Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study
Introduction: The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic. Methods: We conducted a nationwide observational cohort study using Ho...
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| Veröffentlicht in: | JDR clinical and translational research 2024-10, Vol.9 (4), p.387-397 |
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| creator | Booth, J. Fowler, A.J. Pearse, R. Dias, P. Wan, Y.I. Witton, R. Abbott, T.E.F. |
| description | Introduction:
The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic.
Methods:
We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice.
Results:
We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% (n = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels.
Conclusions:
The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections.
Knowledge Transfer Statement:
The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England. |
| doi_str_mv | 10.1177/23800844231216356 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11409558</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_23800844231216356</sage_id><sourcerecordid>2909609038</sourcerecordid><originalsourceid>FETCH-LOGICAL-c391t-885c6c86f29f5b0ae2306b15cdb92fd633aa20d24dde8e2e583b01487033bea33</originalsourceid><addsrcrecordid>eNp9kUFvGyEQhVGVqImc_IBeKo69bDrAwrK9VJaTNJGs-OC2xyIWWIfIXhzYdeR_H1ynVqNIOTEw730DPIQ-EbggpKq-UiYBZFlSRigRjIsP6HR3VoDk9OhQl-UJOk_pAQCyqqo4-4hOmCRClLw6RX8uXdfrJZ4PceFNLsam9xvfb7Hv8E1Ia5-7Cdsh-m6BJ7Pft5cFqb_hMb7TvQ_dk7cOz5rk4ubvPhMm4T7EHs_7wW7P0HGb_e78ZR2hX9dXPyc3xXT243YynhaG1aQvpORGGClaWre8Ae0oA9EQbmxT09YKxrSmYGlprZOOOi5ZA6SUFTDWOM3YCH3fc9dDs3LW5EdFvVTr6Fc6blXQXr3udP5eLcJGEVJCzTNvhL68EGJ4HFzq1con45ZL3bkwJEVrqAXUwHZSspeaGFKKrj3MIaB22ag32WTP5_8veHD8SyILLvaCpBdOPYQh5r9M7xCfAdbdlq8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2909609038</pqid></control><display><type>article</type><title>Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study</title><source>MEDLINE</source><source>SAGE Journals</source><creator>Booth, J. ; Fowler, A.J. ; Pearse, R. ; Dias, P. ; Wan, Y.I. ; Witton, R. ; Abbott, T.E.F.</creator><creatorcontrib>Booth, J. ; Fowler, A.J. ; Pearse, R. ; Dias, P. ; Wan, Y.I. ; Witton, R. ; Abbott, T.E.F.</creatorcontrib><description>Introduction:
The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic.
Methods:
We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice.
Results:
We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% (n = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels.
Conclusions:
The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections.
Knowledge Transfer Statement:
The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England.</description><identifier>ISSN: 2380-0844</identifier><identifier>ISSN: 2380-0852</identifier><identifier>EISSN: 2380-0852</identifier><identifier>DOI: 10.1177/23800844231216356</identifier><identifier>PMID: 38166457</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Cohort Studies ; COVID-19 - epidemiology ; England - epidemiology ; Female ; Hospitals ; Humans ; Infant ; Male ; Middle Aged ; Original Reports ; Pandemics ; SARS-CoV-2 ; Tooth Extraction ; Young Adult</subject><ispartof>JDR clinical and translational research, 2024-10, Vol.9 (4), p.387-397</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024 2024 International Assosciation Dental Research</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c391t-885c6c86f29f5b0ae2306b15cdb92fd633aa20d24dde8e2e583b01487033bea33</cites><orcidid>0000-0003-1740-6165 ; 0000-0003-3907-8844</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/23800844231216356$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/23800844231216356$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38166457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Booth, J.</creatorcontrib><creatorcontrib>Fowler, A.J.</creatorcontrib><creatorcontrib>Pearse, R.</creatorcontrib><creatorcontrib>Dias, P.</creatorcontrib><creatorcontrib>Wan, Y.I.</creatorcontrib><creatorcontrib>Witton, R.</creatorcontrib><creatorcontrib>Abbott, T.E.F.</creatorcontrib><title>Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study</title><title>JDR clinical and translational research</title><addtitle>JDR Clin Trans Res</addtitle><description>Introduction:
The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic.
Methods:
We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice.
Results:
We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% (n = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels.
Conclusions:
The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections.
Knowledge Transfer Statement:
The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>COVID-19 - epidemiology</subject><subject>England - epidemiology</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Reports</subject><subject>Pandemics</subject><subject>SARS-CoV-2</subject><subject>Tooth Extraction</subject><subject>Young Adult</subject><issn>2380-0844</issn><issn>2380-0852</issn><issn>2380-0852</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><recordid>eNp9kUFvGyEQhVGVqImc_IBeKo69bDrAwrK9VJaTNJGs-OC2xyIWWIfIXhzYdeR_H1ynVqNIOTEw730DPIQ-EbggpKq-UiYBZFlSRigRjIsP6HR3VoDk9OhQl-UJOk_pAQCyqqo4-4hOmCRClLw6RX8uXdfrJZ4PceFNLsam9xvfb7Hv8E1Ia5-7Cdsh-m6BJ7Pft5cFqb_hMb7TvQ_dk7cOz5rk4ubvPhMm4T7EHs_7wW7P0HGb_e78ZR2hX9dXPyc3xXT243YynhaG1aQvpORGGClaWre8Ae0oA9EQbmxT09YKxrSmYGlprZOOOi5ZA6SUFTDWOM3YCH3fc9dDs3LW5EdFvVTr6Fc6blXQXr3udP5eLcJGEVJCzTNvhL68EGJ4HFzq1con45ZL3bkwJEVrqAXUwHZSspeaGFKKrj3MIaB22ag32WTP5_8veHD8SyILLvaCpBdOPYQh5r9M7xCfAdbdlq8</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Booth, J.</creator><creator>Fowler, A.J.</creator><creator>Pearse, R.</creator><creator>Dias, P.</creator><creator>Wan, Y.I.</creator><creator>Witton, R.</creator><creator>Abbott, T.E.F.</creator><general>SAGE Publications</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1740-6165</orcidid><orcidid>https://orcid.org/0000-0003-3907-8844</orcidid></search><sort><creationdate>20241001</creationdate><title>Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study</title><author>Booth, J. ; Fowler, A.J. ; Pearse, R. ; Dias, P. ; Wan, Y.I. ; Witton, R. ; Abbott, T.E.F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-885c6c86f29f5b0ae2306b15cdb92fd633aa20d24dde8e2e583b01487033bea33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>COVID-19 - epidemiology</topic><topic>England - epidemiology</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Reports</topic><topic>Pandemics</topic><topic>SARS-CoV-2</topic><topic>Tooth Extraction</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Booth, J.</creatorcontrib><creatorcontrib>Fowler, A.J.</creatorcontrib><creatorcontrib>Pearse, R.</creatorcontrib><creatorcontrib>Dias, P.</creatorcontrib><creatorcontrib>Wan, Y.I.</creatorcontrib><creatorcontrib>Witton, R.</creatorcontrib><creatorcontrib>Abbott, T.E.F.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JDR clinical and translational research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Booth, J.</au><au>Fowler, A.J.</au><au>Pearse, R.</au><au>Dias, P.</au><au>Wan, Y.I.</au><au>Witton, R.</au><au>Abbott, T.E.F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study</atitle><jtitle>JDR clinical and translational research</jtitle><addtitle>JDR Clin Trans Res</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>9</volume><issue>4</issue><spage>387</spage><epage>397</epage><pages>387-397</pages><issn>2380-0844</issn><issn>2380-0852</issn><eissn>2380-0852</eissn><abstract>Introduction:
The number of surgical extractions performed in hospitals in England remains unclear. This study reports the volume of surgical extractions conducted in hospitals and change in activity during the COVID-19 pandemic.
Methods:
We conducted a nationwide observational cohort study using Hospital Episode Statistics (HES) in England for patients undergoing surgical removal of a tooth (defined using OPSC-4 code F09) between April 1, 2015, and December 31, 2020. Procedures were stratified by age, gender, and urgency (elective or nonelective), reported using descriptive statistics, number, and percentage. We conducted post hoc modeling to predict surgical activity to December 2023. In addition, we contrasted this with aggregate national data on simple dental extraction procedures and drainage of dental abscesses in hospital as well as dental activity in general practice.
Results:
We identified a total of 569,938 episodes for the surgical removal of a tooth (females 57%). Of these, 493,056/569,938 (87%) were for adults and 76,882/569,938 (13%) children ≤18 years. Surgical extractions were most frequent in adult females. Elective cases accounted for 96% (n = 548,805/569,938) of procedures. The median number of procedures carried out per quarter was 27,256, dropping to 12,003 during the COVID-19 pandemic, representing a 56% reduction in activity. This amounted to around 61,058 cancelled procedures. Modeling predicts that this activity has not returned to prepandemic levels.
Conclusions:
The number of surgical extractions taking place in hospitals during the pandemic fell by 56%. The true impact of this reduction is unknown, but delayed treatment increases the risk of complications, including life-threatening infections.
Knowledge Transfer Statement:
The result of this study provides an evidence-based overview of the trends relating to surgical extractions of teeth in England taking place in hospitals. This information can be used to inform service and workforce planning to meet the needs of patients requiring surgical extractions. The data also provide an insight into the oral health needs of the population in England.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>38166457</pmid><doi>10.1177/23800844231216356</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-1740-6165</orcidid><orcidid>https://orcid.org/0000-0003-3907-8844</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | JDR clinical and translational research, 2024-10, Vol.9 (4), p.387-397 |
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| source | MEDLINE; SAGE Journals |
| subjects | Adolescent Adult Aged Child Child, Preschool Cohort Studies COVID-19 - epidemiology England - epidemiology Female Hospitals Humans Infant Male Middle Aged Original Reports Pandemics SARS-CoV-2 Tooth Extraction Young Adult |
| title | Dental Surgical Activity in Hospitals during COVID-19: A Nationwide Observational Cohort Study |
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