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Corelhano AR, Hilgenberg-Sydney PB, Bonotto D, Torres-Pereira CC. Telediagnosis as an effective tool for assessment temporomandibular disorders. J Oral Rehabil 2024. [PMID: 38822475 DOI: 10.1111/joor.13760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 02/27/2024] [Accepted: 05/19/2024] [Indexed: 06/03/2024]
Abstract
BACKGROUND The use of communication technologies has allowed a substantial improvement in telediagnosis. OBJECTIVES To evaluate the feasibility and diagnostic agreement of synchronous teleconsultation compared to physical standard examination for temporomandibular disorders (TMD) and orofacial pain. METHODS Sixty-one patients (50 women, 11 men) with a mean age of 46.07 years referred to the Orofacial Pain Ambulatory Service (SAMDOF -UFPR) were evaluated remotely. They were then examined in person by another evaluator, blinded for the first evaluation. Data on the experience and level of satisfaction with the teleconsultation were also collected. RESULTS For each type and subtype of TMD, diagnostic agreement values, sensitivity, specificity, positive predictive values and negative predictive values were calculated with a 95% confidence interval. 'Almost perfect' agreement was found for Myalgia (k = 0.915), Arthralgia (k = 0.863), disc displacement without reduction without limited opening (k = 0.955) and no TMD (k = 1.00). 'Substantial' agreement for the subtypes headache attributed to TMD (k = 0.761), disc displacement without reduction with limited opening (k = 0.659) and subluxation (k = 7.82). The diagnoses of local myalgia (k = 0.573), myofascial pain with referral (k = 0.524) and disc displacement with reduction (k = 0.563) obtained 'moderate' agreement. Degenerative joint disease (k = 0.170) and disc displacement with reduction with intermittent locking (k = 0.000) obtained 'weak' and 'no agreement', respectively. More than 90% of the participants were satisfied and reported no discomfort during the assessment, agreeing to participate in another teleconsultation. CONCLUSION Synchronous teleconsultation proved to be feasible and presented adequate diagnostic agreement for the main painful TMDs, especially for the diagnosis of myalgia and arthralgia. This format was also well accepted among patients.
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Affiliation(s)
- Amanda Rossi Corelhano
- Graduate Student, Stomatology Dentistry Department, Federal University of Parana (UFPR), Curitiba, Brazil
| | | | - Daniel Bonotto
- Restorative Dentistry Department, Adjunct Professor, Federal University of Parana (UFPR), Curitiba, Brazil
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Alves da Mota Santana L, Góis Floresta L, Maciel Alves ÊV, Ribeiro Couto G, Vieira Valadares C, de Abreu de Vasconcellos SJ, Roque-Torres GD, Amado Santos G, Gandhi Gopalsamy R, Pinto Borges L, Mitsunari Takeshita W, Martins-Filho PR. Reply to: Comment on "Advancing oral cancer diagnosis in Brazil: Integrating artificial intelligence with teledentistry for enhanced patient outcomes". Oral Oncol 2024; 154:106840. [PMID: 38735131 DOI: 10.1016/j.oraloncology.2024.106840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2024] [Accepted: 05/06/2024] [Indexed: 05/14/2024]
Affiliation(s)
- Lucas Alves da Mota Santana
- School of Dentistry, Federal University of Sergipe (UFS), Aracaju, SE, Brazil; School of Dentistry, Tiradentes University (UNIT), Aracaju, SE, Brazil.
| | | | | | | | | | | | | | - Gilmagno Amado Santos
- NOVA National School of Public Health, Public Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal
| | - Rajiv Gandhi Gopalsamy
- Division of Phytochemistry and Drug Design, Department of Biosciences, Rajagiri College of Social Sciences, Kochi, Kerala, India
| | | | - Wilton Mitsunari Takeshita
- Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil.
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dos Santos RTN, Faria CAB, Martins NF, Duda Júnior LGDS, Azevêdo ABF, da Silva WR, Sobral APV. Use of digital strategies in the diagnosis of oral squamous cell carcinoma: a scoping review. PeerJ 2024; 12:e17329. [PMID: 38737735 PMCID: PMC11086294 DOI: 10.7717/peerj.17329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 04/11/2024] [Indexed: 05/14/2024] Open
Abstract
Telediagnosis uses information and communication technologies to support diagnosis, shortening geographical distances. It helps make decisions about various oral lesions. The objective of this scoping review was to map the existing literature on digital strategies to assist in the diagnosis of oral squamous cell carcinoma. this review was structured based on the 5-stage methodology proposed by Arksey and O'Malley, the Joanna Briggs Institute Manual for Evidence Synthesis and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. The methods were registered on the Open Science Framework. The research question was: What digital strategies have been used to assist in the diagnosis of oral squamous cell carcinoma? The search was conducted on PubMed/MEDLINE, Scopus, Web of Science, Embase, and ScienceDirect. Inclusion criteria comprised studies on telediagnosis, teleconsultation or teleconsultation mediated by a professional and studies in English, without date restrictions. The search conducted in June 2023 yielded 1,798 articles, from which 16 studies were included. Telediagnosis was reported in nine studies, involving data screening through applications, clinical images from digital cameras, mobile phones or artificial intelligence. Histopathological images were reported in four studies. Both, telediagnosis and teleconsultation, were mentioned in seven studies, utilizing images and information submission services to platforms, WhatsApp or applications. One study presented teleconsultations involving slides and another study introduced teleconsultation mediated by a professional. Digital strategies telediagnosis and teleconsultations enable the histopathological diagnosis of oral cancer through clinical or histopathological images. The higher the observed diagnostic agreement, the better the performance of the strategy.
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Affiliation(s)
| | | | | | | | | | - Weslay Rodrigues da Silva
- Department of Oral and Maxillofacial Pathology, University of Pernambuco, Recife, Pernambuco, Brazil
| | - Ana Paula Veras Sobral
- Department of Oral and Maxillofacial Pathology, University of Pernambuco, Recife, Pernambuco, Brazil
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Maret D, Peters OA, Auria JP, Savall F, Vigarios E. Smartphone oral self-photography in teledentistry: Recommendations for the patient. J Telemed Telecare 2024; 30:186-193. [PMID: 34160332 DOI: 10.1177/1357633x211028513] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In the current context of the coronavirus disease 2019 pandemic, the deployment of telemedicine has accelerated considerably. Like telemedicine, teledentistry involves the use of telecommunication technologies to provide medical information and services. Teledentistry can contribute to remote assessment (teletriage) and continuity of care (telemonitoring). This evaluation at a distance can be done by sending photos taken by the patient with a smartphone. Providing patients with a simple and reproducible protocol and explaining how to take a photo is important for sufficient image quality. The aim of this technical note is to help clinicians advise their patients on how to take photographs of their oral cavity simply and with sufficient quality to be reproducible.
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Affiliation(s)
- Delphine Maret
- Faculté de Chirurgie Dentaire, Université Paul Sabatier, Centre Hospitalier Universitaire, Toulouse, France
- Centre d'Anthropobiologie et de Génomique de Toulouse CAGT, CNRS UMR 5288, Université Toulouse III Paul Sabatier, Toulouse, France
| | - Ove A Peters
- School of Dentistry, Brisbane, University of Queensland, QLD, Australia
| | | | - Frédéric Savall
- Centre d'Anthropobiologie et de Génomique de Toulouse CAGT, CNRS UMR 5288, Université Toulouse III Paul Sabatier, Toulouse, France
- Service de médecine légale, Centre Hospitalier Universitaire Rangueil, A, Toulouse, France
| | - Emmanuelle Vigarios
- Département de Médecine Orale, Institut Claudius Regaud, Institut Universitaire du Cancer Toulouse-Oncopole, Toulouse, France
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Ross MW, Bennis SL, Zoschke N, Simon Rosser BR, Stull CL, Nyitray AG, Khariwala SS, Nichols M, Flash C, Wilkerson M. Screening for HPV-Related Oropharyngeal Cancer in Gay and Bisexual Men: Acceptability and Predicting Possible Use of "Oral Selfies" by Smartphone as a Secondary Prevention Approach. VENEREOLOGY (BASEL, SWITZERLAND) 2023; 2:180-193. [PMID: 38515606 PMCID: PMC10956645 DOI: 10.3390/venereology2040016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
Oropharyngeal cancers (OPCa) caused by HPV have emerged as one of the leading causes of malignancies caused by HPV infection. They are also significantly more likely to occur in males and in people with a history of oral sex with multiple partners. Gay and bisexual men are disproportionately affected by HPV-positive oropharyngeal cancers. We studied 1699 gay and bisexual men on 2 major dating sites in the US to assess their knowledge about HPV-related OPCa, attitudes toward screening for it, beliefs about oropharyngeal cancer screening based on the Health Belief Model, and attitudes toward possible screening approaches for OPCa. Knowledge on a 12-item scale was low, with a median of 5 items correct: 72% knew of the benefits of HPV vaccination. Significant predictors of needing OPCa screening included perception of risk for OPCa, seeing it as severe, having lower barriers, fewer reasons to avoid screening, higher knowledge, and being HPV vaccinated were significant predictors, explaining half the total variance. Most participants would accept routine, virtual/online doctor or dental appointments, and over half would accept an in-person screening. Nearly two-thirds stated that they would accept getting checked for OPCa if they could do self-screening at home, and half were prepared to use an online screening tool or app, where they could take an "oral selfie" and send it to a healthcare provider for examination. One-third stated that they would trust the results of a home screening completed by themselves and posted to a website equally as cancer screening completed online by a healthcare provider. Data indicate that despite low OPCA knowledge levels, the risk of HPV-associated OPCa was known. Being at personal risk and having knowledge of disease severity had 70% of the sample thinking about, or preparing to get, screening. Self-screening by a smartphone "oral selfie" transmitted to a screening website was acceptable to many gay and bisexual men, and online screening by a doctor or dentist was acceptable to most. OPCa screening in this population using electronic technology, together with the increasing incidence of HPV-associated OPCa in gay and bisexual men, brings together an opportunity to detect OPCa early.
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Affiliation(s)
- Michael W. Ross
- Institute of Sexual and Gender Health, Department of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis, MN 55454, USA
| | - Sarah L. Bennis
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN 55454, USA
| | - Niles Zoschke
- School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Brian R. Simon Rosser
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN 55454, USA
| | - Cyndee L. Stull
- School of Dentistry, University of Minnesota, Minneapolis, MN 55455, USA
| | - Alan G. Nyitray
- Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI 53202, USA
| | - Samir S. Khariwala
- Department of Otolaryngology, Head and Neck Surgery, Medical School, University of Minnesota, Minneapolis, MN 55455, USA
| | - Mark Nichols
- Avenue360 Health Services, Houston, TX 77008, USA
| | | | - Michael Wilkerson
- School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA
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Uhrin E, Domokos Z, Czumbel LM, Kói T, Hegyi P, Hermann P, Borbély J, Cavalcante BGN, Németh O. Teledentistry: A Future Solution in the Diagnosis of Oral Lesions: Diagnostic Meta-Analysis and Systematic Review. Telemed J E Health 2023; 29:1591-1600. [PMID: 36976779 PMCID: PMC10654653 DOI: 10.1089/tmj.2022.0426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 12/10/2022] [Accepted: 12/12/2022] [Indexed: 03/29/2023] Open
Abstract
Introduction: Teledentistry (TD) can offer a wide range of possibilities in the field of oral medicine. Oral potentially malignant disorders (OPMDs) are hard to detect, and even harder to diagnose correctly. With the help of TD, OPMDs can be detected and diagnosed by a remote specialist. Our aim was to investigate whether TD could provide a reliable diagnostic method compared with clinical oral examination (COE) in the diagnosis of OPMDs. Methods: A systematic search was conducted in three databases (Medline, EMBASE, CENTRAL) until November 2021. We included studies that compared telediagnosis and COE, both made by experts. Pooled specificity and sensitivity were calculated and visualized on a two-dimensional plot. Risk of bias was assessed using the QUADAS-2 tool, and the level of evidence is shown with the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) tool. Results: Of the 7,608 studies, 13 were included in the qualitative and 9 in the quantitative synthesis. Using TD tools in the detection of oral lesions (OLs) showed high specificity (0.92 confidence interval [95% CI] = 0.59-0.99) and sensitivity (0.93 95% CI = 0.17-1.00). In the differential diagnosis of lesions, we found high sensitivity and specificity (0.942 95% CI = 0.826-0.982 and 0.982 95% CI = 0.913-0.997), respectively. We summarized the available data on time-effectiveness, screening person, referral decision, and technical settings. Conclusion: Detecting OLs with TD tools might lead to earlier diagnosis, treatment, and stricter follow-up of OPMD. TD may offer a great substitution for COE in the diagnosis of OLs, and thus, fewer referrals could be made to special care, resulting in a greater number of treated OPMDs.
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Affiliation(s)
- Eszter Uhrin
- Department of Community Dentistry, Semmelweis University, Budapest, Hungary
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
| | - Zsuzsanna Domokos
- Department of Community Dentistry, Semmelweis University, Budapest, Hungary
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
| | - László Márk Czumbel
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Department of Periodontology, Semmelweis University, Budapest, Hungary
| | - Tamás Kói
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Department of Stochastics, Institute of Mathematics, Budapest University of Technology and Economics, Budapest, Hungary
| | - Péter Hegyi
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Institute for Translational Medicine, Szentágothai Research Centre, Medical School, University of Pécs, Pécs, Hungary
- Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University, Budapest, Hungary
| | - Péter Hermann
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Department of Prosthodontics and Semmelweis University, Budapest, Hungary
| | - Judit Borbély
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Department of Prosthodontics and Semmelweis University, Budapest, Hungary
| | - Bianca Golzio Navarro Cavalcante
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
- Department of Oral Biology, Semmelweis University, Budapest, Hungary
| | - Orsolya Németh
- Department of Community Dentistry, Semmelweis University, Budapest, Hungary
- Centre for Translational Medicine, Semmelweis University, Budapest, Hungary
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Niknam F, Sharifian R, Bashiri A, Mardani M, Akbari R, Tuffaha H, Do L, Bastani P. Tele-dentistry, its trends, scope, and future framework in oral medicine; a scoping review during January 1999 to December 2021. Arch Public Health 2023; 81:104. [PMID: 37316914 DOI: 10.1186/s13690-023-01128-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 06/05/2023] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND Tele-dentistry has been increasingly used for different purposes of visit, consultation, triage, screening, and training in oral medicine. This study aims to determine the main facilitators, barriers, and participants` viewpoints of applying tele-dentistry in oral medicine and develop a framework indicating the input, process, output, and feedback. METHOD This was a scoping review conducted in 2022 applying Arksey and O'Malley (2005) approach. Four databases including ISI web of science, PubMed, Scopus, and ProQuest were searched from January 1999 to December 2021. Inclusion criteria consisted of all original and non-original articles (reviews, editorials, letters, comments, and book chapters), and dissertations in English with a full text electronic file. Excel2016 was used for descriptive quantitative analysis and MAXQDA version 10 was applied for qualitative thematic analysis. A thematic framework was developed customizing the results of the review in a virtual mini expert panel. RESULTS Descriptive results show that among 59 included articles, 27 (46%) have addressed the various applications of tele-dentistry during COVID-19 pandemic in the field of oral medicine. From geographical distribution perspective, most of the papers were published in Brazil (n = 13)/ 22.03%, India (n = 7)/11.86% and USA (n = 6)/10.17%. Thematic analysis shows that seven main themes of "information", "skill", "human resource", 'technical", "administrative', 'financial', and 'training and education' are explored as facilitators. 'Individual', 'environmental', 'organizational', 'regulation', 'clinical', and 'technical barriers' are also identified as main barriers of tele-dentistry in oral medicine. CONCLUSION According to the results for using tele-dentistry services in oral medicine, a diverse category of facilitators should be considered and at the same time, different barriers should be managed. Users` satisfaction and perceived usefulness of tele-dentistry as final outcomes can be increased considering the system`s feedback and applying facilitator incentives as well as decreasing the barriers.
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Affiliation(s)
- Fatemeh Niknam
- Department of Health Information Management, School of Health Management and Information Sciences, Student Research Committee, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Roxana Sharifian
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Azadeh Bashiri
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Maryam Mardani
- Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Oral & Maxillofacial Medicine, School of Dentistry, Oral and Dental Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Reza Akbari
- Department of Computer Engineering and Information Technology, Shiraz University of Technology, Shiraz, Iran
| | - Haitham Tuffaha
- Centre for the Business and Economics of Health, Faculty of Business Economics and Law, The University of Queensland, Brisbane, Australia
| | - Loc Do
- School of Dentistry, Faculty of Health and Behavioural Sciences, Oral Health Centre, The University of Queensland, Brisbane, Australia
| | - Peivand Bastani
- Department of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
- School of Dentistry, Faculty of Health and Behavioural Sciences, Oral Health Centre, The University of Queensland, Brisbane, Australia.
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Cordero Tous N, Santos Martín L, Sánchez Corral C, Román Cutillas AM, Núñez Alfonsel B, Román Moyano M, Horcajadas Almansa Á. [Development of an integrated solution for patients with neurostimulator for chronic pain in times of COVID-19: A mobile application with a support center]. Neurocirugia (Astur) 2022; 33:318-327. [PMID: 36339984 PMCID: PMC9617099 DOI: 10.1016/j.neucir.2021.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Accepted: 08/26/2021] [Indexed: 11/21/2022]
Abstract
Introduction Chronic pain is one of the most prevalent pathologies in the world. Treatment with neurostimulators is carried out in the most extreme cases and requires a large investment of resources. In these times of COVID-19 pandemic, we present a comprehensive solution for monitoring this kind of patient, this solution includes the development of a mobile application and a support center for remote monitoring (SCRM). MMaterial and methodology The project was developed according to the scientific evidence in the following phases: (1) approval in a multidisciplinary clinical committee of implants for chronic pain, (2) setting up a group of experts, (3) protocol adaptation for the follow-up of patients with chronic pain to the Smartphone environment, (4) technology platform adaptation to the clinical protocol (technological environment and workflow between the hospital and the SCRM), and (5) quality evaluation by survey (quantitative and qualitative) of a small series of patients. Results The application was evaluated by asking for user opinions about design and usefulness with the first implanted patients. Some minor adjustments were made concerning downloadable material and screen color and text. Conclusions Developing a comprehensive solution should be based on scientific principles and in accordance with established protocols. A support center ensures greater adherence for follow-up and better patient care.
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Affiliation(s)
- Nicolás Cordero Tous
- Servicio de Neurocirugía, Hospital Universitario Virgen de las Nieves, Granada, España
| | - Lucía Santos Martín
- Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen de las Nieves, Granada, España
| | - Carlos Sánchez Corral
- Servicio de Neurocirugía, Hospital Universitario Virgen de las Nieves, Granada, España
| | | | | | - Marta Román Moyano
- Medtronic Ibérica S.A
- Unidad de Gestión Clínica de Neurocirugía, Hospital Universitario Virgen de las Nieves, Granada, España
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Vigarios E, Warnakulasuriya S, Piau A, Giraudeau N, Maret D. Early detection of oral malignancies may involve the development of tele-expertise in dentistry. Oral Oncol 2022; 130:105904. [PMID: 35561488 DOI: 10.1016/j.oraloncology.2022.105904] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 05/05/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Emmanuelle Vigarios
- Département de Médecine Orale, Institut Claudius Regaud, Institut Universitaire du Cancer Toulouse-Oncopole, 1, avenue Irène Joliot Curie, 31059 Toulouse cedex 9, France
| | - Saman Warnakulasuriya
- The WHO Collaborating Centre for Oral Cancer and Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK
| | - Antoine Piau
- CERPOP, Toulouse University, INSERM, UPS, Toulouse, France; Transverse Medical Unit of Telehealth (UMTT), University Hospital of Toulouse, UPS, UMR 1027, F-31400 Toulouse, France
| | | | - Delphine Maret
- Faculté de Chirurgie Dentaire, Université Paul Sabatier, Centre Hospitalier Universitaire, Toulouse, France; Laboratoire Centre d'Anthropobiologie et de Génomique de Toulouse, Université Paul Sabatier, Toulouse, France.
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Crummey A, Graham A, Besi E. Virtual consultations for oral surgery patients. BMC Oral Health 2022; 22:83. [PMID: 35317799 PMCID: PMC8938643 DOI: 10.1186/s12903-022-02076-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Accepted: 02/08/2022] [Indexed: 11/10/2022] Open
Abstract
Background Following Covid-19, many departments have incorporated teledentistry into practice. As new consultation methods are introduced, it’s imperative that patients have as similar an experience with virtual consultations to ensure informed decision-making. This project evaluated patients' perceptions of video consultations and determined if patients seen virtually received the same standard of information by auditing compliance with sending patient information leaflets (PILs) following video consultation. Method The department’s PILs were used to create an inclusion list for patients requiring a PIL. A retrospective audit assessed the notes of 100 video consultations for records of if PILs were sent and by what method. The department’s PILs were digitalised and a clinical mailbox introduced enabling clinicians to email patients a PIL hyperlink. The audit was repeated for 88 video consultations. Patient and staff feedback was gathered via online surveys. Results Initially, 51% of cases met the criteria requiring a PIL and 16% of patients were sent PILs. Following mailbox introduction, 53% of cases met the criteria and 94% were sent PILs, 100% via email. Patient and staff feedback was positive regarding video consultations and digital PILS. Technical difficulties were reported in 44% of cases. Conclusions Patients perceive virtual consultations to be a positive change and the introduction of a mailbox enhances video consultations in an efficient and cost-effective manner. Patient information can be standardised, via digital PILs, regardless of consultation type. As departments implement post-pandemic changes, utilisation of a mailbox can provide multiple improvements to care.
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Affiliation(s)
- Aoife Crummey
- Dental Core Trainee, Oral Surgery Department, Edinburgh Dental Institute, Lauriston Building, 39 Lauriston Place, Edinburgh, EH3 9HA, UK.
| | - Abigail Graham
- Dental Core Trainee, Oral Surgery Department, Edinburgh Dental Institute, Lauriston Building, 39 Lauriston Place, Edinburgh, EH3 9HA, UK
| | - Eleni Besi
- Oral Surgery Consultant, Oral Surgery Department, Edinburgh Dental Institute, Lauriston Building, 39 Lauriston Place, Edinburgh, EH3 9HA, UK
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11
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Caldeira PC, Schuch LF, Tavares TS, Santos-Silva AR, Vargas PA, Pérez-de-Oliveira ME, de Almeida OP, de Souza LB, Gonzaga AKG, Mendonça EF, Sousa-Neto SS, Rivero ERC, Modolo F, Dos Santos JN, Manieri PR, Nonaka CFW, Alves PM, Libório-Kimura TN, da Costa Mendes TC, Etges A, Tarquinio SBC, Gomes APN, Abreu LG, Vasconcelos ACU. Impact of the COVID-19 pandemic on Public University Laboratories of oral and maxillofacial pathology - a Brazilian multicenter study. Oral Dis 2022; 28 Suppl 2:2423-2431. [PMID: 35080084 DOI: 10.1111/odi.14136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Revised: 10/15/2021] [Accepted: 10/31/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate the impact of the COVID-19 pandemic on the number of diagnoses of oral and maxillofacial lesions in public laboratories after one year of COVID-19 outbreak in Brazil. MATERIAL AND METHODS This is a cross-sectional study. Biopsies submitted to histopathologic examination from March 2019 to February 2020 (pre-pandemic period) and from April 2020 to March 2021 (pandemic period) in nine Brazilian public oral pathology laboratories were retrieved and the number of diagnoses, types of lesion, and percentage changes during both periods were analyzed. RESULTS There were 7,389 diagnoses in the pre-pandemic period and 2,728 in the pandemic era, indicating a reduction of 63.08%. The reduction was 64.23% for benign lesions and 49.48% for malignant lesions, with a 50.64% reduction in squamous cell carcinoma. The largest decreases were observed in April 2020 and January 2021. CONCLUSION An important reduction in the diagnoses of benign and malignant lesions was noted in the Brazilian public oral pathology laboratories during the first year of the COVID-19 pandemic.
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Affiliation(s)
- Patrícia Carlos Caldeira
- Department of Oral Surgery, Pathology and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Lauren Frenzel Schuch
- Department of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil
| | - Thalita Soares Tavares
- Department of Oral Surgery, Pathology and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Alan Roger Santos-Silva
- Department of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil
| | - Pablo Agustin Vargas
- Department of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil
| | | | - Oslei Paes de Almeida
- Department of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil
| | - Lélia Batista de Souza
- Oral Pathology Laboratory, School of Dentistry, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Amanda Katarinny Goes Gonzaga
- Oral Pathology Laboratory, School of Dentistry, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Elismauro Francisco Mendonça
- Department of Stomatology (Oral Pathology), School of Dentistry, Universidade Federal de Goiás, Goiânia, Goiás, Brazil
| | - Sebastião Silvério Sousa-Neto
- Department of Stomatology (Oral Pathology), School of Dentistry, Universidade Federal de Goiás, Goiânia, Goiás, Brazil
| | - Elena Riet Correa Rivero
- Department of Pathology, Health Sciences Center, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Filipe Modolo
- Department of Pathology, Health Sciences Center, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Jean Nunes Dos Santos
- Laboratory of Oral Surgical Pathology, School of Dentistry, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - Patrícia Rubia Manieri
- Laboratory of Oral Surgical Pathology, School of Dentistry, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | | | - Pollianna Muniz Alves
- Department of Dentistry, School of Dentistry, Universidade Estadual da Paraíba, Campina Grande, Paraíba, Brazil
| | - Tatiana Nayara Libório-Kimura
- Department of Pathology and Legal Medicine, School of Medicine, Federal University of Amazonas, Manaus, Amazonas, Brazil
| | | | - Adriana Etges
- Diagnostic Center for Oral Diseases, School of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | | | - Ana Paula Neutzling Gomes
- Diagnostic Center for Oral Diseases, School of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
| | - Lucas Guimarães Abreu
- Department of Child's and Adolescent's Oral Health, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Ana Carolina Uchoa Vasconcelos
- Diagnostic Center for Oral Diseases, School of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
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Cordero Tous N, Santos Martín L, Sánchez Corral C, Román Cutillas AM, Núñez Alfonsel B, Román Moyano M, Horcajadas Almansa Á. Development of an integrated solution for patients with neurostimulator for chronic pain in times of COVID-19: A mobile application with a support center. NEUROCIRUGÍA (ENGLISH EDITION) 2021; 33:318-327. [PMID: 34961726 PMCID: PMC8709195 DOI: 10.1016/j.neucie.2021.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 08/26/2021] [Accepted: 08/26/2021] [Indexed: 11/19/2022]
Abstract
Introduction Chronic pain is one of the most prevalent pathologies in the world. Treatment with neurostimulators is carried out in the most extreme cases and requires a large investment of resources. In these times of the COVID19 pandemic, we present a comprehensive solution for monitoring this kind of patient, this solution includes the development of a mobile application and a support center for remote monitoring (SCRM). Material and methodology The project was developed according to the scientific evidence in the following phases: (1) Approval in a multidisciplinary clinical committee of implants for chronic pain, (2) Setting up a group of experts, (3) Protocol adaptation for the follow-up of patients with chronic pain to the Smartphone environment, (4) Technology platform adaptation to the clinical protocol (technological environment and workflow between the hospital and the SCRM), and (5) Quality evaluation by survey (quantitative and qualitative) of a small series of patients. Results The application was evaluated by asking for user opinions about design and usefulness with the first implanted patients. Some minor adjustments were made concerning downloadable material and screen color and text. Conclusions Developing a comprehensive solution should be based on scientific principles and in accordance with established protocols. A support center ensures greater adherence for follow-up and better patient care.
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Affiliation(s)
- Nicolás Cordero Tous
- Servicio de Neurocirugía, Hospital Universitario Virgen de las Nieves, Granada, Spain.
| | - Lucía Santos Martín
- Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - Carlos Sánchez Corral
- Servicio de Neurocirugía, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | | | - Marta Román Moyano
- Medtronic Ibérica S.A; Unidad de Gestión Clínica de Neurocirugía, Hospital Universitario Virgen de las Nieves, Granada, Spain
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Role of Artificial Intelligence in the Early Diagnosis of Oral Cancer. A Scoping Review. Cancers (Basel) 2021; 13:cancers13184600. [PMID: 34572831 PMCID: PMC8467703 DOI: 10.3390/cancers13184600] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 08/29/2021] [Accepted: 09/09/2021] [Indexed: 01/06/2023] Open
Abstract
The early diagnosis of cancer can facilitate subsequent clinical patient management. Artificial intelligence (AI) has been found to be promising for improving the diagnostic process. The aim of the present study is to increase the evidence on the application of AI to the early diagnosis of oral cancer through a scoping review. A search was performed in the PubMed, Web of Science, Embase and Google Scholar databases during the period from January 2000 to December 2020, referring to the early non-invasive diagnosis of oral cancer based on AI applied to screening. Only accessible full-text articles were considered. Thirty-six studies were included on the early detection of oral cancer based on images (photographs (optical imaging and enhancement technology) and cytology) with the application of AI models. These studies were characterized by their heterogeneous nature. Each publication involved a different algorithm with potential training data bias and few comparative data for AI interpretation. Artificial intelligence may play an important role in precisely predicting the development of oral cancer, though several methodological issues need to be addressed in parallel to the advances in AI techniques, in order to allow large-scale transfer of the latter to population-based detection protocols.
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Fonseca BB, Perdoncini NN, da Silva VC, Gueiros LAM, Carrard VC, Lemos CA, Schussel JL, Amenábar JM, Torres-Pereira CC. Telediagnosis of oral lesions using smartphone photography. Oral Dis 2021; 28:1573-1579. [PMID: 34289201 DOI: 10.1111/odi.13972] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 04/14/2021] [Accepted: 07/10/2021] [Indexed: 01/30/2023]
Abstract
OBJECTIVE The objective of this observational study was to evaluate telediagnosis of oral lesions using smartphone photography. MATERIALS AND METHODS Individuals with visible oral lesions composed a convenience sample. The lesions were photographed using a smartphone camera and emailed along with clinical information to three evaluators, who formulated up to two diagnostic hypotheses for each case. A total of 235 photographs from 113 clinical cases were obtained. The evaluators answered questions regarding referral decisions, requests for additional tests, diagnostic difficulties, and image quality. The diagnostic hypotheses were compared to the gold standard by means of percent agreement and kappa coefficient. Consensual face-to-face diagnoses of three specialists-when only a clinical diagnosis was necessary-or histopathological results-when a biopsy was necessary-were considered the gold standard. RESULTS The telediagnosis was similar to the gold standard in 76% of the cases, and kappa coefficients showed almost perfect agreement (k = 0.817-0.903). The evaluators considered that referrals could have been avoided on an average of 35,4% of the cases. CONCLUSION Diagnosis of oral lesions using images taken with a smartphone showed almost perfect agreement and diagnostic accuracy comparable to face-to-face diagnosis.
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Affiliation(s)
- Bruna Basso Fonseca
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Nicole Nichele Perdoncini
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Victor Cordeiro da Silva
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Luiz Alcino Monteiro Gueiros
- Department of Clinic and Preventive Dentistry, School of Dentistry, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Vinicius Coelho Carrard
- Oral Pathology Department, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Celso Augusto Lemos
- Department of Oral Medicine, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil
| | - Juliana Lucena Schussel
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Curitiba, Paraná, Brazil
| | - José Miguel Amenábar
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Curitiba, Paraná, Brazil
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15
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Maret D, Warnakulasuriya S, Herbault-Barres B, Savall F, Vigarios E. Telemedicine contributing to an incidental finding of a premalignant lesion. Oral Oncol 2021; 118:105331. [PMID: 34024725 DOI: 10.1016/j.oraloncology.2021.105331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Accepted: 05/05/2021] [Indexed: 11/24/2022]
Affiliation(s)
- Delphine Maret
- Faculté de Chirurgie Dentaire, Université Paul Sabatier, Centre Hospitalier Universitaire, Toulouse, France; Laboratoire Centre d'Anthropobiologie et de Génomique de Toulouse, Université Paul Sabatier, Toulouse, France.
| | - Saman Warnakulasuriya
- The WHO Collaborating Centre for Oral Cancer and Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK
| | - Béatrice Herbault-Barres
- Département d'Anatomie et de Cytologie Pathologiques, Centre Hospitalier Universitaire, Institut Universitaire du Cancer Toulouse-Oncopole, 1, avenue Irène Joliot Curie, 31059 Toulouse cedex 9, France
| | - Frédéric Savall
- Laboratoire Centre d'Anthropobiologie et de Génomique de Toulouse, Université Paul Sabatier, Toulouse, France; Service de médecine légale, Centre Hospitalier Universitaire Rangueil, Toulouse, France
| | - Emmanuelle Vigarios
- Département de Médecine Orale, Institut Claudius Regaud, Institut Universitaire du Cancer Toulouse-Oncopole, 1, avenue Irène Joliot Curie, 31059 Toulouse cedex 9, France
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