巴西白内障手术数量的增长:十年的进化
Silvana Rossi1, Priscilla A Jorge1, Rafael Scherer1
1Department of Ophthalmology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Ophthalmic epidemiology
|August 30, 2024
概括
巴西的白内障手术从2010年到2019年增加了40%,只有南方地区显示了持续的上升趋势. 这突显了预防失明的公共卫生举措的区域差异.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 白内障手术对于预防失明至关重要.
- 了解白内障手术频率的国家和地区趋势对于巴西的公共卫生规划至关重要.
研究的目的:
- 评估2010年至2019年巴西白内障手术的频率.
- 通过白内障手术数据评估公共政策对预防失明的影响.
- 为优化医疗保健计划提供证据.
主要方法:
- 分析流行病学研究使用来自医院信息系统 (SIH-SUS) 和门诊信息系统 (SIA-SUS) 的数据.
- 专注于2010-2019年间老年白内障手术 (发泡乳和外提取) 的研究.
- 分析了按地区分层的年度数据,并使用通用添加模型评估了趋势.
主要成果:
- 观察到白内障手术的全国显著上升趋势 (p < 0.05),从2010年到2019年增加了40.22%.
- 每1000名50岁以上的患者中,手术的发生率因地区而异,北方 (14.2) 和东北地区 (13.86) 的发生率最高.
- 只有南部地区在外科手术频率方面显示出显著的持续上升趋势.
结论:
- 虽然一些地区进行了令人满意的手术数量,但只有南方持续增加了白内障手术率.
- 在大多数地区缺乏持续的外科手术表现可能会阻碍在治理白内障相关疾病方面的持续改进.
- 进一步分析50岁以上人口人口增长的情况,对于准确评估失明患病率至关重要.
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