Population-based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1,216 patients over 11 years: a cross-sectional study
Abstract BACKGROUND: Endoscopic thoracic sympathectomy is the definitive surgical treatment for hyperhidrosis and a nationwide study has suggested that cultural and socioeconomic factors play a role in the numbers of operations performed. Thus, there is a need to evaluate local data in order to und...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2022-09-01
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| Series: | São Paulo Medical Journal |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005023204&tlng=en |
| _version_ | 1818063652364746752 |
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| author | Marcelo Fiorelli Alexandrino da Silva Andressa Cristina Sposato Louzada Marcelo Passos Teivelis Nickolas Stabellini Dafne Braga Diamante Leiderman José Ribas Milanez de Campos Edson Amaro Junior Nelson Wolosker |
| author_facet | Marcelo Fiorelli Alexandrino da Silva Andressa Cristina Sposato Louzada Marcelo Passos Teivelis Nickolas Stabellini Dafne Braga Diamante Leiderman José Ribas Milanez de Campos Edson Amaro Junior Nelson Wolosker |
| author_sort | Marcelo Fiorelli Alexandrino da Silva |
| collection | DOAJ |
| description | Abstract BACKGROUND: Endoscopic thoracic sympathectomy is the definitive surgical treatment for hyperhidrosis and a nationwide study has suggested that cultural and socioeconomic factors play a role in the numbers of operations performed. Thus, there is a need to evaluate local data in order to understand the local epidemiology and trends in hyperhidrosis treatment. OBJECTIVE: To study the epidemiology of sympathectomy for treating hyperhidrosis in São Paulo, the largest city in Brazil. DESIGN AND SETTING: Population-based retrospective cross-sectional study. METHODS: Data on sympathectomies for treating hyperhidrosis between 2008 and 2018 were assessed from the database of the Municipal Health Department of São Paulo, Brazil. RESULTS: 65.29% of the patients were female, 66.2% were aged between 20 and 39 years and 37.59% had registered with addresses outside São Paulo. 1,216 procedures were performed in the city of São Paulo from 2008 to 2018, and 78.45% of them were in only two public hospitals. The number of procedures significantly declined over the years (P = 0.001). 71.63% of the procedures were associated with 2-3 days of hospital stay, only 78 intensive care unit days were billed and we did not observe any intra-hospital death. CONCLUSION: The profile of patients operated on in São Paulo (young women) is similar to that described in other populations. Sympathectomy is a very safe procedure, with no mortality in our series. There was a decreasing trend in the number of surgeries over the years. |
| first_indexed | 2024-12-10T14:23:30Z |
| format | Article |
| id | doaj.art-90ba4b15d9404e8ca52cb8af90859785 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-10T14:23:30Z |
| publishDate | 2022-09-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-90ba4b15d9404e8ca52cb8af908597852022-12-22T01:45:08ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602022-09-0110.1590/1516-3180.2021.0773.r2.14022022Population-based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1,216 patients over 11 years: a cross-sectional studyMarcelo Fiorelli Alexandrino da Silvahttps://orcid.org/0000-0002-0714-5291Andressa Cristina Sposato Louzadahttps://orcid.org/0000-0002-4133-3798Marcelo Passos Teivelishttps://orcid.org/0000-0002-3648-6773Nickolas Stabellinihttps://orcid.org/0000-0002-3135-7980Dafne Braga Diamante Leidermanhttps://orcid.org/0000-0002-8593-6427José Ribas Milanez de Camposhttps://orcid.org/0000-0002-2385-7707Edson Amaro Juniorhttps://orcid.org/0000-0002-5889-1382Nelson Woloskerhttps://orcid.org/0000-0003-1991-3507Abstract BACKGROUND: Endoscopic thoracic sympathectomy is the definitive surgical treatment for hyperhidrosis and a nationwide study has suggested that cultural and socioeconomic factors play a role in the numbers of operations performed. Thus, there is a need to evaluate local data in order to understand the local epidemiology and trends in hyperhidrosis treatment. OBJECTIVE: To study the epidemiology of sympathectomy for treating hyperhidrosis in São Paulo, the largest city in Brazil. DESIGN AND SETTING: Population-based retrospective cross-sectional study. METHODS: Data on sympathectomies for treating hyperhidrosis between 2008 and 2018 were assessed from the database of the Municipal Health Department of São Paulo, Brazil. RESULTS: 65.29% of the patients were female, 66.2% were aged between 20 and 39 years and 37.59% had registered with addresses outside São Paulo. 1,216 procedures were performed in the city of São Paulo from 2008 to 2018, and 78.45% of them were in only two public hospitals. The number of procedures significantly declined over the years (P = 0.001). 71.63% of the procedures were associated with 2-3 days of hospital stay, only 78 intensive care unit days were billed and we did not observe any intra-hospital death. CONCLUSION: The profile of patients operated on in São Paulo (young women) is similar to that described in other populations. Sympathectomy is a very safe procedure, with no mortality in our series. There was a decreasing trend in the number of surgeries over the years.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005023204&tlng=enSympathectomyBig dataPublic healthEndoscopic thoracic sympathectomyVideo-assisted thoracic surgeryOxybutynin |
| spellingShingle | Marcelo Fiorelli Alexandrino da Silva Andressa Cristina Sposato Louzada Marcelo Passos Teivelis Nickolas Stabellini Dafne Braga Diamante Leiderman José Ribas Milanez de Campos Edson Amaro Junior Nelson Wolosker Population-based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1,216 patients over 11 years: a cross-sectional study São Paulo Medical Journal Sympathectomy Big data Public health Endoscopic thoracic sympathectomy Video-assisted thoracic surgery Oxybutynin |
| title | Population-based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1,216 patients over 11 years: a cross-sectional study |
| title_full | Population-based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1,216 patients over 11 years: a cross-sectional study |
| title_fullStr | Population-based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1,216 patients over 11 years: a cross-sectional study |
| title_full_unstemmed | Population-based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1,216 patients over 11 years: a cross-sectional study |
| title_short | Population-based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1,216 patients over 11 years: a cross-sectional study |
| title_sort | population based analysis of the epidemiology of the surgical correction of hyperhidrosis in 1 216 patients over 11 years a cross sectional study |
| topic | Sympathectomy Big data Public health Endoscopic thoracic sympathectomy Video-assisted thoracic surgery Oxybutynin |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022005023204&tlng=en |
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