Impact of COVID-19 on surgical procedures for stress urinary incontinence in the Brazilian public health system

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art_FORNARI_Impact_of_COVID19_on_surgical_procedures_for_stress_2023.PDF (1.26 MB)
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0
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
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Título do Volume
Editora
SPRINGER LONDON LTD
Autores
FORNARI, Alexandre
TOLEDO, Luis Gustavo Morato
CANALINI, Alfredo Felix
BRANDAO, Thulio Bosi Vieira
ANZOLCH, Karin Marise Jaeger
FERNANDES, Roni de Carvalho
JR, Jose de Bessa
Citação
INTERNATIONAL UROGYNECOLOGY JOURNAL, v.34, n.8, p.1949-1954, 2023
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
Introduction and hypothesisThe objective was to characterize the impact of the COVID-19 pandemic on the surgical treatment of female stress urinary incontinence (FSUI) in Brazil.MethodsThis study was conducted with population-based data from the Brazilian public health system database. We obtained data on the number of surgical procedures for FSUI in 2019 (before the coronavirus disease [COVID-19] pandemic), 2020, and 2021 (during the pandemic) in each of the 27 Brazilian states. We included official Brazilian Institute of Geography and Statistics (IBGE) data on the population, Human Development Index (HDI), and annual per capita income of each state.ResultsA total of 6,718 surgical procedures for FSUI were performed in the Brazilian public health system in 2019. The number of procedures was reduced by 56.2% in 2020, and an additional reduction of 7.2% was seen in 2021. The distribution of procedures by state showed important differences, ranging from 4.4 procedures/1,000,000 inhabitants in Paraiba and Sergipe to 67.6 procedures/1,000,000 inhabitants in Parana (p<0.01) in 2019. The number of surgical procedures was higher in states with a higher HDI (p=0.0001) and per capita income (p=0.042). The decrease in the number of surgical procedures affected the whole country and its rate did not correlate with HDI (p=0.289) or per capita income (p=0.598).ConclusionThe impact of the COVID-19 pandemic on the surgical treatment of FSUI in Brazil was significant in 2020 and persisted in 2021. Access to surgical treatment of FSUI varied according to geographic region, HDI, and per capita income, even before COVID-19.
Palavras-chave
COVID-19, Suburethral sling, Urinary incontinence, Stress, Surgery, Female
URI
https://observatorio.fm.usp.br/handle/OPI/56378
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Coleções
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - COVID-19
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/55
Artigos e Materiais de Revistas Científicas - ODS/03