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A POPULATION STUDY ON GENDER AND ETHNICITY DIFFERENCES IN GALLBLADDER DISEASE IN BRAZIL
João Henrique Fonseca do Nascimento1, Selton Cavalcante Tomaz1, Benjamim Messias de Souza-Filho1
1Universidade do Estado da Bahia, Departamento de Ciências da Vida - Salvador - Bahia - Brasil.
Women have higher gallbladder disease (GBD) prevalence in Brazil, but men face worse outcomes. This study analyzed GBD epidemiology by gender and ethnicity in the Brazilian public health system.
Area of Science:
- Epidemiology
- Public Health
- Surgical Pathology
Background:
- Gallbladder diseases (GBD) are common conditions requiring surgical intervention.
- Sex and ethnic characteristics may influence GBD prevalence and outcomes.
- Understanding these disparities is crucial for public health strategies.
Purpose of the Study:
- To evaluate gender and ethnicity-related differences in GBD epidemiology.
- To analyze GBD prevalence and outcomes within the Brazilian public health system.
Main Methods:
- Utilized DATASUS to retrieve ICD-10 code K80 (gallbladder disease) data from 2008-2019.
- Analyzed admissions, care modality, deaths, and in-hospital mortality rates by gender and ethnic groups.
Main Results:
- Over 2.8 million GBD admissions occurred between 2008-2019, with 77.3% in females.
- Male patients had a significantly higher in-hospital mortality rate (15.9/1,000) vs. females (6.3/1,000).
- Men exhibited a higher risk of death (RR=2.5) and longer hospital stays across all ethnic groups.
Conclusions:
- Women have the highest prevalence of GBD hospital admissions in Brazil.
- Men consistently face worse outcomes, including higher mortality, irrespective of ethnicity.
- Findings highlight significant gender-based disparities in GBD epidemiology and outcomes.
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