:strip_icc()/i.s3.glbimg.com/v1/AUTH_59edd422c0c84a879bd37670ae4f538a/internal_photos/bs/2018/V/w/DIQBV9Rhe3maXBr3kfQg/cirurgia-bariatrica-em-macae.jpg)
[ad_1]
The number of bariatric surgeries performed by the Unified Health System has increased by 215% between 2008 and 2017. The South-East and South States are withdrawing: Paraná, São Paulo, Minas Gerais and Espírito Santo represent 82% public network procedures. The data come from the Brazilian Society of Bariatric and Metabolic Surgery (SBCBM), which used Datasus information and hospital information system.
In total, Brazil performed 105,642 surgeries in 2017, an increase of 47% over 2012. The growth trend has followed over the years in all sectors, according to the entity. In the private sector, average annual growth has been 6% to 7% in recent years – while in the SUS, the average annual increase was 13.5%.
The migration of private sector patients to SUS in recent years helps explain growth, according to the institution. On average, each procedure costs R $ 6,000 in SUS and R $ 13,000 in the private sector – physician fees and lower hospitals in the public network account for the difference in cost.
Although the trend is for growth and the scenario is better than a few years ago, Caetano Marchesini, president of the Brazilian Society of Cardiology Brazilian Association of Bariatric and Metabolic Surgery, says the number of Surgeries performed in Brazil in 2017 meets 2% of those eligible for the procedure. Today, 5 million Brazilians reportedly indicated for the operation.
"It is necessary to increase the number of procedures, which cover on average now 2% of eligible procedures." Another point is to improve care as a whole. "- Caetano Marchesini (SBCBM)
The expert says that people with morbid obesity and chronic diseases badociated with obesity are among the 5 million Brazilians with indication of the procedure. Studies and evidence over the last few decades have shown that surgery not only helps problems directly related to obesity, but with conditions badociated with weight gain – such as type 2 diabetes.
Is it and who can do bariatric surgery
| Today, bariatric surgery combines a set of techniques aimed at the treatment of obesity. |
| can reduce the stomach or bowel movement.The most common surgery combines both techniques. |
| By reducing the stomach, the organ decreases the ability to receive food. the intestine, there is less absorption of food. [19659009] Surgery is indicated for people with a BMI of 35kg / m² and badociated diseases or BMI greater than 40 kg / m² |
| More recently, people with a BMI greater than 30 kg / m² and type 2 diabetes Brazil |
The increased performance of surgeries would reduce expenses related to these diseases, according to the institution. A study from the University of Brasilia and the Ministry of Health has shown that in Brazil, 500 million reais are spent annually in the SUS for the treatment of diseases badociated with obesity.
Obesity now stands at 18.9% of Brazilians, according to the Vigitel survey (Research on Risk Factor Surveillance and Chronic Disease Prevention by Phone Survey), conducted by the Ministry of Health.
In addition to the treatment of badociated diseases, rapid weight loss (compared to other methods) is one of the factors driving surgeries worldwide – and not only in Brazil .
Marchesini explains that in clinical treatment, individuals lose 10 kg to 15 kg in two years – while these same individuals can lose up to 60 kg between 8 and 12 months in bariatric surgery.
"Slower weight loss in clinical treatment eventually discourages patients and, as a result, the treatment of obesity becomes more difficult, but it should be remembered that the issue of obesity goes far beyond surgery – a lifelong check "- Caetano Marchesini (SBCBM)
The Brazilian Society of Bariatric and Metabolic Surgery explains that in SUS, the surgery usually performed is the open surgery – not so-called minimally invasive surgery In this type of procedure, small incisions are made that decrease the total recovery time.
"The question, however, is that this less invasive surgery has a 40% higher expense in hardware. On the other hand, it reduces the number of complications and infections and the time to return to work, "says Marchesini.
Last year, the Ministry of Health approved the adoption of the technique in the SUS, but according to the entity, the Le G1 contacted the Department of Health on this issue
On average, a person who underwent laparoscopic surgery can return to within 15 days to complete the procedure In open surgery, complete return to work occurs in 90 days
In the private network, almost 100% of the procedures are performed using the least invasive method. plans have tried to postpone the procedure – since they entail more costs for the operators. "But the procedure ends because it is regulated by the NSA," says Marchesini.
Source link
