Banca de QUALIFICAÇÃO: Helbert Eustáquio Cardoso da Silva

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : Helbert Eustáquio Cardoso da Silva
DATE: 26/05/2023
TIME: 14:00
LOCAL: Plataforma Teams
TITLE:

Technology-mediated assistance: a possible approach in times of a pandemic?

KEY WORDS:

COVID-19, Teleodontologia, Telemedicina, Telessaúde, Monitoramento, Câncer Bucal,
Câncer de Cabeça e Pescoço, Inteligência Artificial, Algoritmo, Revisão Integrativa.
Revisão Sistemática,Overview.

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Odontologia
SUMMARY:

Introduction: The emergence of the new coronavirus(SARS-CoV-2) resulted in a global public
health crisis (COVID-19 pandemic), leading the World Health Organization (WHO) to declare
it a public health emergency of concern International. Among the risk factors for serious events
of COVID-19 is cancer, alongwith chronic obstructive pulmonary disease, diabetes,
hypertension and senility. In this context of a pandemic aggravated by other risk factors, it has
become essential to guarantee care for cancer patients, despite the lockdown and restrictions.
Thus, Telemedicine proved to be a valuable tool in patient assessment and monitoring, as well
as in the diagnosis of general or specific conditions. The popularity and prevalence of
telemedicine has grown rapidly during this pandemic, as many physicians have sought ways to
maintain ongoing care for their patients, especially those with malignant neoplasms. Remote
assistance, mediated by technology, was one of the alternatives found and was configured as a
possible approach. But despite its potential benefits, whatwere its limitations? What could have
been done differently? And in the field of dentistry: how did technology-mediated care take
place?
Objectives:
Evaluate, through a virtual simulation, the use of the mobile application by oncology patients, in
dentistry, as a telemonitoring tool in Oral Health, having as a theoretical basis the performance
of systematic reviews on the discussed topic;
Respond, through literature reviews, whether technology-mediated assistance would bring
benefits in the field of dentistry, specifically for those who work with patients undergoing head
and neck treatment during the COVID-19 pandemic;
Evaluate the viability of Telehealth in the monitoring of patients with head and neck cancer;
Discuss the application of artificial intelligence (AI) tools in the detection and diagnosis of
malignant tumors based on medical imaging modalities, respectively;
Design and develop an application that enables the use of telehealth inmonitoring patients with
head and neck cancer regarding theapplication used, user adherence to technology, user
satisfaction and user quality of life.
Methodology: The PICO (Population, Intervention, Comparison and Outcome) and PIRD
(Participant, Index Test, Reference Test and Diagnosis of Interest) strategy wasused to define
inclusion and exclusion criteria in the reviews performed. A broad search was carried out in
databases such as PubMed, Cochrane Central Register of Controlled Studies (Cochrane), SciVerse Scopus (Scopus), Web of Science, Latin American and Caribbean Health Sciences
(LILACS), Excerpta Medical Database (Embase), Scientific Electronic Library Online (Scielo),
Business Source Complete (EBSCOhost) and in the gray literature through PROQUEST,
Google Scholar and JSTOR. Medical Subject Headings (MeSH) descriptors were used to
develop the search strategy. The electronic search was standardized to identify relevant articles
by combining all descriptors. The Rayyan QCRI online reference manager software
(https://rayyan.qcri.org/welcome) was used to remove duplicates, in addition to manual
removal. The main primary outcomes considered were the benefits of using OT for patients
undergoing treatment for mouth and head and neck cancer during the COVID-19 pandemic;
application model already used in TM/Telehealth; number of patients who adhere to the use,
quality of life and patient satisfaction in the use of the TM/Telehealth application and cancer
detection and diagnosis through artificial intelligence. Verification of methodological quality in
individual studies was assessed using the Joanna Briggs Institute Critical Assessment Checklist
(Joanna Briggs Institute, 2014). This methodology was applied in systematic reviews. The
application's simulation was created based on a partnership with software engineeringto create
functionalities aimed at monitoring and accompanying the patient during cancer treatment,
whether surgical or in the control of oral manifestations of oncotherapy.
Results: A systematic electronic search was performed for each article, removing duplicate
articles and reading the articles that met the eligibility criteria in full. In the first study,
presented in Chapter 2, it was observed that 78% of patients currently prefer teledentistry; 92%
ofpatients would recommend the use of video consultation to other patients. The continuity of
dental care, the reduction of patient visits to the hospital, the reduction of the risk of infection
by the coronavirus and the limitation of face-to-face consultations to protect health
professionals are benefits that reinforce the use of teledentistry by health institutions. In the
second study, set out in Chapter 3, although there was heterogeneity regarding the technology
used, the included studies showed that remote monitoring and/or self-management of symptoms
through mobile applications was feasible for most patients, with satisfactory degrees of acceptability,
satisfaction, usability and adherence. In the third article, presented in Chapter 4, it was
demonstrated that several Artificial Intelligence approaches are promising in terms of
specificity, sensitivity and diagnostic accuracy in the detection and diagnosis of malignant
tumors. The simulation of the application, in chapter 5, shows us that its development is
possible.
Conclusion: From the articles carried out, it was concluded that Assistance Mediated by
Technology, during the pandemic, in the medical or dental fields, as a remote tool for
monitoring patients with oral cancer and head and neck cancer, are well accepted by patients.
There is a need for a friendlier interface, an adequate assessment of the user experience for a
concrete applicability of these tools for monitoring patients with head and neck cancer.

BANKING MEMBERS:
Externo ao Programa - 1702065 - BRUNO LUIGGI MACCHIAVELLO ESPINOZA
Interna - 1889805 - CRISTINE MIRON STEFANI
Presidente - 2315081 - NILCE SANTOS DE MELO
Externa ao Programa - 2528668 - PAULA ELAINE DINIZ DOS REIS