Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100267 |
Resumo: | ABSTRACT Objective To describe and compare the number of surgeries, mortality rate, length of hospital stay, and costs of transurethral resection of the prostate and open prostatectomy for the treatment of benign prostatic hyperplasia, between 2008 and 2018, in the Public Health System in São Paulo, Brazil. Methods Ecological and retrospective study using data from the informatics department of the Brazilian Public Health System database. Procedure codes were “open prostatectomy” and “transurethral resection of the prostate.” The outcomes analyzed were compared between transurethral resection of the prostate and open prostatectomy according to the hospital surgical volume and presence or absence of a residency program. Results A total of 18,874 surgeries were analyzed (77% transurethral resection of the prostate) and overall mortality was not statistically different between procedures. Intermediate and high-volume centers had shorter length of hospital stay than low-volume centers for transurethral resection of the prostate (3.28, 3.02, and 6.58 days, respectively, p=0.01 and p=0.004). Length of hospital stay was also shorter for open prostatectomy in high-volume compared to low-volume centers (4.86 versus 10.76 days, p=0.036). Intrahospital mortality was inversely associated with surgical volume for transurethral resection of the prostate. Centers with residency program had shorter length of hospital stay considering open prostatectomy and less mortality regarding transurethral resection of the prostate. Open prostatectomy was 64% more expensive than transurethral resection of the prostate. Conclusion The findings suggest the importance of investing in specialized centers, which could be potential referral centers for surgical cases. |
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Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, BrazilProstatic hyperplasiaTransurethral resection of prostateProstatectomyPostoperative complicationsTreatment outcomeLength of stayMortalityABSTRACT Objective To describe and compare the number of surgeries, mortality rate, length of hospital stay, and costs of transurethral resection of the prostate and open prostatectomy for the treatment of benign prostatic hyperplasia, between 2008 and 2018, in the Public Health System in São Paulo, Brazil. Methods Ecological and retrospective study using data from the informatics department of the Brazilian Public Health System database. Procedure codes were “open prostatectomy” and “transurethral resection of the prostate.” The outcomes analyzed were compared between transurethral resection of the prostate and open prostatectomy according to the hospital surgical volume and presence or absence of a residency program. Results A total of 18,874 surgeries were analyzed (77% transurethral resection of the prostate) and overall mortality was not statistically different between procedures. Intermediate and high-volume centers had shorter length of hospital stay than low-volume centers for transurethral resection of the prostate (3.28, 3.02, and 6.58 days, respectively, p=0.01 and p=0.004). Length of hospital stay was also shorter for open prostatectomy in high-volume compared to low-volume centers (4.86 versus 10.76 days, p=0.036). Intrahospital mortality was inversely associated with surgical volume for transurethral resection of the prostate. Centers with residency program had shorter length of hospital stay considering open prostatectomy and less mortality regarding transurethral resection of the prostate. Open prostatectomy was 64% more expensive than transurethral resection of the prostate. Conclusion The findings suggest the importance of investing in specialized centers, which could be potential referral centers for surgical cases.Instituto Israelita de Ensino e Pesquisa Albert Einstein2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100267einstein (São Paulo) v.20 2022reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2022ao6880info:eu-repo/semantics/openAccessBarbosa,Álan Roger GomesTakemura,Lucas SeitiAmaral,Breno SantosWroclawski,Marcelo LangerAlfer Jr,WladimirGil,Antonio OteroMonteiro Jr,JoséLourenço,Danilo BudibCha,Jonathan DoyunApezzato,MarceloBarbosa,João Arthur Brunhara AlvesBianco,BiancaLemos,Gustavo CasertaCarneiro,Arieeng2022-06-14T00:00:00Zoai:scielo:S1679-45082022000100267Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2022-06-14T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil |
title |
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil |
spellingShingle |
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil Barbosa,Álan Roger Gomes Prostatic hyperplasia Transurethral resection of prostate Prostatectomy Postoperative complications Treatment outcome Length of stay Mortality |
title_short |
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil |
title_full |
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil |
title_fullStr |
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil |
title_full_unstemmed |
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil |
title_sort |
Benign prostatic hyperplasia surgical treatment trends in the Public Health System in São Paulo, Brazil |
author |
Barbosa,Álan Roger Gomes |
author_facet |
Barbosa,Álan Roger Gomes Takemura,Lucas Seiti Amaral,Breno Santos Wroclawski,Marcelo Langer Alfer Jr,Wladimir Gil,Antonio Otero Monteiro Jr,José Lourenço,Danilo Budib Cha,Jonathan Doyun Apezzato,Marcelo Barbosa,João Arthur Brunhara Alves Bianco,Bianca Lemos,Gustavo Caserta Carneiro,Arie |
author_role |
author |
author2 |
Takemura,Lucas Seiti Amaral,Breno Santos Wroclawski,Marcelo Langer Alfer Jr,Wladimir Gil,Antonio Otero Monteiro Jr,José Lourenço,Danilo Budib Cha,Jonathan Doyun Apezzato,Marcelo Barbosa,João Arthur Brunhara Alves Bianco,Bianca Lemos,Gustavo Caserta Carneiro,Arie |
author2_role |
author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Barbosa,Álan Roger Gomes Takemura,Lucas Seiti Amaral,Breno Santos Wroclawski,Marcelo Langer Alfer Jr,Wladimir Gil,Antonio Otero Monteiro Jr,José Lourenço,Danilo Budib Cha,Jonathan Doyun Apezzato,Marcelo Barbosa,João Arthur Brunhara Alves Bianco,Bianca Lemos,Gustavo Caserta Carneiro,Arie |
dc.subject.por.fl_str_mv |
Prostatic hyperplasia Transurethral resection of prostate Prostatectomy Postoperative complications Treatment outcome Length of stay Mortality |
topic |
Prostatic hyperplasia Transurethral resection of prostate Prostatectomy Postoperative complications Treatment outcome Length of stay Mortality |
description |
ABSTRACT Objective To describe and compare the number of surgeries, mortality rate, length of hospital stay, and costs of transurethral resection of the prostate and open prostatectomy for the treatment of benign prostatic hyperplasia, between 2008 and 2018, in the Public Health System in São Paulo, Brazil. Methods Ecological and retrospective study using data from the informatics department of the Brazilian Public Health System database. Procedure codes were “open prostatectomy” and “transurethral resection of the prostate.” The outcomes analyzed were compared between transurethral resection of the prostate and open prostatectomy according to the hospital surgical volume and presence or absence of a residency program. Results A total of 18,874 surgeries were analyzed (77% transurethral resection of the prostate) and overall mortality was not statistically different between procedures. Intermediate and high-volume centers had shorter length of hospital stay than low-volume centers for transurethral resection of the prostate (3.28, 3.02, and 6.58 days, respectively, p=0.01 and p=0.004). Length of hospital stay was also shorter for open prostatectomy in high-volume compared to low-volume centers (4.86 versus 10.76 days, p=0.036). Intrahospital mortality was inversely associated with surgical volume for transurethral resection of the prostate. Centers with residency program had shorter length of hospital stay considering open prostatectomy and less mortality regarding transurethral resection of the prostate. Open prostatectomy was 64% more expensive than transurethral resection of the prostate. Conclusion The findings suggest the importance of investing in specialized centers, which could be potential referral centers for surgical cases. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100267 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100267 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.31744/einstein_journal/2022ao6880 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
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IIEPAE |
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Einstein (São Paulo) |
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Einstein (São Paulo) |
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Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
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