Evidence map›Paper›PMID 34953811›Full record

ArticlePreventive medicine2022

Repercussions of the COVID-19 pandemic on preventive health services in Brazil.

Mayra Monteiro de Oliveira, Trevon L Fuller, Claudia R Gabaglia, Mary Catherine Cambou, Patricia Brasil, Zilton Farias Meira de Vasconcelos, Karin Nielsen-Saines

Abstract read
In one paragraph

Article in Preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
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  3. Adult use of health services: A cross-sectional population-based study, Pelotas, Brazil, 2012 and 2021.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
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  15. Tracking demands for seeking psychological help before and during the COVID-19 pandemic: a quanti-qualitative study.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mayra Monteiro de OliveiraFaculdade de Odontologia da Universidade de Sāo Paulo (USP), Sāo Paulo, SP, Brazil. Electronic address: mayra_oliveira@alumni.usp.br.
Trevon L FullerInstitute of the Environment & Sustainability, University of California Los Angeles, Los Angeles, CA, USA; Laboratorio de Doenças Febris Agudas, Instituto Nacional de Infectologia, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Claudia R GabagliaBiomedical Research Institute of Southern California, Oceanside, CA, USA.
Mary Catherine CambouDivision of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Patricia BrasilLaboratorio de Doenças Febris Agudas, Instituto Nacional de Infectologia, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Zilton Farias Meira de VasconcelosLaboratorio de Doenças Febris Agudas, Instituto Nacional de Infectologia, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Karin Nielsen-SainesDivision of Pediatric Infectious Diseases, Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Funding

Postdoctoral Training in Global AIDS Prevention ResearchT32MH080634 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JESSE LAWTON CLARK, Pamina Mae Gorbach · 2007 to 2026
$6.4M
Genetic evolution, pathogenesis and immune responses in mother to child transmission of ZIKVR01AI140718 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHENG, GENHONG, JUNG, JAE U · 2018 to 2022
$3.8M
Medical Research Council MR/V033530/1NIAID NIH HHS R01 AI140718NIMH NIH HHS T32 MH080634
6 · The paper itself

Abstract

introductionThe increasing burden of non-communicable diseases and limited public financing are major challenges facing health care systems in Latin America. Although COVID-19 severely impacted the Brazilian health care system, it is crucial to further characterize the degree of disruption caused to public health efforts, in order to address and manage long term effects of this pandemic. We therefore quantified the demand for preventive and treatment services from the Brazilian Unified Health System (Sistema Único de Saúde/SUS) in 2020 to evaluate potential repercussions of COVID-19 in this setting.

methodsUsing the SUS database, we compared preventative and treatment services rendered in 2020 to the same services rendered from 2017 to 19. We also evaluated the frequency of respiratory infection (RI) diagnoses during the pandemic, relative to the preceding years.

resultsCompared to 2017-19, in 2020 non-urgent medical appointments decreased 1.4-fold (p = 0.0017), dental consultations 2.8-fold (p = 0.05), and immunization coverage 1.5 fold (p = 0.0005). The number of RI visits to SUS ambulatory care units in 2020 was 4.2 times higher than in preceding years (p = 0.0014), with a peak of 280,898 diagnoses in July 2020.

conclusionThe COVID-19 pandemic appears to have led to a dramatic decline in preventative and treatment services provided by SUS to the Brazilian population. Our findings may aid decision-makers in formulating policies to increase the availability of outpatient services in the aftermath of the pandemic. Counter measures will be critical to avoid a resurgence in vaccine-preventable diseases and complications stemming from non-communicable, chronic health conditions.

Indexed as

COVID-19PandemicsBrazilHumansSARS-CoV-2Vaccination CoverageCOVID-19ImmunizationPublic healthPublic policyVaccination

Identifiers

PMID34953811
PMCPMC8716082

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.