Evidence map›Paper›PMID 37161464›Full record

Observational studyBMC health services research2023

Factors related to the waiting time for scheduling an oral biopsy in Brazil: a multilevel analysis.

Alessandro Diogo De-Carli, Amanda Ramos da Cunha, Gleyson Kleber do Amaral-Silva, Jader Vasconcelos, Mara Lisiane de Moraes Dos Santos, Livia Fernandes Probst

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
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

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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

6 authors at 3 institutions in 1 country.

Alessandro Diogo De-CarliFaculty of Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Amanda Ramos da CunhaSchool of Public Health, University of São Paulo, São Paulo, Brazil.
Gleyson Kleber do Amaral-SilvaFaculty of Dentistry, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Jader VasconcelosMunicipal Health Secretariat, Campo Grande, Brazil.
Mara Lisiane de Moraes Dos SantosIntegrated Health Institute, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Livia Fernandes ProbstHealth Technology Assessment Unit, Oswaldo Cruz German Hospital, São Paulo, Brazil. liviaprobst@hotmail.com.
Universidade Federal de Mato Grosso do Sul · BRHospital Alemão Oswaldo Cruz · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTimely diagnosis of oral cancers is critical, and performing biopsies of oral lesions with suspected malignancy is a crucial step in achieving this goal. The waiting time for the diagnosis may be related to the progression and prognosis of malignant neoplasms.

objectiveThe aim of this observational, cross-sectional, national-level study was to identify the factors associated with the waiting time for scheduling an oral biopsy, based on the identification of its need.

methodsWe used secondary data from the Brazilian public health system, obtained from the 2nd cycle of the National Program to Improve Access and Quality of Dental Specialty Centers (PMAQ-CEO). The study outcome was the waiting time for scheduling an oral biopsy, starting from the identification of the need for the exam. We analyzed individual and contextual variables using multilevel statistical analysis.

resultsIn 51.8% of DSC the waiting time for scheduling a biopsy was non-immediate; in 58.1% of CEOs, the sum of the weekly workload of dentists working in the Stomatology specialty is up to 20 h per week; in terms of coverage, 67.1% of the CEOs have only municipal coverage and 34.0% are references for up to 12 oral health teams in primary health care; only the coverage variable remained significant in the multivariate model (p < 0.05). Of the contextual variables, none of the variables remained significant (p > 0.05). When these were analyzed together, only the coverage remained significant (p < 0.05);

conclusionOur analysis indicates that the waiting time for scheduling an oral biopsy is longer in CEOs that cover only one municipality and is not related to contextual factors.

Indexed as

Public HealthWaiting ListsBiopsyBrazilCross-Sectional StudiesHumansMultilevel AnalysisAppointments and schedulesBiopsyCommunity DentistryMouth NeoplasmsPublic Health DentistryPublic Health Systems ResearchSecondary care

Identifiers

PMID37161464
PMCPMC10170778
OpenAlexW4376132930

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.