Epidemiology of hydrocephalus in Brazil

Objective: Describe the epidemiological profile and social-economic burden that hydrocephalus patients represent to the national public health system, using data available at the online database of the Brazilian Health Ministry (DataSUS). Methods: This is a populational study based on descriptive st...

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Main Authors: Maurício Dutra, Stephanya Covas da Silva, Pâmella da S. Beggiora, Marcelo V. Santos, Hélio R. Machado, Luiza da S. Lopes
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Jornal de Pediatria
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0021755722001279
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author Maurício Dutra
Stephanya Covas da Silva
Pâmella da S. Beggiora
Marcelo V. Santos
Hélio R. Machado
Luiza da S. Lopes
author_facet Maurício Dutra
Stephanya Covas da Silva
Pâmella da S. Beggiora
Marcelo V. Santos
Hélio R. Machado
Luiza da S. Lopes
author_sort Maurício Dutra
collection DOAJ
description Objective: Describe the epidemiological profile and social-economic burden that hydrocephalus patients represent to the national public health system, using data available at the online database of the Brazilian Health Ministry (DataSUS). Methods: This is a populational study based on descriptive statistics of all clinical and surgical appointments included in the DataSUS database. Data included herein were collected between 2015 and 2021 and subdivided into three main groups, related to hydrocephalus incidence and mortality, hospitalizations, and financial costs. Results: In the study period, 3993 new cases of congenital hydrocephalus were diagnosed, with 6051 deaths overall. The mortality rate in the country was 1.5/100000 live births and the prevalence was 0.374/100000 inhabitants. The number of hospitalizations resulting from treatment procedures and complications of hydrocephalus was 137,880 and there was a reduction of up to 27.2% during the SARS-CoV-2 pandemics concerning previous years. Total costs for hydrocephalus management in the country amounted to 140,610,585.51 dollars. Conclusions: Hydrocephalus has a significant impact on public health budgets and pediatric mortality rates; however, it is probably underestimated, due to the paucity of demographic data and epidemiological studies in Latin America and, specifically, in Brazil. The dataSUS also has several limitations in accessing certain data related to hydrocephalus, making it difficult to have a more assertive understanding of the disease in Brazil. The results of this study provide important guidance for future research projects in clinical and experimental hydrocephalus and also the creation of public policies for better governance and care of hydrocephalus patients.
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spelling doaj.art-54ad298a64344a7284721786597d17102023-05-06T04:36:54ZengElsevierJornal de Pediatria0021-75572023-05-01993228234Epidemiology of hydrocephalus in BrazilMaurício Dutra0Stephanya Covas da Silva1Pâmella da S. Beggiora2Marcelo V. Santos3Hélio R. Machado4Luiza da S. Lopes5Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Cirurgia e Anatomia, Ribeirão Preto, SP, BrazilUniversidade Federal de São Carlos, Centro de Ciências Biológicas e da Saúde, Departamento de Morfologia e Patologia, São Carlos, SP, Brazil; Corresponding author.Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Cirurgia e Anatomia, Ribeirão Preto, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Cirurgia e Anatomia, Ribeirão Preto, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Cirurgia e Anatomia, Ribeirão Preto, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Cirurgia e Anatomia, Ribeirão Preto, SP, BrazilObjective: Describe the epidemiological profile and social-economic burden that hydrocephalus patients represent to the national public health system, using data available at the online database of the Brazilian Health Ministry (DataSUS). Methods: This is a populational study based on descriptive statistics of all clinical and surgical appointments included in the DataSUS database. Data included herein were collected between 2015 and 2021 and subdivided into three main groups, related to hydrocephalus incidence and mortality, hospitalizations, and financial costs. Results: In the study period, 3993 new cases of congenital hydrocephalus were diagnosed, with 6051 deaths overall. The mortality rate in the country was 1.5/100000 live births and the prevalence was 0.374/100000 inhabitants. The number of hospitalizations resulting from treatment procedures and complications of hydrocephalus was 137,880 and there was a reduction of up to 27.2% during the SARS-CoV-2 pandemics concerning previous years. Total costs for hydrocephalus management in the country amounted to 140,610,585.51 dollars. Conclusions: Hydrocephalus has a significant impact on public health budgets and pediatric mortality rates; however, it is probably underestimated, due to the paucity of demographic data and epidemiological studies in Latin America and, specifically, in Brazil. The dataSUS also has several limitations in accessing certain data related to hydrocephalus, making it difficult to have a more assertive understanding of the disease in Brazil. The results of this study provide important guidance for future research projects in clinical and experimental hydrocephalus and also the creation of public policies for better governance and care of hydrocephalus patients.http://www.sciencedirect.com/science/article/pii/S0021755722001279EpidemiologyHydrocephalusNational registry
spellingShingle Maurício Dutra
Stephanya Covas da Silva
Pâmella da S. Beggiora
Marcelo V. Santos
Hélio R. Machado
Luiza da S. Lopes
Epidemiology of hydrocephalus in Brazil
Jornal de Pediatria
Epidemiology
Hydrocephalus
National registry
title Epidemiology of hydrocephalus in Brazil
title_full Epidemiology of hydrocephalus in Brazil
title_fullStr Epidemiology of hydrocephalus in Brazil
title_full_unstemmed Epidemiology of hydrocephalus in Brazil
title_short Epidemiology of hydrocephalus in Brazil
title_sort epidemiology of hydrocephalus in brazil
topic Epidemiology
Hydrocephalus
National registry
url http://www.sciencedirect.com/science/article/pii/S0021755722001279
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AT heliormachado epidemiologyofhydrocephalusinbrazil
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