Costs for in hospital treatment of urinary lithiasis in the Brazilian public health system

Abstract

Objective: To estimate costs associated to hospital treatment of urinary lithiasis in the Brazilian public health system as well as to evaluate demographic and epidemiological data referred to hospital admissions in the Brazilian public health system (or unified health care system). Methods: Data from the Informatic Department of Brazilian public health system were obtained as referred to costs in hospital admissions for urinary lithiasis during 2010 and also epidemiological data from 1996 through 2010. Results: There were 69,039 hospital admissions for urinary lithiasis, totaling 0.61% of all hospital admissions in the Brazilian public health system. The mean cost of each of these hospital admissions was US$ 240,23 or R$ 423.42 having as result an overall cost of US$ 16,240,378.00 or R$ 29.232.682,56. Hospital admissions for urinary lithiasis in the Brazilian public health system increased 69% from 1996 to 2010 (43,176 versus 69,309; p < 0.001; OR = 1.69). The number of hospital admissions was 5% greater between December and March as compared to the period between June and September (35,290 versus 33,749; p < 0.001; OR = 1.10). For Caucasian patients the hospital admission was 75% greater as compared to black patients (63.2% versus 35.8%; p = 0.02; OR = 1,75). Conclusion: Hospital admission for urinary liyhiasis has an elevated impact on the public health system with a cost of US$ 16,2 or R$ 29.2 million per year. The number of hospital admissions was greater in hotter months than in cold ones and also in the last decade, mainly in Caucasian population. These data may be helpful for the organization and optimization of health programs in the public health system as referred to prevention and treatment of urinary lithiasis in Brazil.

Urinary lithiasis: the perfect balance

“…( 9 ) In addition to the inconvenience to patients, the costs to the healthcare system are extremely high. ( 10 ) Relatively simple assessments can be used to help preventing this multifactorial disease, which is particularly important for individuals with a history of multiple calculi, large calculi, childhood calculi or a solitary kidney. Dietary and behavioral factors can be corrected, mainly by increasing water intake, which significantly decreases the risk of relapse.…”

“…( 9 ) Além dos transtornos ao paciente, os custos ao sistema de saúde são extremamente elevados. ( 10 ) Sendo conhecidamente uma doença multifatorial, avaliações relativamente simples podem auxiliar no tratamento preventivo, especialmente importante para indivíduos com histórico de múltiplos cálculos, cálculos grandes, cálculos já desde a infância ou em rim único. Fatores dietético-comportamentais podem ser corrigidos, notadamente o aumento da ingesta hídrica, reduzindo significativamente o risco de recidiva.…”

Influência do clima no número de hospitalizações por nefrolitíase, em regiões urbanas no Brasil. Um estudo coorte retrospectivo de seis anos

“…Podemos admitir, baseado em estudos, a importância de existirem medidas efetivas para uma otimização do tratamento, que além de reduzir gastos, garantirá a saúde e bem-estar da população (PAK et. al., 1997;KORKES et. al., 2011).…”

“…In addition to medical problems, NL is usually associated with high rates of work absenteeism, days of home rest and prolonged hospital stays. The costs of medical and surgical procedures plus costs from loss of work are considerable [6]. Some studies report that NL is more frequent in places with higher temperatures, when associated with reduced water intake, result in more concentrated urine, facilitating the nucleation of renal calculi [7][8][9].…”

“…al., 2007), está relacionada com idade, sexo, raça, hábitos alimentares, localização geográfica, condições climáticas, entre outros . Além dos problemas médicos, a LR geralmente é acompanhada de elevadas taxas de absenteísmo ao trabalho, dias de repouso domiciliar e internações prolongadas (KORKES, et. al., 2011).…”