of 2022, 10,643 surgeries were performed in the country, representing a 33.8% shortfall compared to the expected number for the period (16,076; 95% CI: 9697–22,456). Conclusion The study highlights COVID-19's impact on CL/P surgeries in Brazil. Post-pandemic, surgeries increased but regional disparities remain, urging collaborative efforts to improve services and support affected patients.
Funder
Fundação de Amparo à Pesquisa do Estado de São Paulo
Reference32 articles.
1. Global Burden of Orofacial Clefts and the World Surgical Workforce
2. American Cleft Palate-Craniofacial Association. Parameters for evaluation and treatment of patients with cleft lip/palate or other craniofacial anomalies. Revised ed. American Cleft Palate-Craniofacial Association; 2009, p.16.
3. Fatores associados ao atraso no tratamento cirúrgico primário de fissuras labiopalatinas no Brasil: uma análise multinível