2017
DOI: 10.1590/0100-69912017001002
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Abstract: Objective: to analyze the profile of appendectomies performed in the Brazilian Public Health System (SUS) and to compare the laparoscopic and laparotomic techniques of appendectomy. Methods: This work used information from DataSus from 2008 to 2014 (http://datasus.saude.gov.br). We compared the data of patients submitted to laparotomic appendectomy with those submitted to laparoscopic one. Results: when comparing the total growth of appendectomies, the laparoscopic route increased 279.7%, while the increase in… Show more

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Cited by 3 publications
(6 citation statements)
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“…Our results are in agreement with studies by Minutolo et al 11 (means of 2,337 € versus 2,282 €; p=0.81), Nguyen et al 18 (means of US$ 6,260 versus US$ 6,242; p=0.7), Santos et al 10 in Brazil (means of R$ 537.88 versus R$ 500.06, not significant), and Wei et al 17 Our findings have been challenged by other authors, such as Biondi et al 7 , who observed higher mean costs per procedure (mean difference of 150.00 €), and higher costs with hospital services (mean difference of 1,195.00 €), associated with laparoscopic appendectomy, which might represent an obstacle to its greater use. In Bahia, our analysis on professional costs per appendectomy demonstrated a significant difference between minimally invasive procedure (median of US$ 34.60) and laparotomy (median of US$ 35.99) (Mann-Whitney U=9.0; p<0.05).…”
Section: Comparison Of Outcomes and Cost-effectiveness Of Laparoscopic And Open Appendectomies In Public Health Servicessupporting
confidence: 93%
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“…Our results are in agreement with studies by Minutolo et al 11 (means of 2,337 € versus 2,282 €; p=0.81), Nguyen et al 18 (means of US$ 6,260 versus US$ 6,242; p=0.7), Santos et al 10 in Brazil (means of R$ 537.88 versus R$ 500.06, not significant), and Wei et al 17 Our findings have been challenged by other authors, such as Biondi et al 7 , who observed higher mean costs per procedure (mean difference of 150.00 €), and higher costs with hospital services (mean difference of 1,195.00 €), associated with laparoscopic appendectomy, which might represent an obstacle to its greater use. In Bahia, our analysis on professional costs per appendectomy demonstrated a significant difference between minimally invasive procedure (median of US$ 34.60) and laparotomy (median of US$ 35.99) (Mann-Whitney U=9.0; p<0.05).…”
Section: Comparison Of Outcomes and Cost-effectiveness Of Laparoscopic And Open Appendectomies In Public Health Servicessupporting
confidence: 93%
“…It must be considered for any individual presenting non-traumatic abdominal pain (acute abdomen), and if appendicitis is not the first diagnostic hypothesis, it surely should be the second one 7,12 . For this reason, reference services must have well-trained surgeons in both approaches, the laparotomic and minimally invasive procedures 4,10,11 and lower mortality rate (0.12% versus 0.28%) to the laparoscopic intervention 10 .…”
Section: Discussionmentioning
confidence: 99%
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“…Similarly, Moreira et al 13 retrospectively analyzed 1,241 cases of appendicitis in 5 years, presenting an average of 248.2 appendectomies per year. In addition, data collected by Santos et al 7 from DataSUS between 2008 and 2014 reveal a national average of 97,754 appendectomies per year.…”
Section: Discussionmentioning
confidence: 99%
“…1 The lifetime risk of presenting the problem is around 8.6% in men and 6.7% in women, 2 with more than 300,000 appendectomies performed per year in the United States of America. [3][4][5][6] In Brazil, the work conducted by Santos et al 7 with information from the IT department of the Brazilian Public Unified Health System (DataSus -http://datasus.saude.gov.br), computed between the years 2008 and 2014 the performance of 684,278 appendectomies, with an average of 97,754 per year.…”
Section: Introductionmentioning
confidence: 99%