ABSTRACT
BACKGROUND: Obesity is a chronic health condition with a multifactorial etiology, resulting from the interplay of genetic, environmental, and behavioral factors leading to an energy imbalance. OBJECTIVE: To characterize hospitalizations for bariatric surgeries through the Brazilian Unified Health System (SUS) in the state of Paraná from 2012 to 2022. METHODS: This is a descriptive and retrospective study, utilizing a time series design, based on secondary data. Public data from the SUS Hospital Information System for the period from 2012 to 2022 were consulted, focusing on the population of obese patients undergoing bariatric surgery. RESULTS: In Paraná, concerning SUS procedures data from 2012 to 2022, 39,793 hospitalizations for bariatric surgeries were observed. Among the five modalities, Roux-en-Y gastric bypass predominated with 38,849 hospitalizations (97.6%), showing a lower mortality rate. CONCLUSION: The research highlights a notable variation in costs, emphasizing the importance of economic evaluation. The correlation between obesity and diabetes underscores the complexity of the situation, justifying the superiority of surgical treatment in comorbidity remission. The study reveals a decline in bariatric surgeries in 2020, coinciding with the pandemic, and alerts to the increased vulnerability of obese patients to SARS-CoV-2.
Subject(s)
Bariatric Surgery , Hospitalization , Obesity , Humans , Brazil/epidemiology , Bariatric Surgery/statistics & numerical data , Hospitalization/statistics & numerical data , Retrospective Studies , Female , Male , Adult , Middle Aged , Obesity/surgery , Obesity/epidemiology , Young Adult , National Health Programs/statistics & numerical data , Adolescent , COVID-19/epidemiology , AgedABSTRACT
ABSTRACT Background: Obesity is a chronic health condition with a multifactorial etiology, resulting from the interplay of genetic, environmental, and behavioral factors leading to an energy imbalance. Objective: To characterize hospitalizations for bariatric surgeries through the Brazilian Unified Health System (SUS) in the state of Paraná from 2012 to 2022. Methods: This is a descriptive and retrospective study, utilizing a time series design, based on secondary data. Public data from the SUS Hospital Information System for the period from 2012 to 2022 were consulted, focusing on the population of obese patients undergoing bariatric surgery. Results: In Paraná, concerning SUS procedures data from 2012 to 2022, 39,793 hospitalizations for bariatric surgeries were observed. Among the five modalities, Roux-en-Y gastric bypass predominated with 38,849 hospitalizations (97.6%), showing a lower mortality rate. Conclusion: The research highlights a notable variation in costs, emphasizing the importance of economic evaluation. The correlation between obesity and diabetes underscores the complexity of the situation, justifying the superiority of surgical treatment in comorbidity remission. The study reveals a decline in bariatric surgeries in 2020, coinciding with the pandemic, and alerts to the increased vulnerability of obese patients to SARS-CoV-2.
RESUMO Contexto: A obesidade é uma condição crônica de saúde que apresenta etiologia multifatorial. Resulta da combinação de fatores genéticos, ambientais e comportamentais, os quais, quando interagem, levam a um desbalanço energético. Objetivo: Caracterizar as hospitalizações pelo Sistema Único de Saúde (SUS) para realização de cirurgias bariátricas no estado do Paraná, no período de 2012 a 2022. Métodos: Trata-se de um estudo descritivo e retrospectivo, do tipo série temporal, baseado em dados secundários. Foram consultados os dados públicos contidos no sistema de informações hospitalares do SUS, no período de 2012 a 2022. A população analisada foram pacientes obesos submetidos à cirurgia bariátrica. Resultados: No Paraná, com relação aos dados de procedimentos realizados no SUS, no período de 2012 a 2022, foram observadas 39.793 hospitalizações para a realização de cirurgias bariátricas. Dentre as cinco modalidades, houve predomínio da gastroplastia em Y de Roux, com 38.849 hospitalizações (97,6%), com menor taxa de mortalidade. Conclusão: A pesquisa ressalta uma notável variação nos custos, enfatizando a importância da avaliação econômica. A correlação entre obesidade e diabetes evidencia a complexidade da situação, justificando a superioridade do tratamento cirúrgico na remissão de comorbidades. O estudo mostra uma queda nas cirurgias bariátricas em 2020, coincidindo com a pandemia, e alerta para a maior vulnerabilidade de pacientes obesos ao SARS-CoV-2.