BARIATRIC SURGERIES IN THE BRAZILIAN PUBLIC HEALTH SYSTEM FROM 2012 TO 2022: DESCRIPTIVE STUDY OF HOSPITALIZATIONS IN THE STATE OF PARANÁ.

Q2 Medicine

Arquivos de Gastroenterologia Pub Date : 2024-07-19 eCollection Date: 2024-01-01 DOI:10.1590/S0004-2803.24612024-009

Hassan Ali Fahs, Maiara Sant'Ana Molica de Oliveira, Ellen Carolina Zawoski Gomes

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引用次数: 0

Abstract

Background: Obesity is a chronic health condition with a multifactorial etiology, resulting from the interplay of genetic, environmental, and behavioral factors leading to an energy imbalance.

Objective: To characterize hospitalizations for bariatric surgeries through the Brazilian Unified Health System (SUS) in the state of Paraná from 2012 to 2022.

Methods: This is a descriptive and retrospective study, utilizing a time series design, based on secondary data. Public data from the SUS Hospital Information System for the period from 2012 to 2022 were consulted, focusing on the population of obese patients undergoing bariatric surgery.

Results: In Paraná, concerning SUS procedures data from 2012 to 2022, 39,793 hospitalizations for bariatric surgeries were observed. Among the five modalities, Roux-en-Y gastric bypass predominated with 38,849 hospitalizations (97.6%), showing a lower mortality rate.

Conclusion: The research highlights a notable variation in costs, emphasizing the importance of economic evaluation. The correlation between obesity and diabetes underscores the complexity of the situation, justifying the superiority of surgical treatment in comorbidity remission. The study reveals a decline in bariatric surgeries in 2020, coinciding with the pandemic, and alerts to the increased vulnerability of obese patients to SARS-CoV-2.

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2012 至 2022 年巴西公共卫生系统中的减肥手术：巴拉那州住院治疗情况的描述性研究。

背景：肥胖症是一种慢性疾病，其病因是多因素的，由遗传、环境和行为因素相互作用导致能量失衡：目的：描述 2012 年至 2022 年期间巴拉那州通过巴西统一卫生系统（SUS）进行减肥手术的住院情况：这是一项描述性和回顾性研究，采用时间序列设计，以二手数据为基础。研究参考了2012年至2022年期间统一卫生系统医院信息系统的公共数据，重点关注接受减肥手术的肥胖患者群体：在巴拉那州，根据2012年至2022年期间统一卫生系统的手术数据，共观察到39793例住院减肥手术。在五种手术方式中，Roux-en-Y 胃旁路术占主导地位，住院人次为 38849 人（97.6%），死亡率较低：结论：这项研究凸显了成本的显著差异，强调了经济评估的重要性。肥胖与糖尿病之间的相关性凸显了情况的复杂性，证明了手术治疗在缓解并发症方面的优越性。研究显示，2020 年减肥手术的数量将下降，这与大流行病的发生时间相吻合，并提醒人们注意肥胖病人更容易感染 SARS-CoV-2 病毒。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arquivos de Gastroenterologia Medicine-Gastroenterology

CiteScore

2.00

自引率

0.00%

发文量

109

审稿时长

9 weeks

期刊介绍： The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.