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The Role of the Hand Surgeon in Microsurgery in Brazil

Objective  This study evaluates the conditions for microvascular procedures found by hand surgeons in Brazilian clinical practices. Methodology  A prospective, observational, and analytical primary clinical research conducted during the 37 (th) Brazilian Congress of Hand Surgery, from March 30 (th)...

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Autores principales: Endo, Rosana Raquel, Fernandes, Carlos Henrique, Fernandes, Marcela, Santos, Joao Baptista Gomes dos, Angelini, Luiz Carlos, Nakachima, Luis Renato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597419/
https://www.ncbi.nlm.nih.gov/pubmed/31363286
http://dx.doi.org/10.1055/s-0039-1692433
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author Endo, Rosana Raquel
Fernandes, Carlos Henrique
Fernandes, Marcela
Santos, Joao Baptista Gomes dos
Angelini, Luiz Carlos
Nakachima, Luis Renato
author_facet Endo, Rosana Raquel
Fernandes, Carlos Henrique
Fernandes, Marcela
Santos, Joao Baptista Gomes dos
Angelini, Luiz Carlos
Nakachima, Luis Renato
author_sort Endo, Rosana Raquel
collection PubMed
description Objective  This study evaluates the conditions for microvascular procedures found by hand surgeons in Brazilian clinical practices. Methodology  A prospective, observational, and analytical primary clinical research conducted during the 37 (th) Brazilian Congress of Hand Surgery, from March 30 (th) to April 1 (st) , 2017, in Belo Horizonte, in which physicians answered 12 closed, objective, multiple-choice questions regarding their geographic region, type of institution (public or private), microsurgical training, time of experience, technical conditions, the availability of a standby team for emergencies and compensation. Results  The study analyzed 143 hand surgeons; among them, 65.7% participants were based at the Southeast region, 13.3% in the Northeast region, 11.9% in the South region, 6.3% in the Central-West region and 2.8% in the North region. Regarding the time of experience, 43.4% of the hand surgeons had less than 5 years, 16.8% had 5 to 10 years, 23.8% 10 to 20 years, and 23% had more than 20 years of practice in microvascular surgery. Seven percent of the surgeons had no training in microvascular surgery; for 63.6%, training occurred during medical residency, whereas 30.8% were trained in another institution, and 7.7% in another country. Among these surgeons, 76.9% worked at both private and public hospitals, 14.7% at private hospitals and 5.6% at public hospitals. Regarding compensation, 1.8% of the surgeons considered it adequate, and 98.2%, inadequate in public hospitals, whereas 5.0% considered it adequate, and 95.0%, inadequate in private hospitals. Conclusion  This research shows that most surgeons were trained in microsurgery, had never performed reattachments, and considered that compensation is inadequate; moreover, standby teams were not available. There are few, unevenly distributed hand surgeons with microsurgical ability in emergency settings, and their compensation is low.
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spelling pubmed-65974192019-07-29 The Role of the Hand Surgeon in Microsurgery in Brazil Endo, Rosana Raquel Fernandes, Carlos Henrique Fernandes, Marcela Santos, Joao Baptista Gomes dos Angelini, Luiz Carlos Nakachima, Luis Renato Rev Bras Ortop (Sao Paulo) Objective  This study evaluates the conditions for microvascular procedures found by hand surgeons in Brazilian clinical practices. Methodology  A prospective, observational, and analytical primary clinical research conducted during the 37 (th) Brazilian Congress of Hand Surgery, from March 30 (th) to April 1 (st) , 2017, in Belo Horizonte, in which physicians answered 12 closed, objective, multiple-choice questions regarding their geographic region, type of institution (public or private), microsurgical training, time of experience, technical conditions, the availability of a standby team for emergencies and compensation. Results  The study analyzed 143 hand surgeons; among them, 65.7% participants were based at the Southeast region, 13.3% in the Northeast region, 11.9% in the South region, 6.3% in the Central-West region and 2.8% in the North region. Regarding the time of experience, 43.4% of the hand surgeons had less than 5 years, 16.8% had 5 to 10 years, 23.8% 10 to 20 years, and 23% had more than 20 years of practice in microvascular surgery. Seven percent of the surgeons had no training in microvascular surgery; for 63.6%, training occurred during medical residency, whereas 30.8% were trained in another institution, and 7.7% in another country. Among these surgeons, 76.9% worked at both private and public hospitals, 14.7% at private hospitals and 5.6% at public hospitals. Regarding compensation, 1.8% of the surgeons considered it adequate, and 98.2%, inadequate in public hospitals, whereas 5.0% considered it adequate, and 95.0%, inadequate in private hospitals. Conclusion  This research shows that most surgeons were trained in microsurgery, had never performed reattachments, and considered that compensation is inadequate; moreover, standby teams were not available. There are few, unevenly distributed hand surgeons with microsurgical ability in emergency settings, and their compensation is low. Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda 2019-05 2019-06-27 /pmc/articles/PMC6597419/ /pubmed/31363286 http://dx.doi.org/10.1055/s-0039-1692433 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Endo, Rosana Raquel
Fernandes, Carlos Henrique
Fernandes, Marcela
Santos, Joao Baptista Gomes dos
Angelini, Luiz Carlos
Nakachima, Luis Renato
The Role of the Hand Surgeon in Microsurgery in Brazil
title The Role of the Hand Surgeon in Microsurgery in Brazil
title_full The Role of the Hand Surgeon in Microsurgery in Brazil
title_fullStr The Role of the Hand Surgeon in Microsurgery in Brazil
title_full_unstemmed The Role of the Hand Surgeon in Microsurgery in Brazil
title_short The Role of the Hand Surgeon in Microsurgery in Brazil
title_sort role of the hand surgeon in microsurgery in brazil
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597419/
https://www.ncbi.nlm.nih.gov/pubmed/31363286
http://dx.doi.org/10.1055/s-0039-1692433
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