CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2019; 38(02): 086-093
DOI: 10.1055/s-0037-1604039
Original Article | Artigo Original
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Epidemiology and Estimated Cost of Surgeries for Carpal Tunnel Syndrome Conducted by the Unified Health System in Brazil (2008–2016)

Epidemiologia e estimativa de custo das cirurgias para síndrome do túnel do carpo realizadas pelo Sistema Único de Saúde no Brasil (2008–2016)
Marcelo José da Silva de Magalhães
1   Department of Medicine, Faculdades Integradas Pitágoras de Montes Claros, Montes Claros, MG, Brazil
2   Department of Medicine, Faculdades Unidas do Norte de Minas, Montes Claros, MG, Brazil
3   Department of Neurosurgery, Hospital Aroldo Tourinho, Montes Claros, MG, Brazil
4   Department of Neurosurgery, Hospital Vila da Serra-Nova, Lima, MG, Brazil
,
Jeffet Lucas Silva Fernandes
2   Department of Medicine, Faculdades Unidas do Norte de Minas, Montes Claros, MG, Brazil
,
Mateus Silva Alkmim
2   Department of Medicine, Faculdades Unidas do Norte de Minas, Montes Claros, MG, Brazil
,
Evandro Barbosa dos Anjos
2   Department of Medicine, Faculdades Unidas do Norte de Minas, Montes Claros, MG, Brazil
› Author Affiliations
Further Information

Publication History

05 March 2017

31 May 2017

Publication Date:
23 June 2017 (online)

Abstract

Objective To define the epidemiological aspects and estimated costs of surgeries performed by the Brazilian Unified Health System (SUS, in the Portuguese acronym) for the treatment of carpal tunnel syndrome (CTS) in Brazil between 2008 and 2016.

Materials and Methods Documentary study, with data from the Informatics Department of the SUS (DATASUS, in the Portuguese acronym), about the absolute number and incidence of admissions, the total and mean length of stay (in days), the total expenses, and the hospital and professional services expenses in the surgical treatment of CTS.

Results During the period studied, there were 82,123 hospitalizations for surgery, with a 62% increase from 2008 to 2015, accompanied by an increase in the values of professional services. The incidence and the absolute number of procedures were higher in the South and Southeast regions. The North region presented the lowest expenses, absolute number, and incidence of admissions, as well as the longer mean length of stay. The mean length of stay decreased from 1.2 days in 2008 to 0.7 day in 2016. The expenses totaled BRL 29,463,148.80 during the period studied. After 2011, professional services became the largest portion of the total expenses. Hospital expenses corresponded to 52.49% of the expenditure in 2008, and to 36.24% in 2015, while professional expenses received the largest investment compared with the total amount expended in 2012.

Conclusion The present study was not consistent with the international literature regarding epidemiological data and cost estimates. Brazil presented a disparity between absolute numbers and annual incidence of admissions and length of stay. Future researches can assess variables that have influenced these results, as well as contribute to public interventions aimed at the improvement of health care.

Resumo

Objetivo Definir aspectos epidemiológicos e estimativas de custos decorrentes das cirurgias realizadas pelo Sistema Único de Saúde (SUS) para tratamento da síndrome do túnel do carpo no Brasil, entre 2008 e 2016.

Materiais e Métodos Estudo documental, com dados do Departamento de Informática do SUS (DATASUS), referentes ao número absoluto e à incidência de internações, dias totais e média de permanência nosocomial, valor total investido, e valor dos serviços hospitalares e profissionais no tratamento cirúrgico da síndrome.

Resultados No período estudado, realizaram-se 82.123 internações para cirurgia, com crescimento de 62% de 2008 a 2015, acompanhado de incremento no pagamento aos profissionais. A incidência e o número absoluto de procedimentos sobressaíram-se no Sul e Sudeste, invariavelmente. A região Norte apresentou número absoluto, incidência e valor investido menores, além do maior tempo médio de internação. A permanência hospitalar média reduziu-se de 1,2 dias em 2008 para 0,7 dia em 2016. Aplicaram-se R$ 29.463.148,80 no período. Após 2011, o valor do serviço profissional se tornou a maior parcela do total. A remuneração hospitalar correspondeu a 52,49% do gasto em 2008 e a 36,24% em 2015, enquanto o gasto com profissionais recebeu o maior investimento em relação ao total de despesas em 2012.

Conclusão O presente estudo foi discrepante da literatura internacional no que concerne a dados epidemiológicos e estimativas de custo. No Brasil, notou-se disparidade entre o número absoluto, a incidência anual e o tempo de internação hospitalar desses pacientes. Pesquisas futuras poderão avaliar as variáveis que influenciaram estes resultados, bem como contribuir para intervenções públicas que visem à melhoria da assistência.

 
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