巴西的密码学管理:一个生态概述
Artur Venancio da Silva Sena1, Luiza Telles2, Paulo Henrique Moreira Melo3
1Universidade de Campinas (UNICAMP), São Paulo, Brazil.
Journal of pediatric urology
|August 21, 2025
概括
在巴西,拖延治疗丸不下降是很常见的,大多数手术发生在5岁以后. 随着COVID-19大流行,这一积压变得更加严重,凸显了改善公共卫生政策的必要性.
科学领域:
- 儿童手术
- 公共卫生政策
- 泌尿外科
背景情况:
- 最常见的男性生殖器异常,需要及时治疗以预防不孕症和丸癌症.
- 对于密码症的治疗指南存在,但手术时间在巴西的公共医疗系统 (SUS) 中有很大差异.
- 地理和社会经济因素可能会影响巴西的医疗保健和治疗结果.
研究的目的:
- 分析巴西公共医疗系统中进行形术 (未下降丸的手术纠正) 的年龄.
- 调查皮术时间与公共医疗服务质量之间的关系.
- 评估COVID-19大流行对加密手术积压的影响.
主要方法:
- 从巴西公共卫生系统的信息学部门 (DATASUS) 收集了2008年至2022年期间进行的94,237次形术的数据.
- 地理和社会经济指标来自巴西地理研究所 (IBGE) 和应用经济研究研究所 (IPEA).
- 分析将手术时间与区域数据和流行病相关趋势相关联.
主要成果:
- 在全国范围内,只有47.6%的预期形术进行,区域差异很大 (北方为22.75%,南方为68.18%).
- 大多数手术发生在5岁以后,其中很少有 (12-24%) 在2岁之前进行,特别是在北方和东北地区.
- 2020年COVID-19大流行导致手术减少了44.45%,使现有的滞后情况恶化.
结论:
- 在巴西,大量患有密码症的儿童被诊断或治疗延迟.
- COVID-19 疫情严重影响了手术率,导致治疗延迟.
- 迫切需要采取公共卫生政策, 改善医疗服务, 防止未经治疗的虫症的长期并发症.
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