Tendências do atendimento em saúde pública ocular no Brasil: Análise de dados do departamento de Informática do Sistema Único de Saúde (DATASUS)
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Data
2021-02-25
Autores
Ferraz, Aline Nunes [UNIFESP]
Orientadores
Fernandes, Arthur Gustavo [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
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Objetivo: Avaliar as tendências e mudanças no padrão de atendimento à saúde pública ocular no Brasil no período de janeiro 2010 a dezembro 2019, a partir da análise de dados provenientes do Departamento de Informática do Sistema Único de Saúde (DATASUS).Métodos: Foram extraídos dados referentes aos atendimentos associados ao capítulo VII (doenças do olho e anexos) do CID-10, com ênfase em doenças de retina, córnea, glaucoma, catarata e neoplasias malignas, com fins de avaliação dos números de atendimentos ao longo dos anos bem como a distribuição nas diferentes regiões. As diferenças percentuais foram calculadas para análises de aumento ou redução das prevalências e custos no decorrer do período estudado. As tendências ao longo dos anos foram avaliadas por meio de modelos lineares gerais (GLM) com nível de significância de 0,05. Resultados: Em relação às frequências de internações associadas a doenças oculares dos setores de retina, glaucoma, catarata, neoplasia maligna ocular e córnea, observou-se um aumento estatisticamente significante ao longo dos anos em todas as subespecialidades com aumentos percentuais de 72%, 66%,63%,36% e 9%, respectivamente. Em relação a procedimentos específicos, houve aumento nas frequências de injeção intravítrea (1088%), iridotomia (113%), facoemulsificação (66%), pan-fotocoagulação (51%), fotocoagulação (37%) e transplante de córnea (9%) enquanto houve uma redução nas frequências de facectomia extracapsular (-75%), teste de lente de contato (-38%) e trabeculectomia (-1%). Injeção intravítrea e iridotomia foram os procedimentos mais frequentes e não mostraram reajuste de custo significativo, calculado em 7% e 2%, respectivamente. Conclusão: Ao longo de 10 anos houve um aumento significativo do número de atendimentos da especialidade oftalmologia nos serviços do SUS. Procedimentos mais modernos e mais resolutivos mostraram crescimento expressivo enquanto outros menos modernos foram perdendo espaço e indicação. Os custos relacionados as internações e procedimentos tiveram pouco reajuste ao longo dos anos. Embora o DATASUS apresente algumas limitações, imprecisões e falta de detalhamento em alguns procedimentos, esta é a ferramenta de dados que temos disponível no Brasil para o acesso a pesquisa relacionada ao SUS e pode contribuir com informações e direcionamento do conhecimento acerca do panorama da saúde ocular brasileira.
Purpose: To investigate the trends on the ocular public health care offered by the Brazilian National Health Insurance between January 2010 and December 2019, according to data analysis from the Brazilian Public Health System Information Database (DATASUS). Methods: Data were extracted considering associated services from the chapter VII (eye diseases and annexes) of the CID-10, with emphasis on diseases of retina, cornea, glaucoma, cataracts and ocular neoplasia, aiming to evaluate the number of procedures performed along the years as well as their distribution in the different regions of the country. The percentage differences were calculated for analyzes of increase or decrease in prevalence and costs over the period studied. The trends over the years were assessed using generalized linear models (GLM) with a significance level of 0.05. Results: Regarding frequencies of procedures associated with eye diseases in the sectors of the retina, glaucoma, cataracts, malignant ocular neoplasia and cornea, there was a statistically significant increase over the years in all subspecialties with percentage increases of 72%, 66 %, 63%, 36% and 9%, respectively. Regarding specific procedures, there was an increase in the frequencies of intravitreal injection (1088%), iridotomy (113%), phacoemulsification (66%), pan-photocoagulation (51%), photocoagulation (37%) and corneal transplantation (9%) while there was a decrease in the frequencies of extracapsular facectomy (-75%), contact lens test (-38%) and trabeculectomy (-1%). Intravitreal injection and iridotomy were the most frequent procedures and showed no significant cost adjustment, estimated at 7% and 2%, respectively. Conclusion: Over a 10-year period, there was a significant increase in the number of ophthalmic procedures performed at SUS services. More modern and more resolute procedures showed significant growth while others less modern were losing space and indication. The costs related to hospitalizations and procedures have had little adjustment over the years. Although DATASUS has some limitations, inaccuracies and lack of detail in some procedures, this is the tool available in Brazil for access to SUS-related research and can contribute with information and knowledge about the eye health panorama in Brazil.
Purpose: To investigate the trends on the ocular public health care offered by the Brazilian National Health Insurance between January 2010 and December 2019, according to data analysis from the Brazilian Public Health System Information Database (DATASUS). Methods: Data were extracted considering associated services from the chapter VII (eye diseases and annexes) of the CID-10, with emphasis on diseases of retina, cornea, glaucoma, cataracts and ocular neoplasia, aiming to evaluate the number of procedures performed along the years as well as their distribution in the different regions of the country. The percentage differences were calculated for analyzes of increase or decrease in prevalence and costs over the period studied. The trends over the years were assessed using generalized linear models (GLM) with a significance level of 0.05. Results: Regarding frequencies of procedures associated with eye diseases in the sectors of the retina, glaucoma, cataracts, malignant ocular neoplasia and cornea, there was a statistically significant increase over the years in all subspecialties with percentage increases of 72%, 66 %, 63%, 36% and 9%, respectively. Regarding specific procedures, there was an increase in the frequencies of intravitreal injection (1088%), iridotomy (113%), phacoemulsification (66%), pan-photocoagulation (51%), photocoagulation (37%) and corneal transplantation (9%) while there was a decrease in the frequencies of extracapsular facectomy (-75%), contact lens test (-38%) and trabeculectomy (-1%). Intravitreal injection and iridotomy were the most frequent procedures and showed no significant cost adjustment, estimated at 7% and 2%, respectively. Conclusion: Over a 10-year period, there was a significant increase in the number of ophthalmic procedures performed at SUS services. More modern and more resolute procedures showed significant growth while others less modern were losing space and indication. The costs related to hospitalizations and procedures have had little adjustment over the years. Although DATASUS has some limitations, inaccuracies and lack of detail in some procedures, this is the tool available in Brazil for access to SUS-related research and can contribute with information and knowledge about the eye health panorama in Brazil.
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Citação
FERRAZ, A . N. Tendências do atendimento em saúde pública ocular no Brasil: análise de dados do Departamento de Informática do Sistema Único de Saúde (DATASUS). São Paulo, 2021. 77 p. Trabalho de Conclusão de Curso (Graduação em Tecnologia Oftálmica) - Universidade Federal de São Paulo (Unifesp), São Paulo, 2021.