O impacto das fraturas do quadril no SUS 2008 - 2017: O papel do ortopedista

Stolnicki, Bernardo; Teixeira, Bruno Casaes

doi:10.1055/s-0040-1713762

Cited by 6 publications

(11 citation statements)

References 31 publications

(71 reference statements)

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“…The BRAVOS study, on which the present report is based [ 13 ], confirms that there are large regional differences in the incidence of hip fracture in Brazil [ 11 , 12 ]. Lowest rates are reported in the North and Northeast regions with progressively higher rates in the Centralwest, South and Southeast regions, respectively [ 12 ].…”

Section: Discussionsupporting

confidence: 68%

“…Thus, a similarly low incidence was determined from a retrospective analysis of the Brazilian Public Health System [ 12 ]. Additionally, a national survey in 2017 estimated 47,974 hip fractures in patients covered by the Public Health System [ 11 ]. If this is uplifted by 25% (to account for the private sector [ 24 ]), the number of hip fractures in Brazil (59,966) is markedly less than that estimated from data used to build the original FRAX model (80,640 for 2015) [ 6 ] but consistent with the present study (56,526).…”

Section: Discussionmentioning

confidence: 99%

“…For other major fractures, incidence rates for Brazil were estimated using Swedish ratios for hip to other major osteoporotic fracture (humerus, forearm or clinical vertebral fractures). Since then, several more recent studies on the epidemiology of fractures have been published [ 11 , 12 ] including the Brazilian Validation Osteoporosis Study (BRAVOS), specifically conducted to update FRAX [ 13 ]. These more recent publications indicate that hip fracture incidence in recent years is substantially lower than that used for the original version of FRAX.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A new FRAX model for Brazil

Albergaria,

Zerbini,

Lazaretti-Castro

et al. 2023

Arch Osteoporos

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Summary Fracture probabilities derived from the original FRAX model for Brazil were compared to those from an updated model based on more recent regional estimates of the incidence of hip fracture. Fracture probabilities were consistently lower in the updated FRAX model. Despite large differences between models, differences in the rank order of fracture probabilities were minimal. Objective Recent epidemiological data indicate that the risk of hip fracture in Brazil is lower than that used to create the original FRAX model. This paper describes the epidemiology of hip fracture in Brazil and the synthesis of an updated FRAX model with the aim of comparing this new model with the original model. Methods Hip fracture rates from three cities in three regions were combined, weighted by the population of each region. For other major fractures, incidence rates for Brazil were estimated using Swedish ratios for hip to other major osteoporotic fracture (humerus, forearm or clinical vertebral fractures). Mortality estimates were taken from the UN. Results Compared to the original FRAX model, the updated model gave lower 10-year fracture probabilities in men and women at all ages. Notwithstanding, there was a very close correlation in fracture probabilities between the original and updated models (r > 0.99) so that the revisions had little impact on the rank order of risk. Conclusion The disparities between the original and updated FRAX models indicate the importance of updating country-specific FRAX models with the advent of significant changes in fracture epidemiology.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A new FRAX model for Brazil

Albergaria,

Zerbini,

Lazaretti-Castro

et al. 2023

Arch Osteoporos

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“…The third most prevalent domain identified in the literature concerns the accuracy of the data displayed on the platform (23.40%, n=11). The consulted literature highlighted that the registration of different surgically manageable conditions under the same International Classification of Diseases (ICD) 9 , 20 or under the same code determined by the platform 14 , 15 , 17 , 18 , 27 , 35 represented a potential bias in the analyzes due to the risk of data oversizing. Nascimento et al 42 pointed out that, although DATASUS has existed since 1992, the current coding system was implemented in 2008, and the effect of the learning curve can be considered in the first years.…”

Section: Resultsmentioning

confidence: 99%

Limitations of using the DATASUS database as a primary source of data in surgical research: a scoping review

VIANA,

FALEIRO,

MENDES

et al. 2023

Rev. Col. Bras. Cir.

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Objective: DATASUS is the Brazilian Public Unified Health System (SUS) department responsible for providing health data that are used as a primary source of data in several studies on surgery and surgical specialties although its main limitations have not been previously reviewed. The objective of this work is to synthesize information from studies on surgery that used DATASUS systems as a data source and to identify the main gaps in this platform. Methods: a scoping review was conducted according to the PRISMA-ScR method to identify papers on surgery, and other surgical specialties, that used the DATASUS platform as a primary data source. No restrictions were imposed regarding the type of study or year of publication. Grounded Theory was used to analyze the content of the articles. Results: 248 works were initially analyzed and 47 were included in the final analysis of this study. The original articles included were published between 2009 and 2022 and the majority (12.76%, n=6) were published in the Journal of the Brazilian College of Surgeons. Retrospective studies (40.43%, n=19) were the most common type of study found. Content analysis of the articles identified four predominant domains in the scientific literature about the limitations of using DATASUS in surgical research: lack of data, reliability, precision and data integration. Conclusion: the information systems available in DATASUS are the largest source of information about the SUS, but the scientific literature on the quality of data available in these systems remains scarce and studies aimed at measuring this metric are necessary.

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“…Hip fracture, for example, is one of the most serious types of osteoporotic fracture in elderly patients and can result in morbidity and mortality 2 . In Brazil, the Unified Health System's expenses on treatment and assistance are high and this disease affects around ten million people 3 …”

Section: Introductionmentioning

confidence: 99%

Polycaprolactone/alendronate systems intended for production of biomaterials

Silva

Pereira

Patricio

et al. 2021

J of Applied Polymer Sci

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Sodium alendronate (ALD) is a bisphosphonate used to treat osteoporosis. However, its oral administration has been associated with side effects as gastroesophageal reflux. Moreover, there are some particularities for the intake of the medicine, which also hinder the patient's compliance, for example, the instruction that it has to be taken with an empty stomach, 30 to 60 min before breakfast and avoid the decubitus position after using the drug. Therefore, biomaterials for applications in osteoporotic bones are a good alternative. Thus, this work aimed to produce a Polycaprolactone (PCL) and ALD‐based powder as a supply to build biomaterials by selective laser sintering, compression molding (CM), solvent casting (SC), among others. The powder was produced by coating the ALD particles with PCL and films were produced by SC and CM techniques. The samples were characterized by Scanning Electron Microscopy, Energy‐dispersive X‐ray spectroscopy, X‐ray diffraction, Fourier transform infrared spectrometry and thermal analysis. Furthermore, the drug release was evaluated by UV–Vis spectroscopy. Results showed that ALD particles were successfully coated by PCL and applied to the production of biomaterials, highlighting its potential in the treatment of osteoporosis.

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O impacto das fraturas do quadril no SUS 2008 - 2017: O papel do ortopedista

Cited by 6 publications

References 31 publications

A new FRAX model for Brazil

A new FRAX model for Brazil

Limitations of using the DATASUS database as a primary source of data in surgical research: a scoping review

Polycaprolactone/alendronate systems intended for production of biomaterials

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