Cirurgias bariátricas realizadas pelo Sistema Único de Saúde no período 2010-2016: estudo descritivo das hospitalizações no Brasil*

Abstract

Objective: to characterize Brazilian National Health System (SUS) hospitalizations for bariatric surgeries in Brazil, in the period 2010-2016. Methods: this was a descriptive study of time series using data from the SUS Hospital Information System (SIH/SUS); the target population consisted of patients aged 16 years and older. Results: there were 46,035 hospitalizations (6,576/year; 4.3/100,000 inhabitants/year); average age was 39.0 years old (SD:10.4); female sex predominated (85.4%), and the 35-39 age group accounted for 18.0% of cases; 16,923 patients (36.8%) needed to be admitted to the intensive care unit (ICU); there were 99 (0.2%) in-hospital deaths; the median hospital stay was 3 days, and the interquartile range was 2 days; average annual expense was R$ 39,410,919.37 and the average cost of hospitalization was R$ 5,992.75 (R$ 1,464.15/ day). Conclusion: bariatric surgeries were characterized as procedures involving young female adults, frequent ICU use and low lethality.

Oral Health and Nutritional Characteristics of Adults With Morbid Obesity: A Multivariate Analysis

“…The multivariate analysis applied in the present study identified three clusters, named "Young, " "Diabetic individuals, " and "Poor periodontal health, " with unique characteristics and special needs that should be recognized to better assist this condition. A higher number of females composed this convenience sample, probably because de frequency of obesity is higher in females and about 80% of patients who undergo gastroplasty surgery in Brazil are women (24). Cluster 1 labeled "Young" included younger participants with higher BMI, who reported to use distractors while eating, have a lower number of meals per day and consumed sweetened drinks and processed food the day before examination.…”

Anemias e deficiências nutricionais em pacientes submetidos à gastrectomia: uma revisão integrativa

“…No Brasil, o Sistema Único de Saúde (SUS) oferece a cirurgia bariátrica para pacientes obesos que já tenham tentado outras formas de emagrecimento não cirúrgicas, porém, desprovidas de sucesso (Brasil, 2019). Além disso, a partir de 2017, a cirurgia passou a ser oferecida por videolaparoscopia, a qual é uma forma menos invasiva de realizar o procedimento e representa uma ganho para a saúde pública (Brasil, 2017;Carvalho & Rosa, 2019).…”

Impacts of bariatric surgery on costs and health outcomes of patients in Brazil: Interrupted time series analysis of multi-panel data

“…27,37 In Brazil, bariatric surgery was included in the list of procedures for treatment of moderate to severe obesity and made accessible to the general population within the Brazilian Unified Health System (Sistema Unico de Saude, SUS) in 1999. 38,39 There has been increasing trends in adoption of bariatric surgery throughout the public facilities, especially among young females 38 , and results of previous studies have shown low mortality risk and high effectiveness of the surgery in the country. 24,38,[40][41][42][43][44] To date, most studies focusing on assessment of costs and effectiveness of bariatric surgery in Brazil and other countries have been based on limited sample size and/or single health outcome 5,6,23,38 , or relied on modelling of future outcomes.…”

“…38,39 There has been increasing trends in adoption of bariatric surgery throughout the public facilities, especially among young females 38 , and results of previous studies have shown low mortality risk and high effectiveness of the surgery in the country. 24,38,[40][41][42][43][44] To date, most studies focusing on assessment of costs and effectiveness of bariatric surgery in Brazil and other countries have been based on limited sample size and/or single health outcome 5,6,23,38 , or relied on modelling of future outcomes. There is limited evidence including multiple anthropometric, hemodynamic and biochemical parameters of patients 20,22,45 , especially using longitudinal data before and after bariatric surgery 27,46 .…”

“…In Brazil, bariatric surgery was included in the list of procedures for treatment of moderate to severe obesity and made accessible to the general population within the Brazilian Unified Health System (Sistema Unico de Saude, SUS) in 1999. 38,39 There has been increasing trends in adoption of bariatric surgery throughout the public facilities, especially among young females 38 , and results of previous studies have shown low mortality risk and high effectiveness of the surgery in the country.24,38,40–44…”