Epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in Brazil
Abstract Background Worldwide, peripheral arterial disease (PAD) is a disorder with high morbidity, affecting more than 200 million people. Objectives Our objective was to analyze surgical treatment for PAD provided on the Brazilian Public Healthcare System over 12 years using publicly available d...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2022-09-01
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| Series: | Jornal Vascular Brasileiro |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100312&tlng=en |
| _version_ | 1798002284414631936 |
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| author | Nelson Wolosker Marcelo Fiorelli Alexandrino da Silva Maria Fernanda Cassino Portugal Nickolas Stabellini Antônio Eduardo Zerati Claudia Szlejf Edson Amaro Junior Marcelo Passos Teivelis |
| author_facet | Nelson Wolosker Marcelo Fiorelli Alexandrino da Silva Maria Fernanda Cassino Portugal Nickolas Stabellini Antônio Eduardo Zerati Claudia Szlejf Edson Amaro Junior Marcelo Passos Teivelis |
| author_sort | Nelson Wolosker |
| collection | DOAJ |
| description | Abstract Background Worldwide, peripheral arterial disease (PAD) is a disorder with high morbidity, affecting more than 200 million people. Objectives Our objective was to analyze surgical treatment for PAD provided on the Brazilian Public Healthcare System over 12 years using publicly available data. Methods The study was conducted with analysis of data available on the Brazilian Health Ministry’s database platform, assessing distributions of procedures and techniques over the years and their associated mortality and costs. Results A total of 129,424 procedures were analyzed (performed either for claudication or critical ischemia, proportion unknown). The vast majority of procedures were endovascular (65.49%) and this disproportion exhibited a rising trend (p<0.001). There were 3,306 in-hospital deaths (mortality of 2.55%), with lower mortality in the endovascular group (1.2% vs. 5.0%, p=0.008). The overall governmental expenditure on these procedures was U$ 238,010,096.51, and endovascular procedures were on average significantly more expensive than open surgery (U$ 1,932.27 vs. U$ 1,517.32; p=0.016). Conclusions Lower limb revascularizations were performed on the Brazilian Public Healthcare System with gradually increasing frequency from 2008 to 2019. Endovascular procedures were vastly more common and were associated with lower in-hospital mortality rates, but higher procedure costs. |
| first_indexed | 2024-04-11T11:50:49Z |
| format | Article |
| id | doaj.art-5046f52449394f2fb888f6e39e0730e6 |
| institution | Directory Open Access Journal |
| issn | 1677-7301 |
| language | English |
| last_indexed | 2024-04-11T11:50:49Z |
| publishDate | 2022-09-01 |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
| record_format | Article |
| series | Jornal Vascular Brasileiro |
| spelling | doaj.art-5046f52449394f2fb888f6e39e0730e62022-12-22T04:25:24ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-73012022-09-012110.1590/1677-5449.202102152Epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in BrazilNelson Woloskerhttps://orcid.org/0000-0003-1991-3507Marcelo Fiorelli Alexandrino da Silvahttps://orcid.org/0000-0002-0714-5291Maria Fernanda Cassino Portugalhttps://orcid.org/0000-0003-2487-3052Nickolas Stabellinihttps://orcid.org/0000-0002-3135-7980Antônio Eduardo ZeratiClaudia SzlejfEdson Amaro JuniorMarcelo Passos Teivelishttps://orcid.org/0000-0002-3648-6773Abstract Background Worldwide, peripheral arterial disease (PAD) is a disorder with high morbidity, affecting more than 200 million people. Objectives Our objective was to analyze surgical treatment for PAD provided on the Brazilian Public Healthcare System over 12 years using publicly available data. Methods The study was conducted with analysis of data available on the Brazilian Health Ministry’s database platform, assessing distributions of procedures and techniques over the years and their associated mortality and costs. Results A total of 129,424 procedures were analyzed (performed either for claudication or critical ischemia, proportion unknown). The vast majority of procedures were endovascular (65.49%) and this disproportion exhibited a rising trend (p<0.001). There were 3,306 in-hospital deaths (mortality of 2.55%), with lower mortality in the endovascular group (1.2% vs. 5.0%, p=0.008). The overall governmental expenditure on these procedures was U$ 238,010,096.51, and endovascular procedures were on average significantly more expensive than open surgery (U$ 1,932.27 vs. U$ 1,517.32; p=0.016). Conclusions Lower limb revascularizations were performed on the Brazilian Public Healthcare System with gradually increasing frequency from 2008 to 2019. Endovascular procedures were vastly more common and were associated with lower in-hospital mortality rates, but higher procedure costs.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100312&tlng=enbig dataarteriesdatabasepublic healthvascular diseases |
| spellingShingle | Nelson Wolosker Marcelo Fiorelli Alexandrino da Silva Maria Fernanda Cassino Portugal Nickolas Stabellini Antônio Eduardo Zerati Claudia Szlejf Edson Amaro Junior Marcelo Passos Teivelis Epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in Brazil Jornal Vascular Brasileiro big data arteries database public health vascular diseases |
| title | Epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in Brazil |
| title_full | Epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in Brazil |
| title_fullStr | Epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in Brazil |
| title_full_unstemmed | Epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in Brazil |
| title_short | Epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in Brazil |
| title_sort | epidemiological analysis of lower limb revascularization for peripheral arterial disease over 12 years on the public healthcare system in brazil |
| topic | big data arteries database public health vascular diseases |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100312&tlng=en |
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