Epidemiology of 869,220 varicose vein surgeries over 12 years in Brazil: trends, costs and mortality rate

Silva, Marcela Juliano; Louzada, Andressa Cristina Sposato; Silva, Marcelo Fiorelli Alexandrino da; Portugal, Maria Fernanda Cassino; Teivelis, Marcelo Passos; Wolosker, Nelson

doi:10.1016/j.avsg.2021.11.016

Cited by 10 publications

(9 citation statements)

References 27 publications

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“…Thus, we hypothesize that the rise in demand was also influenced by the fact that the growing population of the city of São Paulo is also getting older 11 and more obese 18 , which are important risk factors for CVD 19,20 . This finding contrasts with the national data, as the standardized procedure rates of VVS are not increasing at national level 8 . This difference is unlikely to be fully explained by a higher prevalence of CVD at the municipal level compared to the national level, even on account that the obesity prevalence in São Paulo is one of the lowest for men among other Brazilian capitals and intermediate for women 18 .…”

Section: Discussioncontrasting

confidence: 82%

“…Varicose vein stripping (VVS) refers to collateral phlebectomies through staggered incisions combined with eventual high ligation and removal of the saphenous vein. Even though endovenous ablation of saphenous vein and hybrid procedures are becoming more popular 6,7 , VVS is still the most performed treatment for CVD in Brazilian public hospitals and outpatient clinics 8 as it is in other countries, such as China 9 .…”

Section: Introductionmentioning

confidence: 99%

“…One nationwide study observed a slight downward trend in VVS rates, a very low mortality rate, and low reimbursement. However, demographics of the patients, which may impact the surgery and mortality rates, and length of intensive care unit (ICU) and hospital stay, which may affect hospitals' revenue, were not evaluated 8 .…”

Section: Introductionmentioning

confidence: 99%

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Varicose Vein Stripping in 66,577 patients in 11 years in public hospitals in São Paulo

Silva

Louzada

Teivelis

et al. 2022

Rev. Assoc. Med. Bras.

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OBJECTIVES:The aim of this study was to evaluate the epidemiology of varicose vein stripping in Brazil's largest city, São Paulo. METHODS: Open and anonymous data regarding varicose vein surgeries between 2008 and 2018 were evaluated from the TabNet platform of the Municipal Health Secretary of São Paulo, Brazil. RESULTS: Most patients were female and adults. A total of 66,577 varicose vein surgeries were performed in public hospitals and outpatient clinics in São Paulo, with a statistically significant increase for both unilateral (p=0.003) and bilateral (p<0.001) procedures. Since 2016, unilateral procedures have been performed more frequently than bilateral procedures. Most procedures were associated with same-day (54.8%) or next-day (32%) discharge. The in-hospital mortality rate was 0.0045%. The total amount reimbursed was $20,693,437.94, corresponding to a mean value of $310.82 per procedure. CONCLUSION: Surgeries to treat chronic vein disease totaled 66,577 in 11 years, demanding $20,693,437.94 from the public health system. The majority of treated patients were female, over 40 years of age, and local residents. Procedure rates have increased over the years. The in-hospital mortality rate was very low (0.0045%).

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Section: Discussioncontrasting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

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Varicose Vein Stripping in 66,577 patients in 11 years in public hospitals in São Paulo

Silva

Louzada

Teivelis

et al. 2022

Rev. Assoc. Med. Bras.

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“…Another study, conducted in Brazil, observed a rate of 4.52 procedures per 10 thousand inhabitants and a very low mortality rate of 0.0056%. 30 Additionally, with regard to type of procedure, elective surgery was most prevalent in all regions, since these are procedures that are scheduled and provided by the SUS. This is because even when patients have venous insufficiency and ulcers they are not classified as urgent, so they are defined as qualifying for elective procedures.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological profile of surgical treatment of varicose veins in Brazil from 2010 to 2020

et al. 2022

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Background Varicose veins have become more common over recent years and in the most serious cases surgical treatment is necessary to resolve patients’ clinical status. Despite their importance, there are no epidemiological studies that cover the whole of Brazil, showing how surgery to correct varicose veins conducted by the Unified Health System (SUS) is distributed in the country. Objectives To describe the ecological profile of surgical treatment to correct varicose veins in Brazil from 2010 to 2020. Methods This is a descriptive-analytical study of data obtained from the SUS Hospital Information System. These data were tabulated and categorized by state, region, type of procedure, and year. BioEstat 5.3 was used to conduct chi-square statistical tests with a 95% confidence interval and significance cutoff of p <0.05. Results From 2010 to 2020, 755,752 surgical operations to treat varicose veins were conducted; 292,538 were unilateral (38.71%) and 463,214 (61.29%) were bilateral. Of these, 418,791 (55.41%) procedures were performed in the Southeast region, followed by 180,689 (23.91%) in the South region. A total of 40 deaths were registered in connection with these procedures during the period, 26 of which (65%) were associated with bilateral surgery and the majority of which occurred in the Southeast (24 deaths). Conclusions It was observed that the majority of procedures are performed in the Southeast and South regions, and that bilateral elective surgery is the most prevalent.

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“…A mortalidade encontrada foi baixa (0,02%), sem diferenças associadas com a faixa etária, apesar da propensão de idosos de sofrerem complicações e eventos adversos, diminuídos com cuidado pós-operatório. Outro estudo, em território nacional, verificou uma taxa de 4,52 procedimentos por 10 mil habitantes, com uma taxa de mortalidade muito baixa, 0,0056% 30 .…”

Section: Discussionunclassified

Perfil epidemiológico do tratamento cirúrgico de varizes no Brasil no período de 2010 a 2020

et al. 2022

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Resumo Contexto As varizes são um agravo que vêm aumentando nos últimos anos e, nos casos mais graves, necessitam de tratamento cirúrgico para a resolução do quadro clínico do paciente. Apesar da sua importância, não há trabalhos epidemiológicos que englobem todo o território brasileiro de modo a demonstrar como está a distribuição das cirurgias para a correção desse agravo pelo Sistema Único de Saúde. Objetivos Descrever o perfil ecológico do tratamento cirúrgico para a correção de varizes no Brasil no período de 2010 a 2020. Métodos O estudo caracteriza-se como descritivo-analítico, mediante a coleta de dados proveniente do Sistema de Informações Hospitalares do Sistema Único de Saúde. Os dados, disponibilizados pela própria plataforma, foram tabelados e categorizados de acordo com o estado, a região, o caráter do procedimento e o ano de realização. O programa BioEstat 5.3 foi utilizado para a realização do teste estatístico de qui-quadrado, sendo adotado o intervalo de confiança de 95% e o valor significativo de p <0,05. Resultados No período de 2010 a 2020, foram realizadas 755.752 cirurgias para o tratamento de varizes, sendo 292.538 unilaterais (38,71%) e 463.214 (61,29%) bilaterais. A região Sudeste foi responsável por 418.791 (55,41%) procedimentos, seguida pelo Sul, com 180.689 (23,91%). Foram registradas 40 mortes pelo procedimento no período analisado, das quais 26 ocorreram em cirurgias bilaterais (65%) e a maioria no Sudeste (24 óbitos). Conclusões Verificou-se que esse procedimento é realizado majoritariamente nas regiões Sudeste e Sul, com maior prevalência da cirurgia bilateral de caráter eletivo.

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Epidemiology of 869,220 varicose vein surgeries over 12 years in Brazil: trends, costs and mortality rate

Cited by 10 publications

References 27 publications

Varicose Vein Stripping in 66,577 patients in 11 years in public hospitals in São Paulo

Varicose Vein Stripping in 66,577 patients in 11 years in public hospitals in São Paulo

Epidemiological profile of surgical treatment of varicose veins in Brazil from 2010 to 2020

Perfil epidemiológico do tratamento cirúrgico de varizes no Brasil no período de 2010 a 2020

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