Total knee and hip arthroplasty: the reality of assistance in Brazilian public health care

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-07-01 DOI:10.1016/j.rboe.2018.05.002

Marcio de Castro Ferreira, Julio Cesar Pinto Oliveira, Flavio Ferreira Zidan, Carlos Eduardo da Silveira Franciozi, Marcus Vinicius Malheiros Luzo, Rene Jorge Abdalla

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引用次数: 11

Abstract

Objective

To analyze the number of hospital permits for total knee arthroplasty (TKA) and total hip arthroplasty (THA) in Brazil between 2008 and 2015, and correlate them with regional, national, and international demographic and epidemiological aspects.

Methods

Data on demographics, economic level, and TKA and THA were obtained from the website of the Ministry of Health/DATASUS, Brazilian Institute of Geography and Statistics, and the National Health Agency to assess the assistance provided by the Public Health Care System in arthroplasties for elderly Brazilian population without private health care.

Results

The South and Southeast had the best care, with 8.07 and 6.07 TKAs/100,000 inhabitants, one TKA per 1811 and 2624 seniors, 17.3 and 10.99 THAs/100,000 inhabitants, and one THA per 923 and 1427 seniors, respectively. The worst rates were found in the North and Northeast, with 0.88 and 0.98 TKAs/100,000, one TKA per 6930 and 10,411 seniors, 0.96 and 3.25 THAs/100,000, and one THA per 6849 and 2634 seniors, respectively. The national average was 4.00 TKAs/100,000, one TKA per 3249 seniors, 8.01 THAs/100,000, and one THA per 1586 seniors. The international average was 142.8 TKAs/100,000 and 191.8 THAs/100,000.

Conclusion

The results expressed unsatisfactory results for TKA and THA in Brazil, with greater relevance in the North and Northeast.

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全膝关节和髋关节置换术:巴西公共卫生保健援助的现实

目的分析2008 - 2015年巴西全膝关节置换术(TKA)和全髋关节置换术(THA)的住院许可数量，并将其与地区、国家和国际人口和流行病学方面的数据进行比较。方法从巴西卫生部/DATASUS网站、巴西地理与统计研究所和国家卫生机构获取人口统计学、经济水平、TKA和THA数据，评估公共卫生保健系统为巴西无私人卫生保健的老年人口提供的关节置换术援助。结果南区和东南区分别为8.07和6.07名TKA /10万居民，分别为1名TKA / 1811和2624名，分别为17.3和10.99名TKA /10万居民，分别为1名TKA / 923和1427名。北部和东北部的TKA发生率最高，分别为0.88和0.98 /10万，分别为6930和10411名老年人，分别为0.96和3.25名TKA /10万，分别为6849和2634名老年人。全国平均为4.00名TKA /10万人，每3249名老年人1名TKA，每10万人8.01名TKA，每1586名老年人1名TKA。国际平均水平为142.8 tka /10万，191.8 THAs/10万。结论巴西TKA和THA的结果不理想，北部和东北部的相关性更大。

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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Revista Brasileira de Ortopedia (English Edition)

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