Profile of the appendectomies performed in the Brazilian Public Health System

Detalhes bibliográficos
Autor(a) principal: SANTOS,FERNANDA DOS
Data de Publicação: 2017
Outros Autores: CAVASANA,GABRIEL FLAMARIM, CAMPOS,TERCIO DE
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000100004
Resumo: ABSTRACT Objective: to analyze the profile of appendectomies performed in the Brazilian Public Health System (SUS) and to compare the laparoscopic and laparotomic techniques of appendectomy. Methods: This work used information from DataSus from 2008 to 2014 (http://datasus.saude.gov.br). We compared the data of patients submitted to laparotomic appendectomy with those submitted to laparoscopic one. Results: when comparing the total growth of appendectomies, the laparoscopic route increased 279.7%, while the increase in laparotomic surgery was 25% (p <0.001) in the study period. With regard to medical and hospital costs, laparoscopic appendectomy accounted for only 2.6% of the total expenditure on appendectomies performed by the Unified Health System (SUS) hospitals, with an average cost 7.6% lower than that of laparotomy procedures, but without statistical significance. The mortality rate was 57.1% lower in the laparoscopic approach when compared with laparotomy. Conclusion: there has been a significant increase in the laparoscopic route in the treatment of appendicitis, but the method is still rarely used in SUS patients. The costs of laparoscopic appendectomy were similar to those observed in laparotomic access.
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spelling Profile of the appendectomies performed in the Brazilian Public Health SystemAppendicitisLaparoscopyAppendectomyHealth ExpendituresABSTRACT Objective: to analyze the profile of appendectomies performed in the Brazilian Public Health System (SUS) and to compare the laparoscopic and laparotomic techniques of appendectomy. Methods: This work used information from DataSus from 2008 to 2014 (http://datasus.saude.gov.br). We compared the data of patients submitted to laparotomic appendectomy with those submitted to laparoscopic one. Results: when comparing the total growth of appendectomies, the laparoscopic route increased 279.7%, while the increase in laparotomic surgery was 25% (p <0.001) in the study period. With regard to medical and hospital costs, laparoscopic appendectomy accounted for only 2.6% of the total expenditure on appendectomies performed by the Unified Health System (SUS) hospitals, with an average cost 7.6% lower than that of laparotomy procedures, but without statistical significance. The mortality rate was 57.1% lower in the laparoscopic approach when compared with laparotomy. Conclusion: there has been a significant increase in the laparoscopic route in the treatment of appendicitis, but the method is still rarely used in SUS patients. The costs of laparoscopic appendectomy were similar to those observed in laparotomic access.Colégio Brasileiro de Cirurgiões2017-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000100004Revista do Colégio Brasileiro de Cirurgiões v.44 n.1 2017reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912017001002info:eu-repo/semantics/openAccessSANTOS,FERNANDA DOSCAVASANA,GABRIEL FLAMARIMCAMPOS,TERCIO DEeng2017-04-19T00:00:00Zoai:scielo:S0100-69912017000100004Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2017-04-19T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Profile of the appendectomies performed in the Brazilian Public Health System
title Profile of the appendectomies performed in the Brazilian Public Health System
spellingShingle Profile of the appendectomies performed in the Brazilian Public Health System
SANTOS,FERNANDA DOS
Appendicitis
Laparoscopy
Appendectomy
Health Expenditures
title_short Profile of the appendectomies performed in the Brazilian Public Health System
title_full Profile of the appendectomies performed in the Brazilian Public Health System
title_fullStr Profile of the appendectomies performed in the Brazilian Public Health System
title_full_unstemmed Profile of the appendectomies performed in the Brazilian Public Health System
title_sort Profile of the appendectomies performed in the Brazilian Public Health System
author SANTOS,FERNANDA DOS
author_facet SANTOS,FERNANDA DOS
CAVASANA,GABRIEL FLAMARIM
CAMPOS,TERCIO DE
author_role author
author2 CAVASANA,GABRIEL FLAMARIM
CAMPOS,TERCIO DE
author2_role author
author
dc.contributor.author.fl_str_mv SANTOS,FERNANDA DOS
CAVASANA,GABRIEL FLAMARIM
CAMPOS,TERCIO DE
dc.subject.por.fl_str_mv Appendicitis
Laparoscopy
Appendectomy
Health Expenditures
topic Appendicitis
Laparoscopy
Appendectomy
Health Expenditures
description ABSTRACT Objective: to analyze the profile of appendectomies performed in the Brazilian Public Health System (SUS) and to compare the laparoscopic and laparotomic techniques of appendectomy. Methods: This work used information from DataSus from 2008 to 2014 (http://datasus.saude.gov.br). We compared the data of patients submitted to laparotomic appendectomy with those submitted to laparoscopic one. Results: when comparing the total growth of appendectomies, the laparoscopic route increased 279.7%, while the increase in laparotomic surgery was 25% (p <0.001) in the study period. With regard to medical and hospital costs, laparoscopic appendectomy accounted for only 2.6% of the total expenditure on appendectomies performed by the Unified Health System (SUS) hospitals, with an average cost 7.6% lower than that of laparotomy procedures, but without statistical significance. The mortality rate was 57.1% lower in the laparoscopic approach when compared with laparotomy. Conclusion: there has been a significant increase in the laparoscopic route in the treatment of appendicitis, but the method is still rarely used in SUS patients. The costs of laparoscopic appendectomy were similar to those observed in laparotomic access.
publishDate 2017
dc.date.none.fl_str_mv 2017-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000100004
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-69912017001002
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.44 n.1 2017
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
instacron:CBC
instname_str Colégio Brasileiro de Cirurgiões (CBC)
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reponame_str Revista do Colégio Brasileiro de Cirurgiões
collection Revista do Colégio Brasileiro de Cirurgiões
repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
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