A 15-Year Review of Corneal Transplant in Brazil

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author ALMEIDA, Hirlana Gomes FMUSP-HC
KARA-JOSE, Newton FMUSP-HC
HIDA, Richard Yudi FMUSP-HC
KARA-JUNIOR, Newton FMUSP-HC
dc.date.issued 2018
dc.identifier.citation EYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE, v.44, suppl.2, p.S376-S381, 2018
dc.identifier.issn 1542-2321
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/31178
dc.description.abstract Purpose: To analyze 15-year of corneal transplant in Brazil. Methods: Cross-sectional, retrospective, observational, and analytical study, between available data from the Brazilian Transplant Registry (January 2002-December 2016), collected by the Brazilian Association of Organ Transplantation was performed. The variables analyzed per year were number of corneal transplants, corneal transplants per million people (pmp), corneal transplant teams, and individuals on the waiting list for corneal transplants. Quantitative variables were expressed by their respective values. To verify the relationship of time with the variables, the Spearman correlation test was applied, adopting P<0.05 for rejection of the null hypothesis. Results: Evaluation of the data from 2002 to 2016 revealed an increase in number of (1) corneal transplants (4,976-14,534-approximately 292% in 15 years; P<0.0001); (2) corneal transplants pmp (29.4-71.1 pmp; P<0.0001); (3) productivity of corneal transplants teams (40.1-79 transplants by each team per year; P=0.067); (4) effectiveness in meeting the Brazilian population demand for corneal transplants per year (18.2%-57.0%; P<0.0001); (5) potential donors (P<0.0001), effective donors (P<0.0001), and nondonors (P<0.0001). There was a reduction in the number of patients on the waiting list (19,189-10,923; P=0.056). Conclusion: Despite the progress in the last decade, the number of corneal transplants in Brazil cannot meet the growing population demand. Thus, this study suggests the implementation of more effective public policies of corneal transplants in Brazil, to minimize disparities in national territory, adequately meet the population demand, and reduce the time in waiting lists for corneal transplants.
dc.language.iso eng
dc.publisher LIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartof Eye & Contact Lens-Science and Clinical Practice
dc.rights restrictedAccess
dc.subject Ophthalmology; Health systems; Diagnosis; Corneal diseases; Corneal transplantation
dc.subject.other visual impairment; keratoplasty; donors; rejection; interview; adults; risk
dc.title A 15-Year Review of Corneal Transplant in Brazil
dc.type article
dc.rights.holder Copyright LIPPINCOTT WILLIAMS & WILKINS
dc.description.group LIM/33
dc.identifier.doi 10.1097/ICL.0000000000000554
dc.identifier.pmid 30256231
dc.type.category review
dc.type.version publishedVersion
hcfmusp.author ALMEIDA, Hirlana Gomes:FM:
hcfmusp.author KARA-JOSE, Newton:FM:MOF
hcfmusp.author HIDA, Richard Yudi:HC:ICHC
hcfmusp.author KARA-JUNIOR, Newton:HC:ICHC
hcfmusp.origem.id WOS:000457840400064
hcfmusp.origem.id 2-s2.0-85055770922
hcfmusp.publisher.city PHILADELPHIA
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
dc.identifier.eissn 1542-233X
hcfmusp.citation.scopus 0
hcfmusp.citation.wos 0


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