Costs and mortality rates of surgical approaches to hysterectomy in Brazil

Autores

  • Kathiane Lustosa Augusto Universidade Federal do Ceará. Faculdade de Medicina. Maternidade Escola Assis Chateaubriand
  • Aline Veras Morais Brilhante Universidade de Fortaleza. Programa de Pós-Graduação em Saúde Coletiva
  • Gisele Cristine Duarte Modesto Universidade Federal do Ceará. Maternidade Escola Assis Chateaubriand
  • Dayana Maia Saboia Universidade Federal do Ceará. Programa de Pós-Graduação em Enfermagem
  • Cássia Fernandes Coelho Rocha Universidade Federal do Ceará. Programa de Pós-Graduação em Enfermagem
  • Sara Arcanjo Lino karbage Universidade Federal do Ceará. Faculdade de Medicina. Maternidade Escola Assis Chateaubriand
  • Thaís Fontes de Magalhães Universidade Federal do Ceará. Programa de Pós-Graduação em Ciências Clínico-Cirúrgicas
  • Leonardo Robson Pinheiro Sobreira Bezerra Universidade Federal do Ceará. Faculdade de Medicina. Maternidade Escola Assis Chateaubriand

DOI:

https://doi.org/10.11606/S1518-8787.2018052000129

Palavras-chave:

Hysterectomy, economics. Hysterectomy, mortality. Health Care Costs. Neoplasms, prevention & control. Women’s Health Services. Public Health.

Resumo

OBJECTIVE: To analyze the costs of hysterectomies performed in Brazil due to benign conditions, and to assess its hospital admittance and mortality rates. METHODS: A retrospective cohort was carried out from January 2010 to December 2014, analyzing all hysterectomies (n = 428,346) registered on the DATASUS database between January 2010 and December 2014. Data were collected through a structured questionnaire and analyzed using the SPSS 20.0 for Windows. RESULTS: Hospital admissions were 300,231 for total abdominal hysterectomies, 46,056 for vaginal hysterectomies, 29,959 for subtotal abdominal hysterectomies and 1,522 for laparoscopic hysterectomies. Mortality rates were 0.26%, 0.09%, 0.07% and 0.05% for subtotal, total abdominal, laparoscopic, and vaginal hysterectomies, respectively. Among the procedures studied, total abdominal hysterectomies had the most costs (R$217,802,574.77), followed by vaginal hysterectomies (R$24,173,490.00), subtotal abdominal hysterectomies (R$19.253.300,00) and laparoscopic hysterectomies (R$794,680.40). CONCLUSIONS: Total abdominal hysterectomies had the highest overall costs mainly because it was the most commonly performed technique. Mortality rates were greatest in subtotal abdominal hysterectomies; this, however, may be due to bias related to missing data in our database.

Publicado

2018-02-26

Edição

Seção

Artigos Originais

Como Citar

Augusto, K. L., Brilhante, A. V. M., Modesto, G. C. D., Saboia, D. M., Rocha, C. F. C., karbage, S. A. L., Magalhães, T. F. de, & Bezerra, L. R. P. S. (2018). Costs and mortality rates of surgical approaches to hysterectomy in Brazil. Revista De Saúde Pública, 52, 25. https://doi.org/10.11606/S1518-8787.2018052000129