Evidence map›Paper›PMID 41521314›Full record

ArticleBMC oral health2026

The effect of the COVID-19 pandemic on orthognathic surgery in Sweden - a registry-based study.

Carina Cardemil, Adrian Salinas Fredricson, Lars Rasmusson, Lillemor Dimberg

Abstract read
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Carina CardemilDep of Oral and Maxillofacial Surgery and Jaw Orthopedics, Karolinska University Hospital, Stockholm, Sweden.
Adrian Salinas FredricsonDepartment of Oral and Maxillofacial Surgery, Eastmaninstitutet, Folktandvården Stockholm AB, Stockholm, Sweden. adrian.salinas.fredricson@ki.se.
Lars RasmussonDepartment of Oral and Maxillofacial Surgery, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Lillemor DimbergSwedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic had a noticeable impact on healthcare services. The restrictions imposed during the pandemic where extensive, and in Sweden, elective surgery was deprioritized to make room for the most severely affected patients. This study aimed to evaluate the effect of the COVID-19 pandemic on the volume of orthognathic surgery (OGS) in Sweden, and to compare the impact between regional and university hospitals.

methodsThis registry-based study used national data from the National Quality Registry for Orthognathic Surgery (NROK). OGS performed during 2018–2022 and registered in NROK were included. The follow-up time was divided into three time periods: pre-pandemic, pandemic and post-pandemic. Of 21 hospitals performing OGS in Sweden, 18 (11 regional and seven university hospitals) were included in the final analysis. Differences in national monthly means were analyzed using one-way ANOVA and Kruskal-Wallis tests, with post hoc comparisons. Linear regression was used to assess differences in trends between hospital types.

resultsThe national monthly mean of OGS was significantly lower during the pandemic compared to both the pre-pandemic period (− 13.7 surgeries, 95% CI: 3.6–23.8; p < 0.01) and the post-pandemic period (− 15.6 surgeries, 95% CI: 2.6–28.7; p < 0.05). University hospitals experienced a 40.7% reduction in surgeries during the pandemic (p < 0.001), whereas the reduction at regional hospitals (− 19.7%) was not statistically significant (p = 0.603). No significant differences were found between the pre- and post-pandemic periods, neither in national monthly means nor when comparing hospital types.

conclusionsA significant decrease in the number of OGS was observed during the pandemic in Sweden. No statistically significant difference was found between the pre- and post-pandemic periods, suggesting a meaningful normalization in the frequency of OGS in Sweden following the pandemic, although not accounting for possible surgical backlog. University hospitals appeared to experience a greater relative decrease in surgical volume during the pandemic compared to regional hospitals. This difference may be attributable to lower baseline volumes at regional hospitals rather than a differential impact of the pandemic itself.

Indexed as

COVID-19Orthognathic Surgical ProceduresPandemicsHospitals, UniversityHumansRegistriesSARS-CoV-2SwedenCOVID-19EpidemiologyOrthognathic surgeryRegistries

Identifiers

PMID41521314
PMCPMC12809895

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Registered trials

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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.