Rotator cuff repair in the Brazilian Unified Health System: Brazilian trends from 2003 to 2015

Abstract

ObjectiveTo assess the historical trend of rotator cuff repairs in Brazil between 2003 and 2015, using the database of the Brazilian Unified Health System's (Sistema Único de Saúde [SUS]) Department of Informatics (DataSUS).MethodsHistorical series using DataSUS. Surgeries performed between 2003 and 2015 were included and data relating to cuff tear repair were assessed, including decompression procedures were included. The numerator was the total number of rotator cuff repair and the denominator, the total population of the assessed locality. Population data were based on information from the Instituto Brasileiro de Geografia e Estatística (IBGE).ResultsDuring the period, 50,207 surgeries were performed. The rate was presented as number of procedures per 100,000 inhabitants, and increased from 0.83 to 2.81, a growth of 238%. In 2015, the South region had the highest rate, 6.32, followed by the Southeast, 3.62, while the North had the lowest rate, 0.13. The growing trend can be observed in the Southeast, South, and Midwest, while the rate is stable in the North and Northeast.ConclusionThe rate of rotator cuff repairs in Brazil performed through the SUS increased from 0.83 to 2.81 between 2003 and 2015, representing a growth of 238%, but remains lower than that of developed countries. A trend of growth can be observed in the Southeast, South, and Midwest, while the rate is stable in the North and Northeast.

Effect of Subscapularis Tears on Functional Scores of Patients Undergoing Rotator Cuff Repair

“…Rotator cuff tendinopathy is the main reason to visit a specialized shoulder outpatient clinic, 1 and 20% of the population have a tear in these tendons 2 . The number of surgeries for cuff tear repair is growing 3 , 4 causing high economic impacts 5 . Among the tendons affected, the subscapularis tendon has received less attention in the orthopedic literature 6 .…”

Predisposição familiar para rotura do manguito rotador e outras tendinopatias – Um estudo de caso-controle

“…Rotator cuff tendinopathy is the main cause of shoulder 1 pain, and tears of these tendons are prevalent in 20% of the population. 2 The number of patients undergoing surgical treatment for these lesions grows annually, 3 and the arthroscopic repair of the rotator cuff presents satisfactory clinical results in up to 93% of the patients. 4 5 6…”

“…A tendinopatia do manguito rotador é a principal causa de dor no ombro, 1 e a rotura destes tendões incide em 20% da população. 2 O número de pacientes submetidos ao tratamento cirúrgico destas lesões cresce anualmente, 3 e o reparo artroscópico do manguito rotador apresenta resultados clínicos satisfatórios em até 93% dos pacientes. 4 5 6…”

Rotator cuff unloading versus loading exercise program in the conservative treatment of patients with rotator cuff tear: protocol of a randomised controlled trial

“…7 The healthcare system usually deals with increasing expenses for rotator cuff surgery. [8][9][10][11] In addition, shoulder dysfunction is associated with high societal cost and patient burden. A recent systematic review with meta-analysis has supported that conservative approaches should be the firstline treatment for individuals with rotator cuff tears.…”