{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:26:39Z","timestamp":1783013199678,"version":"3.54.6"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic significantly disrupted global eye health services, including corneal transplants. This study evaluates the pandemic's long\u2010term impact on corneal transplantation across Brazil's five regions, highlighting national and regional recovery trends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Monthly corneal transplantation data were obtained from the Brazilian Health Information System (DATASUS) and analyzed across four periods: pre\u2010pandemic (January 2018 to February 2020), lockdown (March 2020 to December 2020), vaccination (January 2021 to March 2022), and post\u2010pandemic (April 2022 to June 2024) across the five Brazilian regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Transplants dropped by 54% in 2020, with the South, Northeast, and Southeast most affected. In 2021, as vaccination efforts advanced, transplants recovered by 86%, particularly in the South, Northeast, and Southeast. The upward trend continued in 2022, with an 18% increase nationwide, especially in the North and South. However, in 2023, there was a slight overall decrease of 5%, with declines in the North, Southeast, and Midwest, while the South and Northeast saw minor increases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Corneal transplantation in Brazil has shown signs of recovery, but a backlog remains, especially in underserved regions. This study underscores the need for continued monitoring and policy adjustments to address post\u2010pandemic demand and promote equitable access to eye care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71813","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T07:30:41Z","timestamp":1771399841000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of COVID\u201019 on Corneal Transplants Across the Five Regions of Brazil and Trends in Post\u2010Pandemic Recovery\u2014A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"given":"Josue Geraldo","family":"Lessa","sequence":"first","affiliation":[{"name":"Mestrado em Ci\u00eancias da Sa\u00fade, Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"},{"name":"Instituto de Olhos Ci\u00eancias M\u00e9dicas (IOCM), Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lia Soares","family":"de Melo","sequence":"additional","affiliation":[{"name":"Medical School, Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro Vassuler","family":"Baldon","sequence":"additional","affiliation":[{"name":"Instituto de Olhos Ci\u00eancias M\u00e9dicas (IOCM), Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo G. L.","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Instituto de Olhos Ci\u00eancias M\u00e9dicas (IOCM), Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalia Sernizon","family":"Guimaraes","sequence":"additional","affiliation":[{"name":"Departamento de Nutri\u00e7\u00e3o, Escola de Enfermagem Universidade Federal de Minas Gerais Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleida N.","family":"Soares","sequence":"additional","affiliation":[{"name":"Mestrado em Ci\u00eancias da Sa\u00fade, Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"},{"name":"Faculdade de Sa\u00fade Santa Casa Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno Lovaglio Can\u00e7ado","family":"Trindade","sequence":"additional","affiliation":[{"name":"Mestrado em Ci\u00eancias da Sa\u00fade, Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"},{"name":"Instituto de Olhos Ci\u00eancias M\u00e9dicas (IOCM), Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3357-9816","authenticated-orcid":false,"given":"Fernanda","family":"Ludolf","sequence":"additional","affiliation":[{"name":"Mestrado em Ci\u00eancias da Sa\u00fade, Faculdade Ci\u00eancias M\u00e9dicas de Minas Gerais (FCMMG) Belo Horizonte Minas Gerais Brazil"},{"name":"Programa de P\u00f3s\u2010Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade: Infectologia e Medicina Tropical Universidade Federal de Minas Gerais Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization \u201cSevere Acute Respiratory Syndrome (SARS) \u201d accessed June 15 2024 https:\/\/www.who.int\/csr\/sars\/en\/."},{"key":"e_1_2_12_3_1","unstructured":"World Health Organization \u201cCoronavirus Disease 2019 (COVID\u201019): Situation Report 51 \u201d accessed June 15 2024 https:\/\/www.who.int\/docs\/default-source\/coronaviruse\/situation-reports\/20200311-sitrep-51-covid-19.pdf."},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","unstructured":"R. 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