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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.
Pabst, Andreas; Zeller, Alexander-N; Sader, Robert; Wiegner, Jörg-Ulf; Schneider, Matthias; Ehrenfeld, Michael; Hoffmann, Jürgen.
  • Pabst A; Department of Oral and Maxillofacial Surgery, Federal Armed Forces Hospital, Rübenacherstr. 170, 56072, Koblenz, Germany. andipabst@me.com.
  • Zeller AN; Department of Oral and Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
  • Sader R; Department of Oral, Cranio Maxillofacial and Facial Plastic Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60528, Frankfurt am Main, Germany.
  • Wiegner JU; Private Practice for Oral and Maxillofacial Surgery, Saalstraße 35, 07318, Saalfeld, Germany.
  • Schneider M; Private Practice for Oral and Maxillofacial Surgery, Dr.-Külz-Ring 15, 01067, Dresden, Germany.
  • Ehrenfeld M; Department of Oral and Maxillofacial Surgery, University Hospital Munich, Lindwurmstr. 2a, 80337, Munich, Germany.
  • Hoffmann J; Department of Oral and Maxillofacial Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.
Clin Oral Investig ; 25(6): 3853-3860, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1012217
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Surgery, Oral / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Oral Investig Journal subject: Dentistry Year: 2021 Document Type: Article Affiliation country: S00784-020-03715-5

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Surgery, Oral / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Oral Investig Journal subject: Dentistry Year: 2021 Document Type: Article Affiliation country: S00784-020-03715-5