Facoemulsificação versus extração extracapsular manual do cristalino: análise de custos

Kara‐José, Newton; Avakian, Amaryllis; Lower, Leda Mine Takei; Rocha, Adriana; Cursino, Marcio; Alves, Mílton Ruiz

doi:10.1590/s0004-27492004000300021

Cited by 10 publications

(4 citation statements)

References 28 publications

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“…In public health, especially in cataract surgery programs, the number of surgeries performed is directly proportional to the funds available to pay for the procedures [15,16]. Thus, we can infer that the progression of public investments in cataract surgery in Brazil from 2010 to 2021, similar to the rate of PIB growth, led to an increase in the number of surgeries.…”

Section: Resultsmentioning

confidence: 96%

Assessment of the Progression of Public Investments in Cataract Surgery in Brazil

Rossi,

Latuffesoares,

Baroni

et al. 2023

Epidemiol Public Health

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Objective: To evaluate the progression of public investments in cataract surgery in Brazil and its correlation with the growth of the elderly population and the Gross Domestic Product (PIB) between 2010 and 2021. Methods: This study was a retrospective analysis of data collected in public databases recording surgical procedures and the amounts invested per surgery to treat senile cataracts, performed per year and by region by the Unified Health System in 2010 and 2021. Results: The number of cataract surgeries performed by Brazil’s public health system increased from 356,088 in 2010 to 640,408 in 2021, an increase of 79.77%, while the population over 60 years old increased by 50.08%. The increase in the number of surgeries resulted from the greater public investments in the area (increase of 26.61% in corrected values), which was consistent with the increase in Gross Domestic Product (PIB) during the period (30.88% in corrected values).

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Section: Resultsmentioning

confidence: 96%

Assessment of the Progression of Public Investments in Cataract Surgery in Brazil

Rossi,

Latuffesoares,

Baroni

et al. 2023

Epidemiol Public Health

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“…(16,17) All these benefits provide security and comfort to physicians and their staff, as well as to patients and their families, providing a return to normal, independent life while minimising operational costs; this is important because in Brazil a large number of patients undergo surgery in public hospitals managed by the Brazilian Unified Health System (SUS), which depends on Federal Government funding, as shown in a study by KaraJúnior et al (17) Preoperative care includes a detailed examination of the ocular surface, adequate surgical indication, sterilisation of surgical instruments or use of disposable instruments, and ocular instillation of antimicrobial agents such as antibiotics and/or antiseptics.…”

Section: Discussionmentioning

confidence: 99%

Gatifloxacin and Iodopovidine preoperatively of phacectomy: Influence on counting bacterial colonies

Santiago¹,

Gaete²,

Lira³

et al. 2015

Revista Brasileira De Oftalmologia

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Objective: To analyze two methods of reducing conjunctivalmicrobiota in patients undergoing cataract surgery. Methods: A clinical trial with a convenience sample of 57 patients diagnosed with senile cataract (57 eyes) who underwent phacoemulsification with intraocular lens implantation in Recife from 2011 to 2013. Patients were divided into two groups: ATB (27 eyes) in which was instilled antibiotic eye drops (gatifloxacin 0.3%) and ASS (30 eyes) with antiseptic eye drops (iodopovidine 5%); both medications were instilled three times (one drop every 20 minutes, an hour prior to surgery). The groups were evaluated from two collections of conjunctival material: first before instilling some eye drops and the second one immediately after surgery. Gram stain, culture and sensitivity were performed. Results: Comparing the reduction in the number of bacteria found in the slides in the pre-and postoperative, there was no statistically significant difference in both groups. Conclusion: Both use of antiseptic or antibiotic, used as prophylaxis forendophthalmitis, can reduce the conjunctivalmicrobiota.Keywords: Endphthalmitis; Antibiotic prophylaxis; Conjunctiva/microbiology RESUMO Objetivo: Analisar dois método de redução da microbiota conjuntival em indivíduos submetidos à facectomia. Métodos: Ensaio clínico, com amostra de conveniência de 57 pacientes, com diagnóstico de catarata senil (57 olhos), submetidos à facoemulsificação com implante de lente intraocular em Recife entre 2011 a 2013. Os pacientes foram alocados em dois grupos: ATB (27 olhos) no qual foi instilado colírio antibiótico (gatifloxacino a 0,3%) e ASS (30 olhos) colírio antisséptico (iodopovidine a 5%), ambas as medicações foram instiladas três vezes (uma gota a cada 20 minutos, uma hora previamente à cirurgia). Os grupos foram avaliados a partir de duas coletas de material conjuntival: a primeira antes de instilar algum colírio e a segunda imediatamente após a cirurgia.Foi realizada bacterioscopia, cultura e antibiograma. Resultados: Comparando-se a redução no número de bactérias encontrado nas lâminas no pré e pós-operatório, não se verificou diferença estatística significativa nos dois grupos. Conclusão: Tanto o uso do antisséptico como do antibiótico usados como profiláticos para a endoftalmite reduzem a microbiota conjuntival

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“…In this context, more fi nancial resource allocation for this procedure could entail fewer resources for other needs, reducing health system effectiveness. 3,6,10 Public health expenditures range between US$ 1,000 and US$ 1,500 per person per year in developed countries like Japan, Canada and France while it is US$ 80 per person per year in Brazil, which is below the amount required to provide adequate health care. It makes it even more imperative to minimize treatment costs without compromising quality of care.…”

Section: Discussionmentioning

confidence: 99%

Custo social de duas técnicas de cirurgia de catarata no Brasil

et al. 2010

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Facoemulsificação versus extração extracapsular manual do cristalino: análise de custos

Cited by 10 publications

References 28 publications

Assessment of the Progression of Public Investments in Cataract Surgery in Brazil

Assessment of the Progression of Public Investments in Cataract Surgery in Brazil

Gatifloxacin and Iodopovidine preoperatively of phacectomy: Influence on counting bacterial colonies

Custo social de duas técnicas de cirurgia de catarata no Brasil

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