{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:02:06Z","timestamp":1791234126028,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This scoping review aimed to investigate the impact of teleconsultation actions on the reduction of unnecessary referrals for specialized in\u2010person care of oral lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This review included studies on teleconsultation in oral medicine and oral pathology that presented data on the referral flow for in\u2010person care. Teleconsultation modalities included synchronous, asynchronous, or unspecified interactions. Excluded from the review were: (1) reviews, clinical cases, letters, chapters, conference abstracts, and editorials; (2) studies on direct teleconsultation between professionals; (3) telemanagement interventions; and (4) tele\u2010education initiatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine articles met the inclusion criteria. The asynchronous teleconsultation stands out as the most effective intervention for reducing in\u2010person referrals, observed in eight studies. Referral reductions ranged from 37.3% to 80%, with five studies exceeding 50%. Primary healthcare dentists were the most frequent users of the teleconsultation platform. The most commonly identified lesions found were oral potentially malignant disorders and soft tissue tumors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Asynchronous teleconsultation may reduce referrals for in\u2010person care, though evidence is limited. Notably, referral rates exhibited significant heterogeneity across studies. Low reduction rates may be attributed to the high proportion of cases requiring in\u2010person assessment. Future research should focus on optimizing referral reduction while addressing the heterogeneity of outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.15314","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T01:34:14Z","timestamp":1742348054000},"page":"2404-2418","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Teleconsultation Actions in Reducing In\u2010Person Referrals for Oral Lesions: A Scoping Review"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0422-8593","authenticated-orcid":false,"given":"Rebeka Thiara Nascimento","family":"dos Santos","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Pathology University of Pernambuco, University Hospital Oswaldo Cruz  Recife Pernambuco Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9309-4968","authenticated-orcid":false,"given":"Jonathan Fran\u00e7a da Silva","family":"Cavalcanti","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Pathology University of Pernambuco, University Hospital Oswaldo Cruz  Recife Pernambuco Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6181-900X","authenticated-orcid":false,"given":"Luiz Gustavo de Sousa","family":"Duda J\u00fanior","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Pathology University of Pernambuco, University Hospital Oswaldo Cruz  Recife Pernambuco Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4404-8136","authenticated-orcid":false,"given":"Ana J\u00falia Alves","family":"de Vasconcelos","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Dentistry and Nursing Federal University of Cear\u00e1  Fortaleza Cear\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3396-9339","authenticated-orcid":false,"given":"Pamella Recco","family":"Alvares","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Pathology University of Pernambuco, University Hospital Oswaldo Cruz  Recife Pernambuco Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0801-9385","authenticated-orcid":false,"given":"Ana Paula Veras","family":"Sobral","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Pathology University of Pernambuco, University Hospital Oswaldo Cruz  Recife Pernambuco 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