Comparação das informações sobre as prevalências de doenças crônicas obtidas pelo suplemento saúde da PNAD/98 e as estimadas pelo estudo Carga de Doença no Brasil

Abstract

Neste estudo, estimativas de prevalência de cinco doenças crônicas cirrose, depressão, diabetes, insuficiência renal crônica e tuberculose obtidas pelo Suplemento Saúde da PNAD/98 foram comparadas com as obtidas no Projeto Carga Global de Doença no Brasil. Essas estimativas foram baseadas em análise sistemática de literatura e banco de dados de morbidade disponíveis. Os resultados mostram que a PNAD apresentou número de casos mais elevados para depressão e insuficiência renal crônica, enquanto as estimativas do Projeto Carga de Doença no Brasil apresentou maiores prevalências para cirrose, diabetes e tuberculose.

Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis

“…Most of the surveys included persons 18 years old and older. [22][23][24][25][26][27][28][29][36][37][38]40,41,43,44,[50][51][52][55][56][57][58][59][60][61][62][63] Three studies did not primarily aim to assess the prevalence of depression. 30,35,47 Six national studies were included.…”

“…30,35,47 Six national studies were included. [23][24][25][26][27][28][29][30] Nine studies were conducted in the Southeast region, 22,[31][32][33][43][44][45][50][51][52][53][54][55][56][57][58][59][60][61][62][63] eight in the South region, [31][32][33][34][35][36][37][38][39][40][41][42]46 two in the Northeast region [47][48][49] and one in the Mid-West region of Brazil. [31][32][33] Eight studies were conducted i...…”

“…[31][32][33] Eight studies were conducted in the 1990s. [22][23][24][31][32][33]41,47 All studies used the official census for the sampling frame and employed probability sampling: one study used a random sample from the whole population, 22 whereas the others employed complex sampling, with one or more stages. Two studies had fewer than 1,000 participants.…”

“…35,47 Ten studies did not report participant losses. [23][24][25][26][27][28]30,35,45,48,49,53,62,63 To screen for the prevalence of depressive symptoms, nine studies considered self-reported depression, [23][24][25][26][27][28]30,34,46,47,53 and 11 used the following tools: 1) Adult Psychiatric Morbidity Questionnaire (Questioná rio de Morbidade Psiquiá trica de Adultos, QMPA) [31][32][33]48,49 ; 2) Beck Depression Inventory (BDI) 35,62,63 ; 3) Center for Epidemiologic Studies Depression Scale (CES-D) 29 ; 4) Composite International Diagnostic Interview ShortForm (CIDI SF) 54 ; 5) Edinburgh Postnatal Depression Scale (EPDS) 42 ; 6) Patient Health Questionnaire (PHQ-9) 40 ; and 7) Primary Care Evaluation of Mental Disorders (PRIME-MD). 45 The seven studies that screened for major depressive disorder used the following tools: the Composite International Diagnostic Interview (CIDI), 22,43,44,[50]…”

Evidence produced by qualitative investigations on type 2 diabetes: a review of the literature

“…A forte carga dessa doença (Centers for Disease Control and Prevention, 2004;Schramm et al, 2004;Leite et al, 2002), em termos de anos de vida perdidos e do ônus econômico, tem justificado a formulação de políticas públicas especificamente direcionadas ao seu controle (Brasil, 2005;, promovendo, inclusive, uma recente discussão sobre a adequação dos modelos de atenção às especificidades dos pacientes crônicos, com especial referência aos diabéticos (Brasil, 2006;Bodenheimer et al, 2002;Bodenheimer, Wagner, Grumbach, 2002).…”