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EVALUATION OF A DECADE OF ONCOLOGICAL-ORTHOPEDIC PROCEDURES IN BRAZIL (2015-2024) AND THE IMPACT OF COVID-19.

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The COVID-19 pandemic did not significantly alter oncological-orthopedic procedures in Brazil, though average hospitalization costs (AHC) increased. This suggests resilience in healthcare system performance for these critical surgeries.

Keywords:
Bone NeoplasmsCOVID-19Orthopedic ProceduresProstheses and ImplantsUnified Health System

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Area of Science:

  • Health Services Research
  • Oncology
  • Orthopedics

Background:

  • Oncological-orthopedic procedures are crucial within the Unified Health System (SUS).
  • Understanding regional variations and pandemic impacts is vital for healthcare planning.

Purpose of the Study:

  • To assess regional disparities in hospital admission authorizations (AIH), hospitalization costs (AHC), length of stay, and mortality for oncological-orthopedic procedures.
  • To analyze the influence of the COVID-19 pandemic on these metrics between 2015 and 2024.

Main Methods:

  • Ecological time-series study using SUS Hospital Information System data.
  • Analysis by Brazilian regions (pre-pandemic, pandemic, post-pandemic).
  • Statistical methods included ANOVA, Kruskal-Wallis, T-tests, and ARIMA with intervention.

Main Results:

  • 9,120 hospital admission authorizations (AIHs) were recorded, concentrated in the Southeast and South regions.
  • Significant regional variations were observed across all evaluated metrics.
  • Average hospitalization cost (AHC) increased, but other variables like AIH, average length of stay (ALS), and mortality rate (MR) maintained their trends.

Conclusions:

  • The COVID-19 pandemic did not significantly impact the number of AIHs, ALS, or MR for oncological-orthopedic procedures.
  • An increase in AHC was noted, but overall procedure performance remained stable.
  • The findings suggest the healthcare system's capacity to maintain oncological-orthopedic services during the pandemic.