Cost-benefit analysis of surgical appendectomy in the brazilian public health system
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/33315 |
Resumo: | Objectives: To compare the number of hospitalized patients, the number of deaths, days of hospitalization, and values of hospital services with open appendectomy and video-laparoscopic appendectomy procedures. To compare the cost-benefit of open appendectomy and video-laparoscopic appendectomy procedures. To compare the effectiveness of open appendectomy and video-laparoscopic appendectomy procedures. Methodology: This research was carried out through a retrospective, quantitative study, with temporal secondary data collected from the DATASUS database. Scientific articles collected on the electronic data platform Scientific Electronic Library Online (SCIELO), US National Library of Medicine (PubMed), and the Ministry of Health (MS) were used to discuss the results. Results: The number of open appendectomies increased by 130.86% from 2008 to 2018, while the number of video-laparoscopic appendectomies increased by 708.31%. The most developed Brazilian regions, that is, South and Southeast, totaled more than half of all laparoscopic procedures performed in Brazil, adding up to 85.52% of the total value. The death rate was 0.27% in open appendectomy and 0.09% in video-laparoscopic appendectomy. Therefore, the death rate was 66.7% lower in video-laparoscopic appendectomy. The average cost to the public coffers was 383.02 Reais for each open appendectomy and 403.02 Reais for each closed appendectomy. Conclusion: The analysis of the unknowns related to appendicitis surgeries shows that factors such as deaths, the average length of stay, and the value of hospital services have significant differences for the doctor and the patient. |
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Cost-benefit analysis of surgical appendectomy in the brazilian public health systemAnálisis del costo beneficio quirúrgico de la apendicectomía en el sistema de salud público brasileñoAnálise de custo-benefício cirúrgico de apendicectomia no sistema de saúde público brasileiroApendiciteLaparoscopiaLaparotomia.ApendicitisLaparoscopiaLaparotomia.Appendicitis LaparoscopyLaparotomy.Objectives: To compare the number of hospitalized patients, the number of deaths, days of hospitalization, and values of hospital services with open appendectomy and video-laparoscopic appendectomy procedures. To compare the cost-benefit of open appendectomy and video-laparoscopic appendectomy procedures. To compare the effectiveness of open appendectomy and video-laparoscopic appendectomy procedures. Methodology: This research was carried out through a retrospective, quantitative study, with temporal secondary data collected from the DATASUS database. Scientific articles collected on the electronic data platform Scientific Electronic Library Online (SCIELO), US National Library of Medicine (PubMed), and the Ministry of Health (MS) were used to discuss the results. Results: The number of open appendectomies increased by 130.86% from 2008 to 2018, while the number of video-laparoscopic appendectomies increased by 708.31%. The most developed Brazilian regions, that is, South and Southeast, totaled more than half of all laparoscopic procedures performed in Brazil, adding up to 85.52% of the total value. The death rate was 0.27% in open appendectomy and 0.09% in video-laparoscopic appendectomy. Therefore, the death rate was 66.7% lower in video-laparoscopic appendectomy. The average cost to the public coffers was 383.02 Reais for each open appendectomy and 403.02 Reais for each closed appendectomy. Conclusion: The analysis of the unknowns related to appendicitis surgeries shows that factors such as deaths, the average length of stay, and the value of hospital services have significant differences for the doctor and the patient.Objetivos: Comparar el número de pacientes hospitalizados, el número de muertes, los días de hospitalización y los valores de los servicios hospitalarios con procedimientos de apendicectomía abierta y apendicectomía videolaparoscópica. Comparar el costo-beneficio de los procedimientos de apendicectomía abierta y videolaparoscópica. Comparar la efectividad de los procedimientos de apendicectomía abierta y videolaparoscópica. Metodología: Esta investigación se realizó a través de un estudio retrospectivo, cuantitativo, con datos secundarios temporales recolectados de la base de datos DATASUS. Se utilizaron artículos científicos recopilados en la plataforma de datos electrónicos Scientific Electronic Library Online (SCIELO), la Biblioteca Nacional de Medicina de EE. UU. (PubMed) y el Ministerio de Salud (MS) para discutir los resultados. Resultados: El número de apendicectomías abiertas aumentó un 130,86 % de 2008 a 2018, mientras que el número de apendicectomías videolaparoscópicas aumentó un 708,31 %. Las regiones brasileñas más desarrolladas, es decir, Sur y Sudeste, totalizaron más de la mitad de todos los procedimientos laparoscópicos realizados en Brasil, sumando el 85,52% del valor total. La tasa de mortalidad fue del 0,27% en la apendicectomía abierta y del 0,09% en la apendicectomía videolaparoscópica. Por tanto, la tasa de mortalidad fue un 66,7% menor en la apendicectomía videolaparoscópica. El costo promedio para las arcas públicas fue de 383,02 reales por cada apendicectomía abierta y 403,02 reales por cada apendicectomía cerrada. Conclusión: El análisis de las incógnitas relacionadas con las cirugías de apendicitis muestra que factores como las muertes, la estancia media y el valor de los servicios hospitalarios tienen diferencias significativas para el médico y el paciente.Objetivos: Comparar o número de pacientes internados, o número de óbitos, dias de internação e valores de serviços hospitalares com procedimentos de apendicectomia aberta e videolaparoscópica. Comparar o custo-benefício dos procedimentos de apendicectomia aberta e videolaparoscópica. Comparar a eficácia dos procedimentos de apendicectomia aberta e videolaparoscópica. Metodologia: Esta pesquisa foi realizada por meio de um estudo retrospectivo, quantitativo, com dados secundários temporais coletados no banco de dados DATASUS. Artigos científicos coletados na plataforma de dados eletrônicos Scientific Electronic Library Online (SCIELO), US National Library of Medicine (PubMed) e Ministério da Saúde (MS) foram utilizados para discutir os resultados. Resultados: O número de apendicectomias abertas aumentou 130,86% de 2008 a 2018, enquanto o número de apendicectomias videolaparoscópicas aumentou 708,31%. As regiões brasileiras mais desenvolvidas, ou seja, Sul e Sudeste, somaram mais da metade de todos os procedimentos laparoscópicos realizados no Brasil, somando 85,52% do valor total. A taxa de mortalidade foi de 0,27% na apendicectomia aberta e 0,09% na apendicectomia videolaparoscópica. Portanto, a taxa de mortalidade foi 66,7% menor na apendicectomia videolaparoscópica. O custo médio para os cofres públicos foi de 383,02 reais para cada apendicectomia aberta e 403,02 reais para cada apendicectomia fechada. Conclusão: A análise das incógnitas relacionadas às cirurgias de apendicite mostra que fatores como óbitos, tempo médio de permanência e valor dos serviços hospitalares apresentam diferenças significativas para o médico e o paciente.Research, Society and Development2022-08-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3331510.33448/rsd-v11i11.33315Research, Society and Development; Vol. 11 No. 11; e359111133315Research, Society and Development; Vol. 11 Núm. 11; e359111133315Research, Society and Development; v. 11 n. 11; e3591111333152525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/33315/28509Copyright (c) 2022 Vitor Hugo Ramos Alves; Nara Moraes Guimarães; Bárbara Santarém Soares; Leonardo Murilha Ruiz; José Martins Filho; Renato Canevari Dutra da Silvahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAlves, Vitor Hugo RamosGuimarães, Nara MoraesSoares, Bárbara SantarémRuiz, Leonardo MurilhaMartins Filho, JoséSilva, Renato Canevari Dutra da 2022-09-05T13:24:46Zoai:ojs.pkp.sfu.ca:article/33315Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:49:00.419558Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Cost-benefit analysis of surgical appendectomy in the brazilian public health system Análisis del costo beneficio quirúrgico de la apendicectomía en el sistema de salud público brasileño Análise de custo-benefício cirúrgico de apendicectomia no sistema de saúde público brasileiro |
title |
Cost-benefit analysis of surgical appendectomy in the brazilian public health system |
spellingShingle |
Cost-benefit analysis of surgical appendectomy in the brazilian public health system Alves, Vitor Hugo Ramos Apendicite Laparoscopia Laparotomia. Apendicitis Laparoscopia Laparotomia. Appendicitis Laparoscopy Laparotomy. |
title_short |
Cost-benefit analysis of surgical appendectomy in the brazilian public health system |
title_full |
Cost-benefit analysis of surgical appendectomy in the brazilian public health system |
title_fullStr |
Cost-benefit analysis of surgical appendectomy in the brazilian public health system |
title_full_unstemmed |
Cost-benefit analysis of surgical appendectomy in the brazilian public health system |
title_sort |
Cost-benefit analysis of surgical appendectomy in the brazilian public health system |
author |
Alves, Vitor Hugo Ramos |
author_facet |
Alves, Vitor Hugo Ramos Guimarães, Nara Moraes Soares, Bárbara Santarém Ruiz, Leonardo Murilha Martins Filho, José Silva, Renato Canevari Dutra da |
author_role |
author |
author2 |
Guimarães, Nara Moraes Soares, Bárbara Santarém Ruiz, Leonardo Murilha Martins Filho, José Silva, Renato Canevari Dutra da |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Alves, Vitor Hugo Ramos Guimarães, Nara Moraes Soares, Bárbara Santarém Ruiz, Leonardo Murilha Martins Filho, José Silva, Renato Canevari Dutra da |
dc.subject.por.fl_str_mv |
Apendicite Laparoscopia Laparotomia. Apendicitis Laparoscopia Laparotomia. Appendicitis Laparoscopy Laparotomy. |
topic |
Apendicite Laparoscopia Laparotomia. Apendicitis Laparoscopia Laparotomia. Appendicitis Laparoscopy Laparotomy. |
description |
Objectives: To compare the number of hospitalized patients, the number of deaths, days of hospitalization, and values of hospital services with open appendectomy and video-laparoscopic appendectomy procedures. To compare the cost-benefit of open appendectomy and video-laparoscopic appendectomy procedures. To compare the effectiveness of open appendectomy and video-laparoscopic appendectomy procedures. Methodology: This research was carried out through a retrospective, quantitative study, with temporal secondary data collected from the DATASUS database. Scientific articles collected on the electronic data platform Scientific Electronic Library Online (SCIELO), US National Library of Medicine (PubMed), and the Ministry of Health (MS) were used to discuss the results. Results: The number of open appendectomies increased by 130.86% from 2008 to 2018, while the number of video-laparoscopic appendectomies increased by 708.31%. The most developed Brazilian regions, that is, South and Southeast, totaled more than half of all laparoscopic procedures performed in Brazil, adding up to 85.52% of the total value. The death rate was 0.27% in open appendectomy and 0.09% in video-laparoscopic appendectomy. Therefore, the death rate was 66.7% lower in video-laparoscopic appendectomy. The average cost to the public coffers was 383.02 Reais for each open appendectomy and 403.02 Reais for each closed appendectomy. Conclusion: The analysis of the unknowns related to appendicitis surgeries shows that factors such as deaths, the average length of stay, and the value of hospital services have significant differences for the doctor and the patient. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-25 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33315 10.33448/rsd-v11i11.33315 |
url |
https://rsdjournal.org/index.php/rsd/article/view/33315 |
identifier_str_mv |
10.33448/rsd-v11i11.33315 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33315/28509 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 11; e359111133315 Research, Society and Development; Vol. 11 Núm. 11; e359111133315 Research, Society and Development; v. 11 n. 11; e359111133315 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052770122989568 |