EVALUATION OF A DECADE OF ONCOLOGICAL-ORTHOPEDIC PROCEDURES IN BRAZIL (2015-2024) AND THE IMPACT OF COVID-19.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253303e297250

Alex Guedes, Olavo Pires de Camargo, Ediriomar Peixoto Matos, Mario Castro Carreiro, Felype Figueiredo Rios, Antônio Henrique Santos Guimarães, Kleber Antas Meyer, Nayara Fulgêncio Leite de Lima, Bruno Garcia Barreto, Enilton de Santana Ribeiro de Mattos, César Romero Antunes, Eduardo Silva Reis Barreto

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引用次数: 0

Abstract

Objective: To evaluate the regional distribution of hospital admission authorizations (AIH), total and average hospitalization cost (AHC), average length of stay, number of deaths and mortality rate related to oncological-orthopedic procedures funded by the Unified Health System (SUS) between 2015 and 2024, with an emphasis on the impact of the COVID-19 pandemic.

Methods: Ecological study with time series based on data obtained from the SUS Hospital Information System, analyzed by Brazilian regions in the pre-pandemic, pandemic and post-pandemic periods. Regional differences were calculated using ANOVA or Kruskal-Wallis. The impact of the pandemic was analyzed using T-tests and ARIMA with intervention. Statistical analysis was performed in R.

Results: 9,120 AIHs were recorded, mostly in the Southeast (4,375) and South (2,252) regions. Multiple regional variations were found for all the variables evaluated. Only the AHC was impacted - there was an increase in costs per procedure; The other variables maintained the trend after the beginning of the pandemic.

Conclusions: Despite the increase in the AHC, we did not observe significant variation in the number of AIH, ALS, and MR when analyzing the pre-pandemic and pandemic periods, suggesting that there was no direct impact on the performance of the analyzed procedure. Level of Evidence III; Retrospective _f comparative study _e.

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巴西肿瘤骨科手术十年（2015-2024）及covid-19影响的评估

目的：评估2015 - 2024年统一卫生系统（SUS）资助的肿瘤骨科手术住院许可（AIH）、总住院费用和平均住院费用（AHC）、平均住院时间、死亡人数和死亡率的地区分布，重点分析2019冠状病毒病（COVID-19）大流行的影响。方法：基于SUS医院信息系统数据，采用时间序列进行生态学研究，对巴西各地区大流行前、大流行期和大流行后进行分析。区域差异采用方差分析或Kruskal-Wallis计算。采用t检验和ARIMA结合干预分析大流行的影响。结果：共记录AIHs 9120例，主要分布在东南部（4375例）和南部（2252例）。所有被评估的变量都存在多个区域差异。只有AHC受到了影响——每个程序的成本增加了；其他变量在大流行开始后保持了这一趋势。结论：尽管AHC有所增加，但在分析大流行前和大流行时期时，我们没有观察到AIH、ALS和MR数量的显著变化，这表明对分析程序的性能没有直接影响。证据等级III；回顾性比较研究。

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

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.