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Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System

Objective  To measure and document the clinical impact of the waiting time for surgical treatment of patients with spinal deformities in a quaternary center in Brazil. Methods  In total, 59 patients with spinal deformity waiting for surgery on our hospital's list were evaluated to observe the i...

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Autores principales: Bressan-Neto, Mario, Filezio, Marina Rosa, Ferri-de-Barros, Fabio, Defino, Helton Luiz Aparecido
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249059/
https://www.ncbi.nlm.nih.gov/pubmed/34239203
http://dx.doi.org/10.1055/s-0040-1721836
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author Bressan-Neto, Mario
Filezio, Marina Rosa
Ferri-de-Barros, Fabio
Defino, Helton Luiz Aparecido
author_facet Bressan-Neto, Mario
Filezio, Marina Rosa
Ferri-de-Barros, Fabio
Defino, Helton Luiz Aparecido
author_sort Bressan-Neto, Mario
collection PubMed
description Objective  To measure and document the clinical impact of the waiting time for surgical treatment of patients with spinal deformities in a quaternary center in Brazil. Methods  In total, 59 patients with spinal deformity waiting for surgery on our hospital's list were evaluated to observe the impact of the waiting time on the progression of the deformity. Patient evaluation was performed using the SRS-22r questionnaire for health-related quality of life (HRQL) and radiographic images to evaluate the deformity of the spine at the time the patients were included in the waiting list and at the most recent appointment. The radiographic parameters selected for comparison were: Cobb angle of the primary and secondary curves, coronal alignment, apical vertebral translation, pelvic obliquity, sagittal vertebral axis, kyphosis (T5-T12), and lordosis (L1-S1). Results  Low HRQL scores according to the SRS-22r questionnaire were observed in patients waiting for surgery. The radiographic parameters showed progression of the deformity on the initial evaluation when compared with the most recent follow-up evaluation. Conclusion  The patients waiting for surgical treatment of spinal deformities in our center showed relatively low HRQL scores and radiographic progression of the deformity.
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spelling pubmed-82490592021-07-07 Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System Bressan-Neto, Mario Filezio, Marina Rosa Ferri-de-Barros, Fabio Defino, Helton Luiz Aparecido Rev Bras Ortop (Sao Paulo) Objective  To measure and document the clinical impact of the waiting time for surgical treatment of patients with spinal deformities in a quaternary center in Brazil. Methods  In total, 59 patients with spinal deformity waiting for surgery on our hospital's list were evaluated to observe the impact of the waiting time on the progression of the deformity. Patient evaluation was performed using the SRS-22r questionnaire for health-related quality of life (HRQL) and radiographic images to evaluate the deformity of the spine at the time the patients were included in the waiting list and at the most recent appointment. The radiographic parameters selected for comparison were: Cobb angle of the primary and secondary curves, coronal alignment, apical vertebral translation, pelvic obliquity, sagittal vertebral axis, kyphosis (T5-T12), and lordosis (L1-S1). Results  Low HRQL scores according to the SRS-22r questionnaire were observed in patients waiting for surgery. The radiographic parameters showed progression of the deformity on the initial evaluation when compared with the most recent follow-up evaluation. Conclusion  The patients waiting for surgical treatment of spinal deformities in our center showed relatively low HRQL scores and radiographic progression of the deformity. Thieme Revinter Publicações Ltda. 2021-06 2021-03-31 /pmc/articles/PMC8249059/ /pubmed/34239203 http://dx.doi.org/10.1055/s-0040-1721836 Text en Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) 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 Bressan-Neto, Mario
Filezio, Marina Rosa
Ferri-de-Barros, Fabio
Defino, Helton Luiz Aparecido
Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System
title Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System
title_full Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System
title_fullStr Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System
title_full_unstemmed Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System
title_short Unmet Needs of Surgical Care for Children: A Case Study in the Brazilian Publicly-Financed Health System
title_sort unmet needs of surgical care for children: a case study in the brazilian publicly-financed health system
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249059/
https://www.ncbi.nlm.nih.gov/pubmed/34239203
http://dx.doi.org/10.1055/s-0040-1721836
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