Necessidades não atendidas de cuidados cirúrgicos para crianças: Estudo de caso no Sistema Único de Saúde financiado pelo governo no Brasil

Neto, Mario Bressan; Filezio, Marina Rosa; Ferri-de-Barros, Fabio; Defino, Helton Luíz Aparecido

doi:10.1055/s-0040-1721836

Cited by 4 publications

(16 citation statements)

References 28 publications

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“…We detected significant increases in the main curve angles, ranging from 0 to 68°, with an average of 14.1°. Similarly, Bressan-Neto et al 12 observed differences in radiographic parameters, indicating a progression of the scoliotic deformity, when comparing the evaluations at the time of surgical indication and the procedure date. These authors reported an average increase of 18.6° in the Cobb angle of the main deformity.…”

Section: Discussionmentioning

confidence: 89%

“…The epidemiological data obtained were similar to other Brazilian research of the same nature, consisting of adolescents (11–23 years old), mostly female. 3 12 …”

Section: Discussionmentioning

confidence: 99%

“…Os dados epidemiológicos obtidos foram semelhantes aos de estudos similares realizados no Brasil, contendo pacientes no período da adolescência (11–23 anos) e em sua maioria do gênero feminino. 3 12 …”

Section: Discussionunclassified

“…De maneira que, na pesquisa realizada por estes autores, observou-se um aumento do ângulo de Cobb da deformidade principal, sendo em média de 18,6°. 12 …”

Section: Discussionunclassified

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Impacto da suspensão das cirurgias eletivas em pacientes com escoliose idiopática do adolescente no período da pandemia de covid-19

Castanheira

Nardone

Luciano

et al. 2022

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivos Neste estudo foram avaliadas as progressões radiográficas das curvas escolióticas, acima de 40 graus em pacientes com escoliose idiopática do adolescente (EIA). Os indivíduos analisados aguardavam o procedimento cirúrgico, em período de suspensão das cirurgias eletivas, durante a pandemia de covid-19. Além das progressões radiográficas, nesta pesquisa foi descrita a qualidade de vida destes pacientes. Métodos O artigo refere-se a um estudo de coorte retrospectivo, que avaliou 29 pacientes com EIA com indicação cirúrgica, todos cadastrados no serviço público de saúde brasileiro. As medidas radiográficas escolióticas dos pacientes foram comparadas em dois momentos: no início do período da interrupção de cirurgias eletivas, devido à pandemia de covid-19, e logo após a liberação destas. Resultados A partir da comparação das medidas radiográficas entre as avaliações pré e pós suspensão das cirurgias eletivas, observamos o aumento significativo dos valores angulares da curva principal (p < 0,001), com variações entre 0 e 68°, e mediana de 10°. Em relação às curvas secundárias, observamos um aumento dos valores angulares da região torácica proximal (p < 0,001) e lombar (p = 0,001). Entretanto, o aumento da região torácica principal não foi considerado significativo (p = 0,317). Conclusão A suspensão das cirurgias eletivas, para a correção da EIA resultou em um aumento significativo no valor radiográfico das deformidades das colunas dos pacientes, fator que promoveu um impacto negativo na qualidade de vida de pacientes e familiares.

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Section: Discussionmentioning

confidence: 89%

“…The epidemiological data obtained were similar to other Brazilian research of the same nature, consisting of adolescents (11–23 years old), mostly female. 3 12 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionunclassified

“…De maneira que, na pesquisa realizada por estes autores, observou-se um aumento do ângulo de Cobb da deformidade principal, sendo em média de 18,6°. 12 …”

Section: Discussionunclassified

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Impacto da suspensão das cirurgias eletivas em pacientes com escoliose idiopática do adolescente no período da pandemia de covid-19

Castanheira

Nardone

Luciano

et al. 2022

Rev Bras Ortop (Sao Paulo)

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“…In addition, symptoms worsen, causing negative impacts on patients' mental and psychological health and quality of life. [21][22][23] In extreme cases of progression of the curve, which require a more aggressive procedure that increases the risk and size of the surgery, associated with coexisting comorbidities and patients' delicate clinical status, surgery may not be feasible, so the risks outweigh the benefits. Furthermore, the rates of complications, such as pseudarthrosis and junctional kyphosis, for the same procedure in adults are higher than in immature individuals.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Portrait of Pediatric Scoliosis in a Tertiary Hospital in Brazil

MARTINS,

MYSTRO,

VEIGA

et al. 2023

Coluna/Columna

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Objective: To trace the epidemiological profile of patients with pediatric scoliosis in a tertiary hospital in the region of Campinas - SP, seeking to understand and evaluate the demand of these patients, the results of delay in treatment, and its impact on the progression of the deformity. Methods: An epidemiological, observational, and cross-sectional study was carried out in a digital database, including patients from 0 to 18 years of age, where sociodemographic variables, scoliosis classification, and institutional follow-up and treatment data were collected. Results: The sample had 30 patients who met the inclusion criteria. The age of the patients ranged from 5 years to 18 years, with a mean of 12.8 years. Neuromuscular scoliosis was the most prevalent etiology (40%), followed by congenital scoliosis (36.6%) and, to a lesser extent, idiopathic scoliosis (23.3%). The patient follow-up time between the first and last appointment has an average of 74.7 months. When the specialty monitors the patient, the initial and final Cobb angles are evaluated in degrees, with a percentage increase of 40.3%. Delay in care (outpatient care, conservative treatment, or surgery) was identified in 25 patients (83.3% of the sample). Conclusion: Most of the patients evaluated showed evolution of the scoliosis condition, especially due to the delay in care, failure to obtain surgical treatment, or even conservative treatment in an adequate time, with an increase in the magnitude of the curve and greater severity of the case. Level of Evidence III; Observational, Cross-Sectional Study.

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Queue Profile for Pediatric Scoliosis Surgery in a Reference Hospital in the Brazil’s Midwest

DORNELES FILHO,

DAHER,

LOMAZ

et al. 2023

Coluna/Columna

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Objective: To describe the epidemiological profile of the list of patients with pediatric scoliosis (0 to 18 years old) treated at a tertiary public hospital in the Midwest Region. Methods: A cross-sectional analytical study of patients with scoliosis from the orthopedic service of a reference center was carried out, and data collected on age, sex, date of menarche, weight, height, etiology, curve classification, form of referral, treatment performed before and after care and waiting time for surgery after indication. The sample consisted of 60 patients randomly selected among those treated. Results: 60 patients were evaluated, 44 (73.3%) were female, and 16 (26.7%) were male, with a mean age of 13.4 years. Until the moment of the study, six patients underwent surgery after being treated at the reference center. Idiopathic scoliosis was the most frequent in 38 (63%) patients. No conduct had been performed in 47 (78.3%) patients before referral to the reference center. Aftercare at the reference center, surgical treatment was indicated in 44 (73.3%) patients. The mean waiting time for surgery after the indication was 22 months, ranging from 6 to 40 months. Conclusions: The list of patients with pediatric scoliosis treated at the reference center in the Midwest region is composed of young girls with idiopathic scoliosis who, for the most part, did not have the indication of using a brace before being referred to the reference center, and most of them had an indication for surgery for adequate treatment. Level of Evidence IV; Descriptive Study.

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Necessidades não atendidas de cuidados cirúrgicos para crianças: Estudo de caso no Sistema Único de Saúde financiado pelo governo no Brasil

Cited by 4 publications

References 28 publications

Impacto da suspensão das cirurgias eletivas em pacientes com escoliose idiopática do adolescente no período da pandemia de covid-19

Impacto da suspensão das cirurgias eletivas em pacientes com escoliose idiopática do adolescente no período da pandemia de covid-19

Epidemiological Portrait of Pediatric Scoliosis in a Tertiary Hospital in Brazil

Queue Profile for Pediatric Scoliosis Surgery in a Reference Hospital in the Brazil’s Midwest

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