Profile of neurologists in Brazil: a glimpse into the future of epilepsy and sudden unexpected death in epilepsy

Amorim, Henrique Alves de; Scorza, Carla A.; Cavalheiro, Ésper A.; Albuquerque, Marly de; Scorza, Fúlvio A.

doi:10.6061/clinics/2013(07)01

Cited by 3 publications

(4 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition to a shortage of doctors and nurses [ 19 ], there is a dearth of neurologists and neurosurgeons, specialists that are needed to determine if a patient has clinically died, which requires an analysis of their cognitive brain capabilities, and if a transplant procedure can take place. As of 2011, the poorer northeast regions of Brazil had a low number of neurologists, on average between 11 and 50 for several northern states, with some poorer northern states, such as Roraima and Amapá having 1 to 10 neurologists [ 20 ]. Approximately 56.2% of neurologists reside in the more economically affluent southeast corridor of the nation, comprising the states of Rio Grande do Sul, São Paulo, Paraná, Santa Catarina, and Minas Gerais [ 20 ]; the north, conversely, only has approximately 1% [ 20 ].…”

Section: Explaining Brazil’s Inequalities In Organ Transplant Servicementioning

confidence: 99%

Resource allocations and disparities in the Brazilian health care system: insights from organ transplantation services

Gómez

Jungmann

Lima

2018

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundTo date, few studies have assessed how Brazil’s universal healthcare system’s (SUS, Sistema Único de Saúde) systemic, infrastructural, and geographical challenges affect individuals’ abilities to access organ transplantation services and receive quality treatment.DiscussionIn this article we evaluated the existing literature to examine the impact that SUS has had on an increasingly important healthcare sector: organ transplantation services. We assess how equity challenges within the transplantation system can be explained by wider problems within SUS. Findings suggest stark disparities in access to transplantation services both within and across Brazil’s regions. We found that these regional differences are partially due to logistical challenges, especially in loosely populated areas but are also a consequence of disparities in resource allocations within SUS and under-capacitated health care facilities affecting transplantation services.SummaryWe suggest that Brazil needs to improve its health outcome measurement system for organ transplantations and epidemiological surveillance, to gain more comprehensive and comparable data. Finally, we recommend policy strategies to reduce barriers to access to transplantation services by increasing transplantation service coverage in some areas and investing in emerging technologies.

show abstract

Section: Explaining Brazil’s Inequalities In Organ Transplant Servicementioning

confidence: 99%

Resource allocations and disparities in the Brazilian health care system: insights from organ transplantation services

Gómez

Jungmann

Lima

2018

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Embora seja temida por alguns neurologistas e médicos generalistas, a conversa sobre a epilepsia e seus potenciais riscos -destacando-se a SUDEP -com o paciente é uma etapa indispensável no processo, sendo benéfica na maioria das situações 56,90 . Menos de 15% dos PCE, seus parentes e seu cuidadores recebem informações sistemáticas em relação à SUDEP e à mortalidade associada à epilepsia 21,33,[91][92][93][94] .…”

Section: Educaçãounclassified

Morte Súbita em Epilepsia - O que é preciso saber?

Zanette

Fialho²,

Lin³

2018

B. Curso Med. UFSC

View full text Add to dashboard Cite

RESUMOIntrodução: A Morte Súbita Inesperada na Epilepsia -Sudden Unexpected Death in Epilepsy (SUDEP) -define-se como morte em pacientes com epilepsia (PCE), associada ou não a convulsão, de forma súbita, inesperada, presenciada ou não, excluindo-se causas traumáticas, afogamento e estado de mal epiléptico, onde a necropsia não revele origem toxicológica ou anatômica do óbito. Objetivo: Apresentar uma revisão narrativa, não-sistemática, das informações mais importantes e recentes sobre SUDEP, destacando definição, fatores de risco, diagnóstico e medidas preventivas com o intuito de auxiliar médicos na orientação e identificação desses pacientes em risco. Metodologia: Foi realizada extensa revisão em bases de dados eletrônicos com pesquisa em Cochrane, PubMed/Medline, BMJ e Scielo, tendo como critério de inclusão artigos de grande relevância, publicados em português ou inglês. Resultados/Discussão: A SUDEP pode afetar indivíduos de todas as idades, sendo mais prevalente em adultos jovens (20-45 anos). A presença e severidade de crises tônico-clônico generalizadas (CTCGs) são os fatores de risco mais relevantes. Sua fisiopatologia envolve modificações autonômicas progressivas com deterioração do sistema cardiorrespiratório. A medida preventiva mais incentivada é o adequado controle das crises epilépticas. Conclusão: Muitos PCE nunca ouviram falar na SUDEP, o que se deve, diversas vezes, ao receio ou dificuldade de médicos em mencioná-la aos indivíduos que não estão sob alto risco do evento. O médico tem papel fundamental na educação desses pacientes, para garantir a informação sobre a epilepsia e tentar minimizar os fatores de risco associados à SUDEP e, consequentemente, seus efeitos deletérios na vida desses indivíduos. ABSTRACT Introduction: Sudden Unexpected Death in Epilepsy (SUDEP) is defined as death of patients with epilepsy (PWE), associated or not with a seizure, in a sudden and unexpected way, witnessed or unwitnessed, excluding traumatic, drowning and documented status epilepticus, in which post-mortem examination does not reveal a toxicological or anatomical cause of death. Objective: It aims to Dezembro 2018 Volume 4 -número 12 Indexado no Google Acadêmico

show abstract

“…Brazil also has problems with its Neurology workforce, 6 7 8 primarily due to regional imbalance, instead of low absolute numbers of neurologists. For example, the Brazilian Amazon (Northern region) has been the region with fewer neurologists.…”

Section: Introductionmentioning

confidence: 99%

“…4 Neurologists are unevenly distributed in some countries, with a reduced Neurology workforce mainly in less attractive regions and rural areas. 5 Brazil also has problems with its Neurology workforce, [6][7][8] primarily due to regional imbalance, instead of low absolute numbers of neurologists. For example, the Brazilian Amazon (Northern region) has been the region with fewer neurologists.…”

Section: Introductionmentioning

confidence: 99%

There is no shortage, but inequality: demographic evolution of neurologists in Brazil (2010–2020)

et al. 2023

View full text Add to dashboard Cite

Background Neurology is a medical specialty that deals with prevalent diseases such as stroke, headache, epilepsy, and neurodegenerative diseases. Many countries, such as Brazil, struggle to provide neurological care for their populations, but the inadequacy and unequal distribution of the neurologist workforce are real challenges. Objective To analyze the demographic evolution of neurologists and the first-year Neurology residency positions in Brazil during the last decade (2010–2020) and the distribution imbalance between regions. Methods The demographic and geographic distribution of neurologists was calculated based on data extracted from the Brazilian Federal Medical Council reports, and the number of Neurology residency positions was based on the Brazilian National Commission of Medical Residency reports. Indicators of wealth were associated with demographic data. Results The number of neurologists per 100,000 population has increased since 2011, with a similar increase in the geographic distribution of neurologists. However, there was a marked inequality of distribution of neurologists through regions, with a gap between the Northern (lowest) and Southeastern (highest) regions. Furthermore, the imbalance of distribution of neurologists strongly correlated with social inequality. The number of Neurology residency positions increased, but with an imbalance between North and Southeast regions. Conclusions Brazil has advanced in providing neurologists. However, instead of a shortage, inequality between regions is the greatest challenge regarding the neurological workforce. The training of new neurologists is unequal between regions and occurs at a slower rate than needed. Neurologists, public health authorities, and patients should discuss solutions for these issues.

show abstract

Profile of neurologists in Brazil: a glimpse into the future of epilepsy and sudden unexpected death in epilepsy

Cited by 3 publications

References 31 publications

Resource allocations and disparities in the Brazilian health care system: insights from organ transplantation services

Resource allocations and disparities in the Brazilian health care system: insights from organ transplantation services

Morte Súbita em Epilepsia - O que é preciso saber?

There is no shortage, but inequality: demographic evolution of neurologists in Brazil (2010–2020)

Contact Info

Product

Resources

About