Quality and safety innovations in the Radiology Department during the COVID-19 pandemic: a Latin American experience

Yokoo, Patrícia; Silva, Maria Carolina Bueno da; Castro, Adham do Amaral e; Fonseca, Eduardo Kaiser Ururahy Nunes; Martins, Karine Minaif; Queiroz, Marcos Roberto Gomes de; Szarf, Gilberto; Tachibana, Adriano

doi:10.31744/einstein_journal/2020gs5832

Cited by 6 publications

(5 citation statements)

References 15 publications

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“…Hospitals and health facilities are more structured with safety protocols for the prevention of COVID-19 transmission. (6,21,22) Benefits from breast screening exams outweigh the risk of COVID-19 infection. In this scenario, as breast societies keep advising about the importance of returning to screening exams, we need to do an intense and effective effort so that patients really feel safe enough to return to their breast exams.…”

Section: ❚ Discussionmentioning

confidence: 99%

The delay of breast cancer diagnosis during the COVID-19 pandemic in São Paulo, Brazil

Tachibana

Ribeiro

Federicci

et al. 2021

Einstein (São Paulo)

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Section: ❚ Discussionmentioning

confidence: 99%

The delay of breast cancer diagnosis during the COVID-19 pandemic in São Paulo, Brazil

Tachibana

Ribeiro

Federicci

et al. 2021

Einstein (São Paulo)

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“…Private healthcare facilities also had to cope with a large number of suspected cases of COVID-19 acute respiratory syndrome. Faced with these conditions, the private system created specific hospitalization criteria, among these redirecting care and hospitalization flows, dedicating beds, and sometimes entire floors to these patients ( 10 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

COVID-19 pneumonia assessed at a private hospital, a field hospital, and a public-referral hospital: population analysis, chest computed tomography findings, and outcomes

Yokoo,

Castro,

Fonseca

et al. 2024

Front. Public Health

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ObjectiveTo compare a private quaternary referral hospital, a public tertiary hospital, and a field hospital dedicated to patients with COVID-19, regarding patients’ characteristics, clinical parameters, laboratory, imaging findings, and outcomes of patients with confirmed diagnosis of COVID-19.MethodsRetrospective multicenter observational study that assessed the association of clinical, laboratory and CT data of 453 patients with COVID-19, and also their outcomes (hospital discharge or admission, intensive care unit admission, need for mechanical ventilation, and mortality caused by COVID-19).ResultsThe mean age of patients was 55 years (±16 years), 58.1% of them were male, and 41.9% were female. Considering stratification by the hospital of care, significant differences were observed in the dyspnea, fever, cough, hypertension, diabetes mellitus parameters, and CT score (p < 0.05). Significant differences were observed in ward admission rates, with a lower rate in the private hospital (40.0%), followed by the public hospital (74.1%), and a higher rate in the field hospital (89.4%). Regarding intensive care unit admission, there was a higher rate in the public hospital (25.2%), followed by the private hospital (15.5%), and a lower rate in the field hospital (9.9%). In the analysis of the discharge and death outcomes, it was found that there was a higher number of patients discharged from the private hospital (94.2%), compared to the field hospital (90.1%) and public hospital (82.3%) and a higher number of deaths in the public hospital (17.7%) compared to the private hospital and field hospital (5.8 and 0% respectively).ConclusionThe analysis of the data regarding the population treated with COVID-19 during the first wave in different levels of care in the public and private health systems in the city of São Paulo revealed statistically significant differences between the populations, reflecting distinct outcomes.

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“…Tachibana et al (2021) acrescentam que, em São Paulo, houve redução de quase 80% nos exames de imagem para detecção de câncer de mama no primeiro semestre de 2020. Ademais, Yokoo et al (2020) explicam que os departamentos de radiologia dos hospitais precisaram adotar algumas mudanças na rotina de atendimento ao paciente, a fim de minimizar as possibilidades de transmissão da Covid-19, sem ignorar a segurança de pacientes e profissionais, e, ainda, garantindo a qualidade dos exames de imagem. Ou seja, percebe-se que medidas foram tomadas em todo o processo, desde a detecção da doença por meio de exames diagnósticos, até o tratamento, em si, realizado quer a partir de quimioterapia, radioterapia ou procedimento cirúrgico.…”

Section: Introductionunclassified

Análise da incidência de câncer de mama e respectivas terapias utilizadas no período pré-pandêmico e pandêmico na cidade de Cascavel-PR

Mello

Takahashi

2023

RSD

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O câncer de mama, como a maior parte dos cânceres, enquadra-se em um grupo de doenças que tem causas multifatoriais, ou seja, fatores etiológicos múltiplos, sejam genéticos ou ambientais. A forma com que os fatores interagem e causam a doença ainda não é totalmente conhecida. O rastreamento em populações assintomáticas busca possibilitar a mudança do prognóstico. Os exames de rastreamento de forma geral incluem mamografia, exame clínico de mamas, entre outros. No escopo da pandemia Covid-19 e a situação de isolamento social, o presente estudo teve como objetivo avaliar a incidência de câncer de mama e as respectivas terapias no período pré pandêmico e pandêmico na cidade de Cascavel-PR, com base nos dados fornecidos pelo governo no Data SUS. Os resultados indicaram que durante a pandemia os óbitos na cidade se mantiveram estáveis, em contraposição com os números indicados no escopo nacional. Houve aumento de 72% de diagnósticos no período e 15% nos tratamentos, em contraposição com a redução de exames de mamografia, em uma proporção de 58% no ano de 2020; e em 2022, o índice de cirurgias subiu mais de 150% com relação a 2021. Pode-se concluir que houve aumento nos diagnósticos e prevalência, após o ano de 2021, pela intervenção cirúrgica. Contudo, não é possível relacionar o aumento dos diagnósticos ao vírus Covid-19, mas às políticas públicas de isolamento social, redução de mamografias, possível seletividade e avanços assertivos nos diagnósticos.

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Quality and safety innovations in the Radiology Department during the COVID-19 pandemic: a Latin American experience

Cited by 6 publications

References 15 publications

The delay of breast cancer diagnosis during the COVID-19 pandemic in São Paulo, Brazil

The delay of breast cancer diagnosis during the COVID-19 pandemic in São Paulo, Brazil

COVID-19 pneumonia assessed at a private hospital, a field hospital, and a public-referral hospital: population analysis, chest computed tomography findings, and outcomes

Análise da incidência de câncer de mama e respectivas terapias utilizadas no período pré-pandêmico e pandêmico na cidade de Cascavel-PR

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