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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)...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda
2019
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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. |
format | Online Article Text |
id | pubmed-6597419 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda |
record_format | MEDLINE/PubMed |
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
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title_full |
The Role of the Hand Surgeon in Microsurgery in Brazil
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title_fullStr |
The Role of the Hand Surgeon in Microsurgery in Brazil
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title_full_unstemmed |
The Role of the Hand Surgeon in Microsurgery in Brazil
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title_short |
The Role of the Hand Surgeon in Microsurgery in Brazil
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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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