Costs and mortality rates of surgical approaches to hysterectomy in Brazil
| Autor: | Dayana Maia Saboia, Aline Veras Morais Brilhante, Kathiane Lustosa Augusto, Sara Arcanjo Lino Karbage, Thais F. Magalhaes, Cássia Fernandes Coelho Rocha, Gisele Cristine Duarte Modesto, Leonardo Robson Pinheiro Sobreira Bezerra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Databases Factual medicine.medical_treatment Neoplasms prevention & control Hysterectomy economics Hysterectomy Histerectomia Hysterectomy mortality 03 medical and health sciences Patient Admission 0302 clinical medicine Hysterectomy Vaginal medicine Humans 030212 general & internal medicine Mortality Retrospective Studies 030219 obstetrics & reproductive medicine Surgical approach business.industry General surgery Mortality rate lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Retrospective cohort study lcsh:RA1-1270 Health Care Costs Women's Health Services Female Laparoscopy Original Article Public Health business Brazil Serviços de Saúde da Mulher |
| Zdroj: | Repositório Institucional da Universidade Federal do Ceará (UFC) Universidade Federal do Ceará (UFC) instacron:UFC Revista de Saúde Pública, Volume: 52, Article number: 25, Published: 12 MAR 2018 Revista de Saúde Pública, Vol 52, Iss 0 (2018) Revista de Saúde Pública Revista de Saúde Pública v.52 2018 Universidade de São Paulo (USP) instacron:USP |
| Popis: | OBJECTIVE: To analyze the costs of hysterectomies performed in Brazil due to benign conditions, and to assess its hospital admittance and mortality rates. METHODS: A retrospective cohort was carried out from January 2010 to December 2014, analyzing all hysterectomies (n = 428,346) registered on the DATASUS database between January 2010 and December 2014. Data were collected through a structured questionnaire and analyzed using the SPSS 20.0 for Windows. RESULTS: Hospital admissions were 300,231 for total abdominal hysterectomies, 46,056 for vaginal hysterectomies, 29,959 for subtotal abdominal hysterectomies and 1,522 for laparoscopic hysterectomies. Mortality rates were 0.26%, 0.09%, 0.07% and 0.05% for subtotal, total abdominal, laparoscopic, and vaginal hysterectomies, respectively. Among the procedures studied, total abdominal hysterectomies had the most costs (R$217,802,574.77), followed by vaginal hysterectomies (R$24,173,490.00), subtotal abdominal hysterectomies (R$19.253.300,00) and laparoscopic hysterectomies (R$794,680.40). CONCLUSIONS: Total abdominal hysterectomies had the highest overall costs mainly because it was the most commonly performed technique. Mortality rates were greatest in subtotal abdominal hysterectomies; this, however, may be due to bias related to missing data in our database. |
| Databáze: | OpenAIRE |
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