Análise de Dados do Departamento de Informática do Sistema Unico de Saúde sobre atendimento à saúde pública ocular infantojuvenil no Brasil
Data
2024
Autores
Ferreira, Lucia Maria Rocco Palhares 
Orientadores
Ferraz, Nívea Nunes
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Identificar e analisar as tendências e padrões de atendimento em saúde pública ocular infantil no Brasil no período de janeiro de 2010 a dezembro de 2019 a partir da análise dos dados disponibilizados pelo Departamento de Informática do Sistema Único de Saúde (DATASUS). Métodos: O protocolo de pesquisa envolveu dados de acesso público que foram coletados a partir da base do DATASUS, utilizando-se o aplicativo TabNet Win32 3.0. Os dados foram levantados por ano de atendimento e região do Brasil (norte, nordeste, sudeste, sul e centro-oeste). Na aba “Assistência à Saúde” foram acessadas duas opções: 1. “Produção Ambulatorial” (para levantamento do número de procedimentos referentes a diagnósticos em oftalmologia, cirurgia do aparelho da visão, cirurgia de estrabismo, fotocoagulação à laser); 2. “Produção Hospitalar” (para levantamento do número de internações referentes cirurgia de catarata congênita e tratamento cirúrgico de glaucoma congênito). Na aba “Epidemiológicas e Morbidade”, foi acessada a opção “Morbidade Hospitalar do SUS” (para levantamento do número de internações associados às seguintes categorias de morbidade hospitalar segundo a 10ª Classificação Internacional de Doenças e Problemas Relacionados com a Saúde (CID-10) relacionadas às doenças do olho e anexos: ceratite e outro transtornos esclerótica e córnea; descolamentos e defeitos da retina; neoplasia maligna dos olhos e anexos; traumatismo do olho e da órbita ocular; outras doenças do olho e anexos. A frequência de procedimentos/internações oftalmológicos foi estimada a partir do cálculo da razão entre o número total de procedimentos/internações realizados no período e o tamanho da população de 0 a 19 anos multiplicada por um milhão. Para as análises de tendências e padrões de atendimento foram realizados cálculos de variação percentual da frequência de procedimentos/internações. As tendências ao longo do tempo foram avaliadas por meio de modelos lineares generalizados (GLM). Os resultados foram analisados utilizando-se o aplicativo Stata Data Analysis and Statistical Software (Release 14.0, 2015, Stata Corp, College Station, Texas, EUA). O nível de significância estatística foi considerado como p<0,05. Resultados: A análise de tendência mostrou ao longo dos anos aumento estatisticamente significante na frequência de diagnósticos em oftalmologia (427%), cirurgias de catarata congênita (113%), internações associadas à neoplasia maligna (129%), à ceratite (43%) e traumatismo (14%), ao passo que houve redução significante na frequência de internações associadas a descolamentos da retina (6%). Foi observado aumento na frequência de tratamento de fotocoagulação à laser (29%), cirurgias do aparelho da visão (40%) e de estrabismo (1%), internações associadas a outras doenças do olho (2%), além de redução na frequência de cirurgias de glaucoma congênito (11%), porém sem significância estatística. Conclusões: A partir dos dados do DATASUS, foram identificadas e analisadas as tendências e padrões de atendimento em saúde pública ocular infantil no Brasil. Esta base de dados pode contribuir para o entendimento das condições de saúde ocular infanto juvenil no Brasil, onde não há estudos epidemiológicos sobre a prevalência e causas de deficiência visual infantil.
Objective: Identify and analyze trends and patterns of care in children's eye public health in Brazil from January 2010 to December 2019 based on the analysis of data made available by the Information Technology Department of the Public Health Care System (DATASUS). Methods: The research protocol involved publicly accessible data that were collected from the DATASUS database, using the TabNet Win32 3.0 application. The data were collected by year of service and region of Brazil (north, northeast, southeast, south and center-west). In the “Health Care” tab, two options were accessed: 1. “Outpatient Production (to survey the number of procedures related to diagnoses in ophthalmology, vision surgery, strabismus surgery, laser photocoagulation); 2. “Hospital Production (to survey the number of hospitalizations related to congenital cataract surgery and surgical treatment of congenital glaucoma). In the “Epidemiological and Morbidity” tab, the option “SUS Hospital Morbidity” was accessed (to survey the number of hospitalizations associated with the following categories of hospital morbidity according to the 10th International Classification of Diseases and Related Health Problems (ICD-10) related to diseases of the eye and appendages: keratitis and other scleral and corneal disorders; retinal detachments and defects; malignant neoplasm of the eye and appendages; trauma to the eye and ocular orbit; other diseases of the eye and appendages. The frequency of ophthalmological procedures/hospitalizations was estimated by calculating the ratio between the total number of procedures/hospitalizations performed in the period and the size of the population aged 0 to 19 multiplied by a million. To analyze trends and standards of care, calculations were carried out on the percentage variation in the frequency of procedures/hospitalizations. Trends over time were assessed using generalized linear models (GLM). The results were analyzed using the Stata Data Analysis and Statistical Software application (Release 14.0, 2015, Stata Corp, College Station, Texas, USA). The level of statistical significance was considered p<0.05. Results: Trend analysis showed over the years a statistically significant increase in the frequency of diagnoses in ophthalmology (427%), congenital cataract surgeries (113%), hospitalizations associated with malignant neoplasia (129%), keratitis (43%) and trauma (14%), while there was a significant reduction in the frequency of hospitalizations associated with retinal detachments (6%). An increase was observed in the frequency of laser photocoagulation treatment (29%), vision surgery (40%) and strabismus (1%), hospitalizations associated with other diseases of the eye (2%), besides a reduction in the frequency of congenital glaucoma surgeries (11%), but without statistical significance. Conclusions: Using DATASUS data, trends, and patterns of care in children's public eye health in Brazil were identified and analyzed. This database can contribute to the understanding of children's eye health conditions in Brazil, where there are no epidemiological studies on the prevalence and causes of childhood visual impairment.
Objective: Identify and analyze trends and patterns of care in children's eye public health in Brazil from January 2010 to December 2019 based on the analysis of data made available by the Information Technology Department of the Public Health Care System (DATASUS). Methods: The research protocol involved publicly accessible data that were collected from the DATASUS database, using the TabNet Win32 3.0 application. The data were collected by year of service and region of Brazil (north, northeast, southeast, south and center-west). In the “Health Care” tab, two options were accessed: 1. “Outpatient Production (to survey the number of procedures related to diagnoses in ophthalmology, vision surgery, strabismus surgery, laser photocoagulation); 2. “Hospital Production (to survey the number of hospitalizations related to congenital cataract surgery and surgical treatment of congenital glaucoma). In the “Epidemiological and Morbidity” tab, the option “SUS Hospital Morbidity” was accessed (to survey the number of hospitalizations associated with the following categories of hospital morbidity according to the 10th International Classification of Diseases and Related Health Problems (ICD-10) related to diseases of the eye and appendages: keratitis and other scleral and corneal disorders; retinal detachments and defects; malignant neoplasm of the eye and appendages; trauma to the eye and ocular orbit; other diseases of the eye and appendages. The frequency of ophthalmological procedures/hospitalizations was estimated by calculating the ratio between the total number of procedures/hospitalizations performed in the period and the size of the population aged 0 to 19 multiplied by a million. To analyze trends and standards of care, calculations were carried out on the percentage variation in the frequency of procedures/hospitalizations. Trends over time were assessed using generalized linear models (GLM). The results were analyzed using the Stata Data Analysis and Statistical Software application (Release 14.0, 2015, Stata Corp, College Station, Texas, USA). The level of statistical significance was considered p<0.05. Results: Trend analysis showed over the years a statistically significant increase in the frequency of diagnoses in ophthalmology (427%), congenital cataract surgeries (113%), hospitalizations associated with malignant neoplasia (129%), keratitis (43%) and trauma (14%), while there was a significant reduction in the frequency of hospitalizations associated with retinal detachments (6%). An increase was observed in the frequency of laser photocoagulation treatment (29%), vision surgery (40%) and strabismus (1%), hospitalizations associated with other diseases of the eye (2%), besides a reduction in the frequency of congenital glaucoma surgeries (11%), but without statistical significance. Conclusions: Using DATASUS data, trends, and patterns of care in children's public eye health in Brazil were identified and analyzed. This database can contribute to the understanding of children's eye health conditions in Brazil, where there are no epidemiological studies on the prevalence and causes of childhood visual impairment.
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Citação
FERREIRA, Lucia Maria Rocco Palhares. Análise de Dados do Departamento de Informática do Sistema Único de saúde sobre atendimento à saúde pública ocular infantojuvenil no Brasil. 2024. 80 f. Dissertação (Mestrado em Tecnologia, Gestão e Saúde Ocular) - Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2024.