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Title in Portuguese: Costs and mortality rates of surgical approaches to hysterectomy in Brazil
Author: Augusto, Kathiane Lustosa
Brilhante, Aline Veras Morais
Modesto, Gisele Cristine Duarte
Saboia, Dayana Maia
Rocha, Cássia Fernandes Coelho
karbage, Sara Arcanjo Lino
Magalhães, Thaís Fontes de
Bezerra, Leonardo Robson Pinheiro Sobreira
Keywords: Histerectomia
Women's Health Services
Serviços de Saúde da Mulher
Issue Date: 2018
Publisher: Revista de Saúde Pública
Citation: AUGUSTO, K. L. et al. Costs and mortality rates of surgical approaches to hysterectomy in Brazil. Revista de Saúde Pública, v. 52, n. 25, p. 1-6, 2018.
Abstract: 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.
metadata.dc.type: Artigo de Periódico
ISSN: 1518-8787 (on line)
Appears in Collections:DCIR - Artigos publicados em revista científica

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