Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300360 |
Resumo: | Abstract Objective To measure and document the clinical impact of the waiting time for surgical treatment of patients with spinal deformities in a quaternary center in Brazil. Methods In total, 59 patients with spinal deformity waiting for surgery on our hospital's list were evaluated to observe the impact of the waiting time on the progression of the deformity. Patient evaluation was performed using the SRS-22r questionnaire for health-related quality of life (HRQL) and radiographic images to evaluate the deformity of the spine at the time the patients were included in the waiting list and at the most recent appointment. The radiographic parameters selected for comparison were: Cobb angle of the primary and secondary curves, coronal alignment, apical vertebral translation, pelvic obliquity, sagittal vertebral axis, kyphosis (T5-T12), and lordosis (L1-S1). Results Low HRQL scores according to the SRS-22r questionnaire were observed in patients waiting for surgery. The radiographic parameters showed progression of the deformity on the initial evaluation when compared with the most recent follow-up evaluation. Conclusion The patients waiting for surgical treatment of spinal deformities in our center showed relatively low HRQL scores and radiographic progression of the deformity. |
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Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health Systemspinescoliosiswaiting listvertebral curvatureshealth policyAbstract Objective To measure and document the clinical impact of the waiting time for surgical treatment of patients with spinal deformities in a quaternary center in Brazil. Methods In total, 59 patients with spinal deformity waiting for surgery on our hospital's list were evaluated to observe the impact of the waiting time on the progression of the deformity. Patient evaluation was performed using the SRS-22r questionnaire for health-related quality of life (HRQL) and radiographic images to evaluate the deformity of the spine at the time the patients were included in the waiting list and at the most recent appointment. The radiographic parameters selected for comparison were: Cobb angle of the primary and secondary curves, coronal alignment, apical vertebral translation, pelvic obliquity, sagittal vertebral axis, kyphosis (T5-T12), and lordosis (L1-S1). Results Low HRQL scores according to the SRS-22r questionnaire were observed in patients waiting for surgery. The radiographic parameters showed progression of the deformity on the initial evaluation when compared with the most recent follow-up evaluation. Conclusion The patients waiting for surgical treatment of spinal deformities in our center showed relatively low HRQL scores and radiographic progression of the deformity.Sociedade Brasileira de Ortopedia e Traumatologia2021-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300360Revista Brasileira de Ortopedia v.56 n.3 2021reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1055/s-0040-1721836info:eu-repo/semantics/openAccessBressan-Neto,MarioFilezio,Marina RosaFerri-de-Barros,FabioDefino,Helton Luiz Aparecidoeng2021-08-06T00:00:00Zoai:scielo:S0102-36162021000300360Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2021-08-06T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System |
title |
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System |
spellingShingle |
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System Bressan-Neto,Mario spine scoliosis waiting list vertebral curvatures health policy |
title_short |
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System |
title_full |
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System |
title_fullStr |
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System |
title_full_unstemmed |
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System |
title_sort |
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System |
author |
Bressan-Neto,Mario |
author_facet |
Bressan-Neto,Mario Filezio,Marina Rosa Ferri-de-Barros,Fabio Defino,Helton Luiz Aparecido |
author_role |
author |
author2 |
Filezio,Marina Rosa Ferri-de-Barros,Fabio Defino,Helton Luiz Aparecido |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Bressan-Neto,Mario Filezio,Marina Rosa Ferri-de-Barros,Fabio Defino,Helton Luiz Aparecido |
dc.subject.por.fl_str_mv |
spine scoliosis waiting list vertebral curvatures health policy |
topic |
spine scoliosis waiting list vertebral curvatures health policy |
description |
Abstract Objective To measure and document the clinical impact of the waiting time for surgical treatment of patients with spinal deformities in a quaternary center in Brazil. Methods In total, 59 patients with spinal deformity waiting for surgery on our hospital's list were evaluated to observe the impact of the waiting time on the progression of the deformity. Patient evaluation was performed using the SRS-22r questionnaire for health-related quality of life (HRQL) and radiographic images to evaluate the deformity of the spine at the time the patients were included in the waiting list and at the most recent appointment. The radiographic parameters selected for comparison were: Cobb angle of the primary and secondary curves, coronal alignment, apical vertebral translation, pelvic obliquity, sagittal vertebral axis, kyphosis (T5-T12), and lordosis (L1-S1). Results Low HRQL scores according to the SRS-22r questionnaire were observed in patients waiting for surgery. The radiographic parameters showed progression of the deformity on the initial evaluation when compared with the most recent follow-up evaluation. Conclusion The patients waiting for surgical treatment of spinal deformities in our center showed relatively low HRQL scores and radiographic progression of the deformity. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-01 |
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=S0102-36162021000300360 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000300360 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0040-1721836 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.56 n.3 2021 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122362889764864 |