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IMPLEMENTING LAPAROSCOPY IN BRAZIL'S NATIONAL PUBLIC HEALTH SYSTEM: THE BARIATRIC SURGEONS' POINT OF VIEW
BACKGROUND: Although Brazilian National Public Health System (BNPHS) has presented advances regarding the treatment for obesity in the last years, there is a repressed demand for bariatric surgeries in the country. Despite favorable evidences to laparoscopy, the BNPHS only performs this procedure vi...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Colégio Brasileiro de Cirurgia Digestiva
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743517/ https://www.ncbi.nlm.nih.gov/pubmed/25409964 http://dx.doi.org/10.1590/S0102-6720201400S100010 |
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author | SUSSENBACH, Samanta SILVA, Everton N PUFAL, Milene Amarante ROSSONI, Carina CASAGRANDE, Daniela Schaan PADOIN, Alexandre Vontobel MOTTIN, Cláudio Corá |
author_facet | SUSSENBACH, Samanta SILVA, Everton N PUFAL, Milene Amarante ROSSONI, Carina CASAGRANDE, Daniela Schaan PADOIN, Alexandre Vontobel MOTTIN, Cláudio Corá |
author_sort | SUSSENBACH, Samanta |
collection | PubMed |
description | BACKGROUND: Although Brazilian National Public Health System (BNPHS) has presented advances regarding the treatment for obesity in the last years, there is a repressed demand for bariatric surgeries in the country. Despite favorable evidences to laparoscopy, the BNPHS only performs this procedure via laparotomy. AIM: 1) Estimate whether bariatric surgeons would support the idea of incorporating laparoscopic surgery in the BNPHS; 2) If there would be an increase in the total number of surgeries performed; 3) As well as how BNPHS would redistribute both procedures. METHODS: A panel of bariatric surgeons was built. Two rounds to answer the structured Delphi questionnaire were performed. RESULTS: From the 45 bariatric surgeons recruited, 30 (66.7%) participated in the first round. For the second (the last) round, from the 30 surgeons who answered the first round, 22 (48.9%) answered the questionnaire. Considering the possibility that BNPHS incorporated laparoscopic surgery, 95% of surgeons were interested in performing it. Therefore, in case laparoscopic surgery was incorporated by the BNPHS there would be an average increase of 25% in the number of surgeries and they would be distributed as follows: 62.5% via laparoscopy and 37.5% via laparotomy. CONCLUSION: 1) There was a preference by laparoscopy; 2) would increase the number of operations compared to the current model in which only the laparotomy is available to users of the public system; and 3) the distribution in relation to the type of procedure would be 62.5% and 37.5% for laparoscopy laparotomy. |
format | Online Article Text |
id | pubmed-4743517 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Colégio Brasileiro de Cirurgia Digestiva |
record_format | MEDLINE/PubMed |
spelling | pubmed-47435172016-02-24 IMPLEMENTING LAPAROSCOPY IN BRAZIL'S NATIONAL PUBLIC HEALTH SYSTEM: THE BARIATRIC SURGEONS' POINT OF VIEW SUSSENBACH, Samanta SILVA, Everton N PUFAL, Milene Amarante ROSSONI, Carina CASAGRANDE, Daniela Schaan PADOIN, Alexandre Vontobel MOTTIN, Cláudio Corá Arq Bras Cir Dig Original Article BACKGROUND: Although Brazilian National Public Health System (BNPHS) has presented advances regarding the treatment for obesity in the last years, there is a repressed demand for bariatric surgeries in the country. Despite favorable evidences to laparoscopy, the BNPHS only performs this procedure via laparotomy. AIM: 1) Estimate whether bariatric surgeons would support the idea of incorporating laparoscopic surgery in the BNPHS; 2) If there would be an increase in the total number of surgeries performed; 3) As well as how BNPHS would redistribute both procedures. METHODS: A panel of bariatric surgeons was built. Two rounds to answer the structured Delphi questionnaire were performed. RESULTS: From the 45 bariatric surgeons recruited, 30 (66.7%) participated in the first round. For the second (the last) round, from the 30 surgeons who answered the first round, 22 (48.9%) answered the questionnaire. Considering the possibility that BNPHS incorporated laparoscopic surgery, 95% of surgeons were interested in performing it. Therefore, in case laparoscopic surgery was incorporated by the BNPHS there would be an average increase of 25% in the number of surgeries and they would be distributed as follows: 62.5% via laparoscopy and 37.5% via laparotomy. CONCLUSION: 1) There was a preference by laparoscopy; 2) would increase the number of operations compared to the current model in which only the laparotomy is available to users of the public system; and 3) the distribution in relation to the type of procedure would be 62.5% and 37.5% for laparoscopy laparotomy. Colégio Brasileiro de Cirurgia Digestiva 2014-12 /pmc/articles/PMC4743517/ /pubmed/25409964 http://dx.doi.org/10.1590/S0102-6720201400S100010 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article SUSSENBACH, Samanta SILVA, Everton N PUFAL, Milene Amarante ROSSONI, Carina CASAGRANDE, Daniela Schaan PADOIN, Alexandre Vontobel MOTTIN, Cláudio Corá IMPLEMENTING LAPAROSCOPY IN BRAZIL'S NATIONAL PUBLIC HEALTH SYSTEM: THE BARIATRIC SURGEONS' POINT OF VIEW |
title | IMPLEMENTING LAPAROSCOPY IN BRAZIL'S NATIONAL PUBLIC HEALTH SYSTEM: THE
BARIATRIC SURGEONS' POINT OF VIEW |
title_full | IMPLEMENTING LAPAROSCOPY IN BRAZIL'S NATIONAL PUBLIC HEALTH SYSTEM: THE
BARIATRIC SURGEONS' POINT OF VIEW |
title_fullStr | IMPLEMENTING LAPAROSCOPY IN BRAZIL'S NATIONAL PUBLIC HEALTH SYSTEM: THE
BARIATRIC SURGEONS' POINT OF VIEW |
title_full_unstemmed | IMPLEMENTING LAPAROSCOPY IN BRAZIL'S NATIONAL PUBLIC HEALTH SYSTEM: THE
BARIATRIC SURGEONS' POINT OF VIEW |
title_short | IMPLEMENTING LAPAROSCOPY IN BRAZIL'S NATIONAL PUBLIC HEALTH SYSTEM: THE
BARIATRIC SURGEONS' POINT OF VIEW |
title_sort | implementing laparoscopy in brazil's national public health system: the
bariatric surgeons' point of view |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743517/ https://www.ncbi.nlm.nih.gov/pubmed/25409964 http://dx.doi.org/10.1590/S0102-6720201400S100010 |
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