Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil

Detalhes bibliográficos
Autor(a) principal: Takemura,Lucas Seiti
Data de Publicação: 2022
Outros Autores: Barbosa,Álan Roger Gomes, Amaral,Breno Santos, Bosco,Alvaro Alexandre Dias, Lourenço,Danilo Budib, Apezzato,Marcelo, Barbosa,João Arthur Brunhara Alves, Faria,Eliney Ferreira, Bianco,Bianca, Lemos,Gustavo Caserta, Carneiro,Arie
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Einstein (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100284
Resumo: ABSTRACT Objective To analyze the characteristics of public health services related to radical prostatectomy, according to hospital volume of surgeries and stratified as academic and non-academic centers. Methods An ecological study was conducted using a database available in TabNet platform of the Unified Health System Department of Informatics. Number of surgeries, length of hospital stay, length of stay in intensive care unit, in-hospital mortality rate, and cost of hospitalization were evaluated. The hospitals were divided into three subgroups according to surgery volume (tercile), and results were compared. The same comparisons were made among academic and non-academic centers. We considered academic centers those providing Urology residency program. Results A total of 11,259 radical prostatectomies were performed in the city of São Paulo between 2008 and 2018. We observed a significant trend of increase in radical prostatectomies for treating prostate cancer over the years (p=0.007). The length of stay in intensive care unit, and number of deaths were not statistically different among centers with diverse surgery volume, nor between academic and non-academic centers. However, length of hospital stay was significantly shorter in academic centers (p=0.043), while cost of hospitalization was significantly higher in high-volume center compared to low- (p<0.001) and intermediate-volume centers (p<0.001). Conclusion Length of hospital stay for radical prostatectomies performed in public services in the city of São Paulo was shorter in academic centers, whereas hospitals with a high volume of surgeries showed greater cost of hospitalization.
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spelling Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, BrazilProstatic neoplasmsProstatectomyPublic healthABSTRACT Objective To analyze the characteristics of public health services related to radical prostatectomy, according to hospital volume of surgeries and stratified as academic and non-academic centers. Methods An ecological study was conducted using a database available in TabNet platform of the Unified Health System Department of Informatics. Number of surgeries, length of hospital stay, length of stay in intensive care unit, in-hospital mortality rate, and cost of hospitalization were evaluated. The hospitals were divided into three subgroups according to surgery volume (tercile), and results were compared. The same comparisons were made among academic and non-academic centers. We considered academic centers those providing Urology residency program. Results A total of 11,259 radical prostatectomies were performed in the city of São Paulo between 2008 and 2018. We observed a significant trend of increase in radical prostatectomies for treating prostate cancer over the years (p=0.007). The length of stay in intensive care unit, and number of deaths were not statistically different among centers with diverse surgery volume, nor between academic and non-academic centers. However, length of hospital stay was significantly shorter in academic centers (p=0.043), while cost of hospitalization was significantly higher in high-volume center compared to low- (p<0.001) and intermediate-volume centers (p<0.001). Conclusion Length of hospital stay for radical prostatectomies performed in public services in the city of São Paulo was shorter in academic centers, whereas hospitals with a high volume of surgeries showed greater cost of hospitalization.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=S1679-45082022000100284einstein (São Paulo) v.20 2022reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2022ao0049info:eu-repo/semantics/openAccessTakemura,Lucas SeitiBarbosa,Álan Roger GomesAmaral,Breno SantosBosco,Alvaro Alexandre DiasLourenço,Danilo BudibApezzato,MarceloBarbosa,João Arthur Brunhara AlvesFaria,Eliney FerreiraBianco,BiancaLemos,Gustavo CasertaCarneiro,Arieeng2022-11-25T00:00:00Zoai:scielo:S1679-45082022000100284Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2022-11-25T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false
dc.title.none.fl_str_mv Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil
title Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil
spellingShingle Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil
Takemura,Lucas Seiti
Prostatic neoplasms
Prostatectomy
Public health
title_short Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil
title_full Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil
title_fullStr Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil
title_full_unstemmed Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil
title_sort Radical prostatectomies for treatment of prostate cancer: trends in a ten-year period in public health services in the city of São Paulo, Brazil
author Takemura,Lucas Seiti
author_facet Takemura,Lucas Seiti
Barbosa,Álan Roger Gomes
Amaral,Breno Santos
Bosco,Alvaro Alexandre Dias
Lourenço,Danilo Budib
Apezzato,Marcelo
Barbosa,João Arthur Brunhara Alves
Faria,Eliney Ferreira
Bianco,Bianca
Lemos,Gustavo Caserta
Carneiro,Arie
author_role author
author2 Barbosa,Álan Roger Gomes
Amaral,Breno Santos
Bosco,Alvaro Alexandre Dias
Lourenço,Danilo Budib
Apezzato,Marcelo
Barbosa,João Arthur Brunhara Alves
Faria,Eliney Ferreira
Bianco,Bianca
Lemos,Gustavo Caserta
Carneiro,Arie
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Takemura,Lucas Seiti
Barbosa,Álan Roger Gomes
Amaral,Breno Santos
Bosco,Alvaro Alexandre Dias
Lourenço,Danilo Budib
Apezzato,Marcelo
Barbosa,João Arthur Brunhara Alves
Faria,Eliney Ferreira
Bianco,Bianca
Lemos,Gustavo Caserta
Carneiro,Arie
dc.subject.por.fl_str_mv Prostatic neoplasms
Prostatectomy
Public health
topic Prostatic neoplasms
Prostatectomy
Public health
description ABSTRACT Objective To analyze the characteristics of public health services related to radical prostatectomy, according to hospital volume of surgeries and stratified as academic and non-academic centers. Methods An ecological study was conducted using a database available in TabNet platform of the Unified Health System Department of Informatics. Number of surgeries, length of hospital stay, length of stay in intensive care unit, in-hospital mortality rate, and cost of hospitalization were evaluated. The hospitals were divided into three subgroups according to surgery volume (tercile), and results were compared. The same comparisons were made among academic and non-academic centers. We considered academic centers those providing Urology residency program. Results A total of 11,259 radical prostatectomies were performed in the city of São Paulo between 2008 and 2018. We observed a significant trend of increase in radical prostatectomies for treating prostate cancer over the years (p=0.007). The length of stay in intensive care unit, and number of deaths were not statistically different among centers with diverse surgery volume, nor between academic and non-academic centers. However, length of hospital stay was significantly shorter in academic centers (p=0.043), while cost of hospitalization was significantly higher in high-volume center compared to low- (p<0.001) and intermediate-volume centers (p<0.001). Conclusion Length of hospital stay for radical prostatectomies performed in public services in the city of São Paulo was shorter in academic centers, whereas hospitals with a high volume of surgeries showed greater cost of hospitalization.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.31744/einstein_journal/2022ao0049
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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 einstein (São Paulo) v.20 2022
reponame:Einstein (São Paulo)
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