Progression in the Number of Cataract Surgeries in Brazil: 10 Years of Evolution.

IF 1.7 4区 医学 Q3 OPHTHALMOLOGY
Silvana Rossi, Priscilla A Jorge, Rafael Scherer, Newton Kara-Junior
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引用次数: 0

Abstract

Objective: This study aimed to assess the frequency of cataract surgery in Brazil between 2010 and 2019 and determine the impact of public policies on preventing blindness, thereby providing evidence to conduct healthcare programs.

Methods: An analytical epidemiological approach was employed, which used data from public databases, specifically the Hospital Information System (SIH-SUS) and the Outpatient Information System (SIA-SUS). We focused on cataract surgeries conducted via phacoemulsification and extracapsular cataract extraction techniques between 2010 and 2019, mainly targeting senile cataracts within the Brazilian public health system. Data were analyzed on an annual basis and stratified by region. Trends over time were assessed using generalized additive models.

Results: A statistically significant upward trend in cataract surgeries was observed both nationally and within the South region (p < 0.05). Nationally, there was a 40.22% increase in surgeries between 2010 and 2019. Furthermore, the surgery rate per 1000 individuals aged ≥50 years varied across regions: nationally, it was 10.85, with rates of 9.23 in the Southeast, 13.86 in the Northeast, 9.23 in the South, 11.94 in the Midwest, and 14.2 in the North.

Conclusion: All regions of the country, a satisfactory number of cataract surgeries were performed at some point. Only the Southern region demonstrated a notable upward trend in the number of cataract surgeries. Conversely, the remaining regions failed to sustain surgical performance, hindering consistent improvement in cataract-related conditions. To accurately gauge the prevalence of blindness in Brazil, it is crucial to examine the population growth among individuals aged ≥50 years.

巴西白内障手术数量的增长:10 年的演变。
研究目的本研究旨在评估 2010 年至 2019 年间巴西白内障手术的频率,并确定公共政策对防盲的影响,从而为开展医疗保健计划提供证据:研究采用了流行病学分析方法,使用了公共数据库的数据,特别是医院信息系统(SIH-SUS)和门诊信息系统(SIA-SUS)的数据。我们关注的重点是 2010 年至 2019 年期间通过超声乳化和白内障囊外摘除技术进行的白内障手术,主要针对巴西公共卫生系统中的老年性白内障。数据按年度进行分析,并按地区进行分层。使用广义加法模型评估了随时间变化的趋势:全国和南部地区的白内障手术量在统计意义上呈明显上升趋势(p 结论:全国所有地区的白内障手术量都有令人满意的增长:在全国所有地区,白内障手术的数量都令人满意。只有南部地区的白内障手术数量呈明显上升趋势。与此相反,其余地区的白内障手术数量却未能保持稳定,阻碍了白内障相关状况的持续改善。要准确衡量巴西的失明率,关键是要研究年龄≥50 岁的人口增长情况。
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
Ophthalmic epidemiology
Ophthalmic epidemiology 医学-眼科学
CiteScore
3.70
自引率
5.60%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.
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