Navegando por Palavras-chave "Listas de espera"
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- ItemAcesso aberto (Open Access)Influência da lista única de uma regional de transplantes de córnea em um Banco de Olhos vinculado a um hospital escola(Conselho Brasileiro de Oftalmologia, 2003-10-01) Oliveira, Lauro Augusto De; Corrêa, Beatriz Soares [UNIFESP]; Almeida Jr, Gildásio Castello De; Ferrari, Marta Teixeira; Kashiwabuchi, Luiz Kazuo; Faculdade de Medicina de São José do Rio Preto Departamento de Oftalmologia; Universidade Federal de São Paulo (UNIFESP); Faculdade de Medicina de São José do Rio Preto Departamento de Oftalmologia Setor de Córnea e Moléstias Externas; Faculdade de Medicina de São José do Rio Preto serviço de OftalmologiaPURPOSE: To evaluate how the implantation of a single regional list for corneal transplants influenced an eye bank of a university hospital. To analyze the influence of the regional list on the corneas (procurement and destiny), the number of transplantations made and the average waiting time for surgery. METHODS: A retrospective study was made to compare the records of patients who underwent penetrating keratoplasty and also the data of the eye bank of the Medical School of São José do Rio Preto, São Paulo, Brazil. The study compared the data of the service one year before and one year after the creation of the single regional list. RESULTS: The number of transplantations increased from 60 to 92 procedures. The monthly average of directly acquired corneas increased from 13.83 + 6.57 to 18.16 + 4.8 (p-value = 0.07). The number of corneas sent to other institutions was greater than the number of corneas received from other eye banks (p-value = 0.003). There was no significant difference between the waiting time for surgery before and after the creation of the list except for the period of adaptation. CONCLUSIONS: This eye bank served as a supplier of corneas for other institutions. By the end of the first year of operation of the single regional list, there was no alteration in the waiting time as compared to that before its creation. Nonetheless, a tendency of homogenization in the waiting time for penetrating keratoplasty among the patients was observed.
- ItemAcesso aberto (Open Access)Perfil epidemiológico dos pacientes em lista de espera para o transplante renal(Univ Fed Sao Paulo, Dept Enfermagen, 2017) Batista, Camilla Maria Mesquita [UNIFESP]; Moreira, Rita Simone Lopes [UNIFESP]; Pessoa, João Luis Erbs; Ferraz, Agenor Spallini; Roza, Bartira de Aguiar [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To identify and describe the profile of patients placed on a single waiting list for renal transplantation in the state of Sao Paulo. Methods: Cross-sectional epidemiological study of quantitative approach to identify and describe the profile of patients placed on a single waiting list for renal transplantation. In the period from 2009 to 2015, a survey was conducted in the databases of the Notification, Collection and Distribution Center of Organs of the Single Technical Registry, and the following characteristics were established as variables: clinical, demographic and information related to the convocation result. The sample included 12,415 patients undergoing hemodialysis who were simultaneously registered for renal transplantation. The Chi-Square and Student's t-test were used for descriptive statistical analysis and the Kaplan-Meier estimate was used for significance. Results: A total of 12,415 patients were included, mean age was 50 years, male gender (59.6%), white color (63.1%), blood type O (48.9%), metropolitan region of Sao Paulo (73.82%), unspecified diagnosis (34.5%), did not undergo transplantation (77.2%), and without clinical conditions to perform the transplant (99.8%). Conclusion: Knowing the profile of patients with chronic kidney disease on the single waiting list allows the development of new health care strategies for reducing mainly morbidity and mortality rates. There is lack in meeting the care demands and high rates of refusal.