What happened to the most frequent surgeries performed in the Brazilian Unified Health System during and after the COVID-19 pandemic? An analysis of 2 million procedures.

IF 0.9 Q2 MEDICINE, GENERAL & INTERNAL

Einstein-Sao Paulo Pub Date : 2025-09-15 eCollection Date: 2025-01-01 DOI:10.31744/einstein_journal/2025AO1399

Altair da Silva Costa, Otavio Rocha Fiuza, Isabella Marques Vieira, Henrique Pavezi Fornazari, João Gabriel Bicudo Ting, Camila Kalim, Sabrina Menes Ares

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引用次数: 0

Abstract

Objective: To analyze changes in surgical volume across different specialties in Brazil before, during, and after the COVID-19 pandemic.

Methods: This descriptive observational study compared surgical volumes for the specialties with the highest number of procedures each year from 2019 to 2023. Data were sourced from the Department of Informatics of the Unified Health System (DATASUS - TabNet).

Results: A total of 2,117,383 surgical procedures across 13 operation types were analyzed. Between 2019 and 2020, surgical volume declined by 35%, with reductions ranging from -1% to -54% depending on the procedure. Although volumes increased by 2023, this was insufficient to address the backlog of delayed surgeries. Otorhinolaryngology and urology were the most affected specialties, while cholecystectomy saw a net post-pandemic increase.

Conclusion: The COVID-19 pandemic significantly disrupted all analyzed surgical procedures in Brazilian Public Health System, resulting in a 35% overall decline. Despite partial recovery, the persistent surgical deficit remains a major challenge, reflecting patterns observed internationally.

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在COVID-19大流行期间和之后，巴西统一卫生系统中最常见的手术发生了什么变化？对200万个程序的分析。

目的：分析2019冠状病毒病大流行之前、期间和之后巴西不同专科手术量的变化。方法：本描述性观察研究比较了2019年至2023年每年手术数量最多的专科的手术量。数据来源于统一卫生系统信息部（DATASUS - TabNet）。结果：共分析了13种手术类型的2,117,383例手术。在2019年至2020年期间，手术量下降了35%，根据手术方式的不同，减少幅度从-1%到-54%不等。尽管到2023年数量有所增加，但这不足以解决延迟手术的积压问题。耳鼻喉科和泌尿科是受影响最大的专科，而胆囊切除术在大流行后净增加。结论：COVID-19大流行严重扰乱了巴西公共卫生系统中所有分析的外科手术，导致总体下降35%。尽管部分恢复，持续的手术缺陷仍然是主要的挑战，反映了国际上观察到的模式。

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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