key: cord-0843774-jo1u8u0h
authors: Goto, Mitsuo; Miyachi, Hitoshi; Hasegawa, Shogo; Watanabe, Satoshi; Miyabe, Satoru; Nagao, Toru
title: Impact of COVID-19 pandemic on oral and maxillofacial surgery in Japan: A report from a questionnaire survey during the different phases of the pandemic
date: 2021-03-22
journal: nan
DOI: 10.1016/j.adoms.2021.100069
sha: bcb24c3dbd2847a8259f1d6821482b43d383bb8d
doc_id: 843774
cord_uid: jo1u8u0h

COVID-19 pandemic has provided a new challenge to healthcare systems and medical care providers. In the current study, we describe the challenges faced and actions taken to provide optimum healthcare in Japan during the COVID-19 pandemic based on the results of a questionnaire survey that was conducted by oral and maxillofacial surgeons. A total of 24 Japanese institutions participated in the study. The first survey was conducted between June 22, 2020 and June 26, 2020, and the second survey was conducted between October 23, 2020 and November 8, 2020. The questionnaire focused on the practical situation in the respondent’s hospital, personal protective equipment (PPE) availability, and what alterations had occurred compared to the situation before the COVID-19 pandemic. The commonest reported duration of restrictions to the outpatient clinic was 1–2 months. All of the institutions had lifted their restrictions on outpatient services by September 2020. Surgical procedures in the operating room were restricted in 74% of hospitals in the first wave of the pandemic; however, 88% lifted their restrictions and restarted their regular surgical services by November 2020. Although, non-urgent or elective procedures were delayed, surgeries for malignant tumors, maxillofacial infections, and trauma were performed at almost all hospitals during the pandemic. Health care institutions will require a new approach to maintain patient volume and recover from the pandemic. Going forward, it is also necessary to minimize the risk of exposure and transmission to health care personnel as well as patients.

1 Impact of COVID Impact of COVID Impact of COVID Impact of COVID----19 pandemic 19 pandemic 19 pandemic 19 pandemic on oral and maxillofacial surgery in on oral and maxillofacial surgery in on oral and maxillofacial surgery in on oral and maxillofacial surgery in 1 Japan: A report from Japan: A report from Japan: A report from Japan: A report from a a a a questionnaire survey during the different questionnaire survey during the different questionnaire survey during the different questionnaire survey during the different 2 phases of the pandemic phases of the pandemic phases of the pandemic phases of the pandemic Introduction Introduction Introduction Introduction 30 On January 30, 2020, the World Health Organization (WHO) formally announced the 31 novel coronavirus disease 2019 caused by the severe acute respiratory 32 syndrome coronavirus 2 (SARS-CoV-2) to be a "public health emergency of 33 international concern" and, shortly thereafter, on March 11, 2020, they 34 officially declared the COVID-19 outbreak to be a "pandemic," at which point, 35 J o u r n a l P r e -p r o o f there were 130,000 confirmed cases in 118 countries. one was located in the Hyogo prefecture in west Japan. The majority of these 89 hospitals serve as regional referral hospitals, with emergency or urgent care article also reported that in 62% of the clinics, patients always wore a mask 170 during the consultation and presented evidence from a previous study that 171 covering the mouth reduces droplet production. 13 As wearing a mask is commonly 172 followed in Japan, we did not include an item regarding it our questionnaire.

The COVID-19 pandemic has given us an opportunity to develop alternative paths 174 to provide safe patient care with limited in-person interactions using 175 teleconsultation services. 14 Indeed, 29% of our participants started to provide 176 telemedicine services to decrease the risk of exposure to infection. requiring longer care in hospitals. 16, 17 The majority of our participants' 190 institutions serve as regional referral hospitals, with emergency care services. 191 Therefore, they were able to offer prompt services for cases of severe infection. This study has some limitations: 1) the frequency and types of emergencies the 218 departments encounter were not studied; 2) the extent of the economic burden 219 imposed by the pandemic on hospitals could not be assessed; and 3) our survey 220 did not consider the hospital type and size. Although this study was not a 221 nationwide survey, we believe that it provided representative data from Japan. No answer 1 (4%) 0 J o u r n a l P r e -p r o o f What type of PPEs were short ?

The number of institutions

Network Analysis of the Novel Coronavirus Disease 2019 (COVID-19)

China coronavirus: WHO declares international emergency as death 256 toll exceeds 200

Recommendations for head and neck 258 surgical oncology practice in a setting of acute severe resource constraint 259 during the COVID-19 pandemic: an international consensus

The impact of Coronavirus (COVID-19) 263 on head and neck cancer patients' care

5 National Comprehensive Cancer Network. NCCN Guidelines

Aerosol Generating Procedures and Risk 270 of Transmission of Acute Respiratory Infections to Healthcare Workers: A 271

Systematic ReviewAerosol generating procedures (AGP) and risk of 272 transmission of acute respiratory diseases (ARD): a systematic review

Acknowledgements Acknowledgements Acknowledgements 249 We would like to thank Editage (www.editage.com) for English language editing. 250 251