Introduction: this paper aims to evaluate the main direct and indirect costs of the first laparotomies and laparoscopies in bariatric surgeries with a clinical-economical retrospective and cross-sectional analysis from 2017 to 2020 at a hospital with specialties besides the basic ones in southern Brazil. Methods: the study sample included 26 participants. The first 13 laparotomies, and the first 13 laparoscopies performed at the bariatric surgery service of the institution were evaluated. The values evaluated in such comparison analyzed the costs of operation and hospitalization. It is important to highlight that, in addition to the cost benefit, other costs take significance in the health area, such as: cost-utility, cost-effectiveness and cost-minimization, in addition to the cost-opportunity that is reassessed in the observation of the broad context associating all the values raised here. The software used for data analysis was Excel version® 365. The economic analysis was performed evidencing the profile of the patients and the direct and indirect costs involved in each segmentation. Results: the direct and indirect costs of videolaparoscopy amounted to BRL 10,108.10 and laparoscopy to the amount of BRL 12,568.14. Conclusion: it was concluded that laparoscopy presents more savings in the aspects of all health valuations to the detriment of laparotomy. It was concluded that the videolaparoscopy presents more savings in the aspects of all health valuations than the laparotomy.
Introdução: A prevalência de diabetes mellitus tipo 2 (DM2), hipertensão arterial sistêmica (HAS) e obesidade em idosas é significativa no Brasil. Uma mudança de estilo de vida, com adequação dietética e controle do peso corporal, podem ser importantes aliados no manejo dessas doenças. Objetivo: Avaliar a prevalência de DM2, HAS e obesidade em idosas do programa de extensão UCS Sênior e a relação com nutrientes e antropometria. Metodologia: Estudo transversal retrospectivo e descritivo com 130 idosas (>60 anos) do Programa UCS Sênior. As variáveis foram obtidas através de entrevistas e avaliação antropométrica. Os dados foram analisados de acordo com o preconizado pelas Diretrizes Brasileiras referentes às patologias já mencionadas. Utilizou-se o Excel 14.0 para análise estatística. Resultados: As idosas hipertensas da amostra consomem 5% menos sódio que as não hipertensas. Referente aos macronutrientes, 54% consomem o percentual de gordura preconizado, 60% o de carboidrato e 40% o recomendado para proteínas. Entre as diabéticas, há deficiência especialmente no consumo de proteínas. Quanto às obesas e o consumo de macronutrientes, a maioria apresenta um déficit na quantidade. Conclusão: As idosas hipertensas frequentadoras do Programa UCS Sênior demonstram-se orientadas em relação ao consumo de sódio abaixo dos 2 gramas/dia. No entanto, em todas as condições patológicas, observa-se uma má aderência quanto ao consumo adequado de macronutrientes. Com tais dados, é possível, direcionar uma atividade de orientação no programa UCS Sênior pautada sobre os principais déficits nutricionais, sendo pontual na correção de determinadas práticas alimentares.
Objective: The present study’s purpose is to evaluate the economic context in which the Brazilian public health system, the only universal public health system with more than 200 million users, stands out. This evaluation will be made through the lens of the execution of gestational health care services in a city of approximately 500 thousand inhabitants in southern Brazil. The care costs of patients with gestational diabetes mellitus (GDM) will be compared to those of patients without GDM, analyzing the different economic valuation methods. And lastly, there was an intent to explore the generated costs in the context of economic valuation applied to health to comprehend better the complexity of the union of the financial and health areas to optimize the services offered. Methods: For the economic context in health, an analysis of health investments was performed through the Transparency Portal. The costs involved in preventing GDM were raised by the Sistema Único de Saúde (SUS) table of procedures performed ordinarily in low-risk pregnancies. The expenses involved in DMG patients were increased at the High-Risk Pregnancy and Fetal Medicine Clinic of DMG patients. Results: Preventing GDM is more cost-effective, cost-minimizing, and cost-useful than treating patients diagnosed with GDM. Conclusion: The result is an extremely interesting costopportunity, given the economic context in which it is presented
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