Jornada do paciente com lombalgia crônica no Brasil: uma revisão semi-sistemática sobre a melhor abordagem

Autores

DOI:

https://doi.org/10.11606/issn.1679-9836.v101i5e-194651

Palavras-chave:

Brasil, Dor, Reestruturação do sistema de saúde, Mapeamento da jornada do paciente, Envolvimento do paciente

Resumo

Histórico - O tratamento de pacientes com lombalgia crônica (LC) em muitos países, incluindo o Brasil, é um grande desafio no nível de atendimento primário e especializado. Além disso, as informações sobre epidemiologia e tratamento de pacientes com LC são escassas. O objetivo principal desta revisão semi-sistemática foi a construção de evidências locais sobre a prevalência e o padrão de tratamento da LC. Métodos. Esta revisão semi-sistemática utilizou Medline, Embase e Biosis via plataforma Ovid e recursos adicionais (Google, Google Scholar, Banco de dados de incidência e prevalência, Organização Mundial da Saúde, Ministério da Saúde do Brasil e informações anedóticas de especialistas locais) para identificar literatura relevante entre 2002 e 2020 para mapear a jornada do paciente. Artigos de texto completos e originais do Brasil em inglês contendo dados sobre pontos de contato predefinidos na jornada do paciente (conscientização, triagem, diagnóstico, tratamento, adesão e controle) foram selecionados. Os dados foram obtidos usando uma média simples ou ponderada, conforme aplicável para os componentes da jornada do paciente. Resultados. De 297 registros, incluindo os fornecidos por especialistas locais, oito estudos foram incluídos para análise. A conscientização da LC e da LC-NeP foi de 30,4% e 12%, respetivamente. De acordo com estudos publicados, a adesão e o controle dos sintomas dos pacientes foram estimados com percentual semelhante de 38% e 18%, respetivamente para a LC e a LC-NeP. A prevalência de LC-NeP (3,6%) foi menor que a de LC (20,6%). Com exceção de uma porcentagem comparável da população tratada, para LC (39,1%) e LC-NeP (38%), a porcentagem de pontos de contato restantes foi maior no caso de LC do que no LC-NeP, o que implicava uma melhora no trajeto do paciente para a LC. Conclusão. O estudo destaca a necessidade de melhorar os resultados dos pacientes em nível nacional, medindo esses pontos de contato da jornada do paciente. O resultado deste estudo baseado em evidências é importante para preencher a lacuna de conhecimento do paciente com LC. Portanto, recomenda-se garantir a educação médica contínua, a conscientização do paciente e a restruturação do sistema de saúde brasileiro, ao mesmo tempo em que adota novas práticas sobre o gerenciamento da dor.

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Biografia do Autor

Rogério Adas Ayres de Oliveira, Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas

Centro de Dor, Departamento de Neurologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil. 

Patrick Raymond Nicolas André Ghislain Stump, Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas

Centro de Dor, Departamento de Neurologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brasil.

Marcelo Cruz Rezende, Sem registro de afiliação

Member of the Pain and Fibromyalgia Commission of the Brazilian Society of Rheumatology.

Luiz Fernando Vieira, Medical, Viatris – Pfizer Division

Research, Development, and Medical, Viatris – a Pfizer Division, São Paulo, SP. 

Marco Antonio da Silva, Viatris – a Pfizer Division

Research, Development, and Medical, Viatris – a Pfizer Division, São Paulo, SP.

Paola M. Elorza, Upjohn – Pfizer Division

Research, Development, and Medical, Upjohn – a Pfizer Division, Lumina Thames C, Buenos Aires. 

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Publicado

2022-09-02

Como Citar

Oliveira, R. A. A. de, Stump, P. R. N. A. G. ., Rezende, M. C. ., Vieira, L. F., Silva, M. A. da, & Elorza, P. M. (2022). Jornada do paciente com lombalgia crônica no Brasil: uma revisão semi-sistemática sobre a melhor abordagem. Revista De Medicina, 101(5), e-194651. https://doi.org/10.11606/issn.1679-9836.v101i5e-194651

Edição

Seção

Artigos de Revisão/Review Articles