Escoliose idiopática do adolescente (eia): perfil clínico e radiográfico da lista de espera para tratamento cirúrgico em hospital terciário de alta complexidade do Sistema Público de Saúde Brasileiro

Júnior, Paulo Candido de Lima; Pellegrino, Luciano Antonio Nassar; Caffaro, Maria Fernanda Silber; Meves, Robert; Landim, Elcio; Avanzi, Osmar

doi:10.1590/s1808-18512011000200006

Cited by 19 publications

(23 citation statements)

References 22 publications

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“…22 Neto et al 23 studied 170 patients with spinal deformities waiting for surgical procedures in a tertiary hospital school in the Brazilian public system and they observed a predominance of congenital and neuromuscular deformities, mainly among the female patients. Lima Júnior et al 24 in a study of adolescents with idiopathic scoliosis in the same hospital service perceived that of the 51 patients, 42 were females with an average age of 15 years. The average value of the principal curve was 60 degrees and the average wait time for surgery was 25 months.…”

Section: Discussionmentioning

confidence: 99%

Radiographic Implications of the Surgical Waiting List for the Treatment of Spinal Deformity

et al. 2018

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Objective: The aim of this study was to evaluate the implications of long waiting times on surgery lists for the treatment of patients with scoliosis. Methods: Radiographs of 87 patients with scoliosis who had been on the waiting list for surgery for more than six months were selected. Two surgeons answered questionnaires analyzing the radiographs when entering the waiting list and the current images of each patient. Results: Data from 87 patients were analyzed. The mean waiting time for surgery was 21.7 months (ranging from seven to 32 months). The average progression of the Cobb angle in the curvature was 21.1 degrees. Delayed surgery implied changes in surgical planning, such as greater need of instrumentation, osteotomies, and double approach. Conclusions: Long waiting lists have a significant negative impact on surgical morbidity of patients with scoliosis, since they increase the complexity of the surgery.

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Section: Discussionmentioning

confidence: 99%

Radiographic Implications of the Surgical Waiting List for the Treatment of Spinal Deformity

et al. 2018

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“…Other Brazilian studies have shown similar results. [ 15 – 17 ] Waiting lines for procedures within these specialties have long been a reality in several regions of the country. Our research describes the current health status of the population in the Manaus metropolitan region and the pent-up demand for surgery.…”

Section: Discussionmentioning

confidence: 99%

Pent-up demand for surgery in the Manaus metropolitan region

Ferreira

Galvão²,

Silva³

2017

Medicine

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Waiting lines in healthcare reflect an imbalance between the availability and the demand for medical services. This study aimed to analyze the prevalence and factors associated with the pent-up demand for surgical procedures in the Manaus metropolitan region.We performed a population-based cross-sectional study in 2015. Pent-up demand was based on self-report by the participants; those who reported waiting were contacted by phone to clarify the nature and reasons for the experienced delay.We interviewed 4001 adults in their households. The pent-up demand for surgical procedures in the Manaus metropolitan region was 14% (95% confidence interval: 13-15%). The surgical specialties with the highest demand included orthopedics (18.1%), gynecology (17.0%), ophthalmology (12.4%), neurosurgery (10.8%), and general surgery (10.2%). The main reason for not accessing services was their lack of availability in the public health system, leading some patients to pay for procedures in private facilities. The populations most affected by pent-up demand included elderly individuals, women, and housewives.Pent-up demand for surgical procedures is a common problem in the Manaus metropolitan region and thus requires coordinated actions to optimize access to and capacity of the healthcare system.

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“…Segundo Júnior et al, 22 as mulheres apresentam maior magnitude da curva da coluna vertebral e é necessária intervenção cirúrgica para impedir sua progressão.…”

Section: Discussionunclassified

O impacto da analgesia controlada pelos pacientes submetidos a cirurgias ortopédicas

Dias

Rinaldi

Barbosa

2016

Brazilian Journal of Anesthesiology

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Como citar este artigo: Dias AS, et al. O impacto da analgesia controlada pelos pacientes submetidos a cirurgias ortopé-dicas. Rev Bras Anestesiol. 2014. http://dx. ResumoIntrodução: As disfunções musculoesqueléticas, comuns atualmente, têm sido cada vez mais tratadas cirurgicamente e a dor é pode ser um fator limitante na reabilitação pós-operatória. Justificativa: A analgesia controlada pelo paciente (PCA) controla a dor, porém seus efeitos adversos podem interferir no processo de reabilitação e alta dos pacientes. Esta pesquisa torna--se importante, pois poucos estudos avaliam essa correlação. Objetivos: Comparar a evolução dos pacientes que usaram e não usaram PCA no pós-operatório de cirurgias ortopédicas em relação à dor, à necessidade de O 2 (oxigênio) não programada e ao tempo de imobilização e internação hospitalar. Métodos: Estudo observacional, prospectivo, feito no Hospital da AACD de maio a agosto de 2012. Obtiveram-se dados diários por meio de avaliação e entrevista dos pacientes submetidos à artroplastia total de quadril (ATQ) e joelho (ATJ), artrodese de coluna toracolombar (AVP longa), coluna cervical (AVA cervical) e coluna lombar (AVP lombar). Resultados: O estudo evidenciou algumas diferenças entre os grupos: o nível álgico foi maior no grupo submetido à AVP lombar sem PCA em relação ao com PCA (p = 0,03) e no grupo de AVP longa sem PCA no primeiro pós-operatório. Nesse último grupo, houve uso de O 2 por mais tempo (p = 0,09). Conclusão: Neste estudo, a PCA mostrou-se útil para analgesia em pacientes submetidos à AVP lombar e provavelmente teria influência no tempo de uso de O 2 no grupo de AVP longa caso a amostra fosse maior. O uso da PCA não influenciou no tempo de saída do leito e de internação hospitalar nos pacientes estudados.

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Escoliose idiopática do adolescente (eia): perfil clínico e radiográfico da lista de espera para tratamento cirúrgico em hospital terciário de alta complexidade do Sistema Público de Saúde Brasileiro

Cited by 19 publications

References 22 publications

Radiographic Implications of the Surgical Waiting List for the Treatment of Spinal Deformity

Radiographic Implications of the Surgical Waiting List for the Treatment of Spinal Deformity

Pent-up demand for surgery in the Manaus metropolitan region

O impacto da analgesia controlada pelos pacientes submetidos a cirurgias ortopédicas

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