Social costs of two cataract surgical techniques in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32851 |
Resumo: | OBJECTIVE: To compare postoperative social costs of two cataract surgical techniques, phacoemulsification (PHACO) and extracapsular extraction (ECCE). METHODS: Prospective randomized intervention study including 205 patients, of which 101 underwent PHACO and 104 ECCE in the public service, in the city of São Paulo, Southeastern Brazil, in 2002. The socioeconomic impact of these surgical procedures was assessed based on postoperative costs for patients, employers and social security. Comparisons between the two groups studied were performed using the chi-square test or Mann-Whitney test, when appropriate. A 5% significance level was set. RESULTS: Hospital and eyeglasses costs for PHACO were lower than for ECCE patients, with a mean difference of US$ 16.74. Costs to employers related to medical leave for the first 15 days of absence and costs of caregivers in the form of absence from work to attend postoperative follow-up visits were on average US$ 0.18 lower in PHACO compared to ECCE group. The estimated Social Security expenditure per patient undergoing surgery was US$ 6.57 and US$ 51.15 in PHACO and ECCE groups, respectively. CONCLUSIONS: The average saving with PHACO compared to ECCE technique was US$ 61.50 for employers, patients, caregivers and Social Security. |
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Social costs of two cataract surgical techniques in Brazil Costo social de dos técnicas de cirugía de catarata en Brasil Custo social de duas técnicas de cirurgia de catarata no Brasil CatarataExtração de CatarataProcedimentos Cirúrgicos Oftalmológicos^i1^sreabilitaGastos em SaúdeCustos de Saúde para o EmpregadorPrevidência SocialCustos e Análise de CustoCatarataExtracción de CatarataProcedimientos Quirúrgicos Oftalmológicos^i3^srehabilitacGastos en SaludCostos de Salud para el PatrónSeguridad SocialCostos y Análisis de CostoCataractCataract ExtractionOphthalmologic Surgical Procedures^i2^srehabilitatHealth ExpendituresEmployer Health CostsSocial SecurityCosts and Cost Analysis OBJECTIVE: To compare postoperative social costs of two cataract surgical techniques, phacoemulsification (PHACO) and extracapsular extraction (ECCE). METHODS: Prospective randomized intervention study including 205 patients, of which 101 underwent PHACO and 104 ECCE in the public service, in the city of São Paulo, Southeastern Brazil, in 2002. The socioeconomic impact of these surgical procedures was assessed based on postoperative costs for patients, employers and social security. Comparisons between the two groups studied were performed using the chi-square test or Mann-Whitney test, when appropriate. A 5% significance level was set. RESULTS: Hospital and eyeglasses costs for PHACO were lower than for ECCE patients, with a mean difference of US$ 16.74. Costs to employers related to medical leave for the first 15 days of absence and costs of caregivers in the form of absence from work to attend postoperative follow-up visits were on average US$ 0.18 lower in PHACO compared to ECCE group. The estimated Social Security expenditure per patient undergoing surgery was US$ 6.57 and US$ 51.15 in PHACO and ECCE groups, respectively. CONCLUSIONS: The average saving with PHACO compared to ECCE technique was US$ 61.50 for employers, patients, caregivers and Social Security. OBJETIVO: Comparar los costos sociales postoperatorios de la cirugía de catarata según las técnicas de facoemulsificación (Faco) y extracción extracapsular (EECP). MÉTODOS: Estudio prospectivo, intervencionista y aleatorio con 205 pacientes: 101 sometidos a Faco y 104 a EECP, en el sistema público en Sao Paulo, Sudeste de Brasil, en 2002. Para evaluación del impacto socioeconómico de dichas cirugías, fue considerado el costo en el período postoperatorio para los pacientes, empleadores y Sistema Pensionista. Las comparaciones entre los grupos fueron hechas por la prueba de Chi-cuadrado o por Mann-Whitman, según lo apropiado. El nivel de significancia establecido fue de 5%. RESULTADOS: Considerando los gastos con los retornos hospitalarios y adquisición de lentes correctivos, el paciente sometido a Faco obtuvo una economía promedio de US$ 16,74, comparado con el paciente sometido a EECP. Con relación a los costos con licencia médica, en la primera quincena de permiso del paciente, y los gastos con la ausencia en el trabajo del acompañante, en los retornos postoperatorios, el sistema empresarial obtuvo una economía promedio de US$ 0,18 en el grupo de pacientes sometidos a Faco con relación al grupo sometido a EECP. El gasto del Sistema de Pensiones del paciente fue estimado en US$ 6,57 en el grupo Faco y US$ 51,15 en el grupo EECP. CONCLUSIONES: La técnica de Faco representó economía promedio de US$ 61,5 para empleadores, pacientes, acompañantes y Sistema de Pensiones, al compararse con la técnica de EECP. OBJETIVO: Comparar os custos sociais pós-operatórios da cirurgia de catarata segundo as técnicas de facoemulsificação (Faco) e extração extracapsular (EECP). MÉTODOS: Estudo prospectivo, intervencionista e randomizado com 205 pacientes: 101 submetidos à Faco e 104 à EECP, no sistema público em São Paulo, SP, em 2002. Para avaliação do impacto socioeconômico dessas cirurgias, foi considerado o custo no período pós-operatório para os pacientes, empregadores e Sistema Previdenciário. As comparações entre os grupos foram feitas pelo teste do qui-quadrado ou por Mann-Whitman, quando apropriado. O nível de significância estabelecido foi de 5%. RESULTADOS: Considerando os gastos com os retornos hospitalares e aquisição de lentes corretivas (óculos), o paciente submetido à Faco obteve uma economia média de US$ 16,74, comparado ao paciente submetido à EECP. Quanto aos custos com licença médica, na primeira quinzena de afastamento do paciente, e os gastos com a ausência no trabalho do acompanhante, nos retornos pós-operatórios, o sistema empresarial obteve uma economia média de US$ 0,18 no grupo dos pacientes submetidos à Faco em relação ao grupo submetido à EECP. O gasto do Sistema Previdenciário por paciente foi estimado em US$ 6,57 no grupo Faco e US$ 51,15 no grupo EECP. CONCLUSÕES: A técnica de Faco representou economia média de US$ 61,5 para empregadores, pacientes, acompanhantes e Sistema Previdenciário, quando comparada à técnica de EECP. Universidade de São Paulo. Faculdade de Saúde Pública2010-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3285110.1590/S0034-89102010005000025Revista de Saúde Pública; Vol. 44 No. 5 (2010); 957-962 Revista de Saúde Pública; Vol. 44 Núm. 5 (2010); 957-962 Revista de Saúde Pública; v. 44 n. 5 (2010); 957-962 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32851/35401https://www.revistas.usp.br/rsp/article/view/32851/35402Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessKara-Junior, NewtonParede, Tais Renata RibeiraSanthiago, Marcony RodriguesEspindola, Rodrigo FrançaMazurek, Maysa Godoy GomesCarvalho, Regina de Souza2012-07-10T02:28:38Zoai:revistas.usp.br:article/32851Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-10T02:28:38Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Social costs of two cataract surgical techniques in Brazil Costo social de dos técnicas de cirugía de catarata en Brasil Custo social de duas técnicas de cirurgia de catarata no Brasil |
title |
Social costs of two cataract surgical techniques in Brazil |
spellingShingle |
Social costs of two cataract surgical techniques in Brazil Kara-Junior, Newton Catarata Extração de Catarata Procedimentos Cirúrgicos Oftalmológicos^i1^sreabilita Gastos em Saúde Custos de Saúde para o Empregador Previdência Social Custos e Análise de Custo Catarata Extracción de Catarata Procedimientos Quirúrgicos Oftalmológicos^i3^srehabilitac Gastos en Salud Costos de Salud para el Patrón Seguridad Social Costos y Análisis de Costo Cataract Cataract Extraction Ophthalmologic Surgical Procedures^i2^srehabilitat Health Expenditures Employer Health Costs Social Security Costs and Cost Analysis |
title_short |
Social costs of two cataract surgical techniques in Brazil |
title_full |
Social costs of two cataract surgical techniques in Brazil |
title_fullStr |
Social costs of two cataract surgical techniques in Brazil |
title_full_unstemmed |
Social costs of two cataract surgical techniques in Brazil |
title_sort |
Social costs of two cataract surgical techniques in Brazil |
author |
Kara-Junior, Newton |
author_facet |
Kara-Junior, Newton Parede, Tais Renata Ribeira Santhiago, Marcony Rodrigues Espindola, Rodrigo França Mazurek, Maysa Godoy Gomes Carvalho, Regina de Souza |
author_role |
author |
author2 |
Parede, Tais Renata Ribeira Santhiago, Marcony Rodrigues Espindola, Rodrigo França Mazurek, Maysa Godoy Gomes Carvalho, Regina de Souza |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Kara-Junior, Newton Parede, Tais Renata Ribeira Santhiago, Marcony Rodrigues Espindola, Rodrigo França Mazurek, Maysa Godoy Gomes Carvalho, Regina de Souza |
dc.subject.por.fl_str_mv |
Catarata Extração de Catarata Procedimentos Cirúrgicos Oftalmológicos^i1^sreabilita Gastos em Saúde Custos de Saúde para o Empregador Previdência Social Custos e Análise de Custo Catarata Extracción de Catarata Procedimientos Quirúrgicos Oftalmológicos^i3^srehabilitac Gastos en Salud Costos de Salud para el Patrón Seguridad Social Costos y Análisis de Costo Cataract Cataract Extraction Ophthalmologic Surgical Procedures^i2^srehabilitat Health Expenditures Employer Health Costs Social Security Costs and Cost Analysis |
topic |
Catarata Extração de Catarata Procedimentos Cirúrgicos Oftalmológicos^i1^sreabilita Gastos em Saúde Custos de Saúde para o Empregador Previdência Social Custos e Análise de Custo Catarata Extracción de Catarata Procedimientos Quirúrgicos Oftalmológicos^i3^srehabilitac Gastos en Salud Costos de Salud para el Patrón Seguridad Social Costos y Análisis de Costo Cataract Cataract Extraction Ophthalmologic Surgical Procedures^i2^srehabilitat Health Expenditures Employer Health Costs Social Security Costs and Cost Analysis |
description |
OBJECTIVE: To compare postoperative social costs of two cataract surgical techniques, phacoemulsification (PHACO) and extracapsular extraction (ECCE). METHODS: Prospective randomized intervention study including 205 patients, of which 101 underwent PHACO and 104 ECCE in the public service, in the city of São Paulo, Southeastern Brazil, in 2002. The socioeconomic impact of these surgical procedures was assessed based on postoperative costs for patients, employers and social security. Comparisons between the two groups studied were performed using the chi-square test or Mann-Whitney test, when appropriate. A 5% significance level was set. RESULTS: Hospital and eyeglasses costs for PHACO were lower than for ECCE patients, with a mean difference of US$ 16.74. Costs to employers related to medical leave for the first 15 days of absence and costs of caregivers in the form of absence from work to attend postoperative follow-up visits were on average US$ 0.18 lower in PHACO compared to ECCE group. The estimated Social Security expenditure per patient undergoing surgery was US$ 6.57 and US$ 51.15 in PHACO and ECCE groups, respectively. CONCLUSIONS: The average saving with PHACO compared to ECCE technique was US$ 61.50 for employers, patients, caregivers and Social Security. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-10-01 |
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://www.revistas.usp.br/rsp/article/view/32851 10.1590/S0034-89102010005000025 |
url |
https://www.revistas.usp.br/rsp/article/view/32851 |
identifier_str_mv |
10.1590/S0034-89102010005000025 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32851/35401 https://www.revistas.usp.br/rsp/article/view/32851/35402 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 44 No. 5 (2010); 957-962 Revista de Saúde Pública; Vol. 44 Núm. 5 (2010); 957-962 Revista de Saúde Pública; v. 44 n. 5 (2010); 957-962 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221791151456256 |