Costs and mortality rates of surgical approaches to hysterectomy in Brazil
AUTOR(ES)
Augusto, Kathiane Lustosa, Brilhante, Aline Veras Morais, Modesto, Gisele Cristine Duarte, Saboia, Dayana Maia, Rocha, Cássia Fernandes Coelho, Karbage, Sara Arcanjo Lino, Magalhães, Thaís Fontes de, Bezerra, Leonardo Robson Pinheiro Sobreira
FONTE
Rev. Saúde Pública
DATA DE PUBLICAÇÃO
12/03/2018
RESUMO
ABSTRACT 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.
Documentos Relacionados
- Hysterectomy rates and their influence upon mortality from carcinoma of the cervix.
- Prostate cancer mortality and costs of prostate surgical procedures in the Brazilian public health system
- Mortality Rates of Surgical Techniques for Correcting Atrioventricular Disjunction
- Surgical Approaches to the Spine
- Hysterectomy doesn't seem to affect long term mortality