Endovascular correction of isolated descending thoracic aortic disease: a descriptive analysis of 1,344 procedures over 10 years in the public health system of São Paulo

Epidemiological Analysis of 5,595 Procedures of Endovascular Correction of Isolated Descending Thoracic Aortic Disease Over 12 Years in the Public Health System in Brazil

“…However, the yearly average of operated patients was 466.25, representing approximately 2.78-5.18% of expected diagnostics. Assessment of the population of São Paulo showed that 20-40% of expected TAAs were covered under the yearly average rates for treatment (16). Despite the inability to establish the proportion of diagnosed cases with indisputable surgical indications from the database, as well as the absence of exact data regarding the mortality rates of unoperated I-DTAD in Brazil, the determined intervention rate is lower than expected.…”

“…To the best of our knowledge, only one large-scale study, which evaluated procedures performed by the public health system from 2008 to 2018, has been published in Brazil with respect to I-DTAD management; however, it was focused on the city of São Paulo (16). For this reason, in this study, we aimed to evaluate the endovascular management of I-DTAD, encompassing all procedures performed in the public health system from 2008 to 2019, assessing procedure type frequency (elective or urgency), mortality, and governmental costs.…”

Proposed public policies to improve outcomes in vascular surgery: an experts’ forum

“…In various scenarios, the study of Big Data in healthcare is helping to plan and execute strategies to improve patient care and create value in healthcare organizations. (4) In Brazil, the first step has been taken, and epidemiological analyses of carotid surgeries, (5,6) aortic surgeries, (7)(8)(9)(10) peripheral arterial disease (PAD), (11) and chronic venous disease (CVD) (12) have already been published.…”