Formação e demanda do cirurgião pediátrico no Brasil

Jesus, Lisieux Eyer de; Aguiar, Alexandre Santos; Campos, Maria do Socorro Mendonça de; Baratella, José Roberto de Sousa; Ketzer, João Carlos; Mastroti, Roberto Antonio; Amarante, Antônio Carlos M.

doi:10.1590/s0100-69912009000400016

Cited by 13 publications

(5 citation statements)

References 14 publications

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“…The distribution of BFPS differs from that of females in Brazil (8.1, 27.9, 42.4, 14.3, 7.3 in the north, northeast, southeast, south, and center regions, respectively) [5]. The predominance of BFPS in the southeastern and southern provinces (67.97% of FPBS in our research), confirms previous research, that proved that the distribution of pediatric surgeons was highly influenced by the availability of financial and working professional guarantees [6,7]). Most referral hospitals, formative and attending centers for pediatric surgery, are located in these relatively prosperous regions.…”

Section: Discussionsupporting

confidence: 88%

Family planning and parity among pediatric surgeons — it is time to confront a serious problem (a survey among Brazilian female pediatric surgeons)

et al. 2022

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Background Obstetric problems and infertility affect female surgeons. Family perspectives influence specialty choice and attrition rates. We aim to study parity, fertility, and family planning among female pediatric surgeons. A questionnaire was filled out by licensed BFPS to evaluate pregnancy/motherhood among Brazilian female pediatric surgeons (BFPS). The professionals were divided into two groups that were compared (< 40 and ≥ 40 years of age). Results Eighty-three < 40 and 91 ≥ 40-year-old BFPS were included, of which 2/3 were mothers. Most planned children after being hired as consultants. Almost a tenth (8.87%) reported marital conflicts secondary to the refusal to get pregnant. A fifth reported a high-risk pregnancy, and 12.73% had miscarriages. Half reported no adverse consequences of postponing pregnancy, but 6.9% stayed childless, 16.67% had fewer children than planned, and 10.92% needed infertility treatment. Professional problems related to pregnancy/motherhood were reported by 59.09%, and 86.36% of the women who were mothers had difficulties conciliating professional duties and motherhood. Conclusion BFPS parity was 1.38, lower than Brazilian women (mean 1.77 children/woman). Most BFPS start their families by late 30s or early 40s. Unfavorable consequences of postponing pregnancy affected a third of BFPS. Time off after pregnancy and protection during pregnancy remain problematic. A hostile environment and life-career conflicts may lead to the abandonment of the specialty.

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Section: Discussionsupporting

confidence: 88%

Family planning and parity among pediatric surgeons — it is time to confront a serious problem (a survey among Brazilian female pediatric surgeons)

et al. 2022

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“…In this study there was a predominance of males and genitourinary surgeries, which is justified in that they comprise 60% of the pediatric surgeries demand 17 , followed by phimosis, hypospadias, hydrocele and cryptorchism because they are surgical conditions performed only in male. The mother was the child's main accompanying person in both groups, fact widely described in the pediatric literature 2 .…”

Section: Discussionmentioning

confidence: 96%

Music listening for anxiety relief in children in the preoperative period: a randomized clinical trial

Franzoi

Goulart

Lara

et al. 2016

Rev. Latino-Am. Enfermagem

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Objective:to investigate the effects of music listening, for 15 minutes, on the preoperative anxiety levels in children undergoing elective surgery in comparison with conventional pediatric surgical care. Method:randomized controlled clinical trial pilot study with 52 children in the preoperative period, aged 3 to 12 years, undergoing elective surgery and randomly allocated in the experimental group (n = 26) and control group (n = 26). Anxiety was assessed in both groups by the application of the modified Yale Preoperative Anxiety Scale and measurement of the physiological variables, upon arrival and 15 minutes after the first measurement. Results:there was a statistically significant difference in preoperative anxiety between the two groups only in relation to the physiological variable, since the respiratory rate of preschool children in the experimental group reduced in the second measurement compared to the control group (p = 0.0453). The experimental group showed a statistically significant reduction in anxiety levels after 15 minutes of music listening (p = 0.0441), specifically with regard to the behavioral domains of activity, vocalization, emotional expression and apparent awakening state. Conclusion:music listening emerges as a potential nursing intervention for relief of preoperative anxiety in children undergoing surgical procedures. RBR-7mcr59.

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“…The expected number of surgeries was estimated based on the published incidence of each corresponding pathology. 9 14–17 Surgeries performed because of trauma, oncologic surgeries, transplants, or reoperations were not included in the demand estimate.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the regional distribution of the pediatric surgery workforce and surgical load in Brazil

Bustorff‐Silva

Miranda

Rosendo

et al. 2023

World Jnl Ped Surgery

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ObjectiveThe purpose of this study is to examine the regional distribution of the pediatric surgery workforce and the expected local demand for pediatric surgical procedures in Brazil.MethodsWe collected data on the pediatric surgical workforce, surgical volume, Gross Domestic Product per capita, and mortality for gastrointestinal tract malformations (MGITM) across the different regions of Brazil for 2019.ResultsData from the Federal Medical Council reported 1515 pediatric surgery registries in Brazil, corresponding to 1414 pediatric surgeons (some pediatric surgeons are registered in more than one state), or 2.4 pediatric surgeons per 100 000 children 14 years of age and younger. There were 828 men and 586 women. The mean age was 51.5±12.8 years, and the mean time from graduation was 3.4±5.7 years. There is a higher concentration of pediatric surgeons in the wealthier Central-West, South, and Southeast regions. Individual surgical volume ranged from 88 to 245 operations/year (average 146 operations/year) depending on the region. Of these, only nine (6.1%) were high-complexity (including neonatal) operations. MGITM tended to be higher in the poorer North and Northeast regions than in other regions of Brazil.ConclusionsOur findings suggest significant disparities in the surgical workforce and workload across Brazil related to socioeconomic status. Regions with an increased surgical workforce were associated with lower MGITM. The average number of complex operations performed annually by each pediatric surgeon was considerably low. Strategic investment and well-defined health policies are imperative to enhance the quality of surgical care in the different regions of Brazil.Level of evidenceRetrospective review; level IV.

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Formação e demanda do cirurgião pediátrico no Brasil

Cited by 13 publications

References 14 publications

Family planning and parity among pediatric surgeons — it is time to confront a serious problem (a survey among Brazilian female pediatric surgeons)

Family planning and parity among pediatric surgeons — it is time to confront a serious problem (a survey among Brazilian female pediatric surgeons)

Music listening for anxiety relief in children in the preoperative period: a randomized clinical trial

Evaluation of the regional distribution of the pediatric surgery workforce and surgical load in Brazil

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