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Previous issue date: 2017-03-10 / Introduction: The prevalence of obesity has tripled in the last four decades in
the world, from 4.8% in 1975 to 12.8% in 2014. In Brazil, there was an increase of
6.3% in the prevalence of obesity from 2006 to 2014. The Brazilian Unified Health
System had an annual cost of US$ 2.1 billion with outpatient procedures and
hospitalizations. Ten percent of this cost was exclusively spent to treat obesity. The
aim of this study was to compare the costs of medical and surgical treatment of severe
obesity at centers of excellence for the treatment of obesity funded by the Brazilian
Unified Health System. We also intended to estimate the direct and indirect costs.
Methods: We conducted an observational, population-based, multicenter study
estimating the costs and loss of productivity during 12 months related to obese patients
treated at public centers of excellence for obesity.
Results: Our sample included 274 patients, 140 patients were allocated to the
surgical group and 134 patients were in medical group, with a female predominance in
both groups. The surgical group had a higher morbidity rate than the medical group.
The surgical group had a lower direct cost (Int$ 1,671.38 vs. Int$ 1,763.71). Three
years after the surgery, the indirect cost of medical treatment was higher than the
surgical treatment.
Conclusion: This study showed that the total costs were higher in the surgical
group in the first 2 years after surgery; however, from the third year on there was a
significant decrease in costs, reaching lower costs than the medical group.
Around 80% of the population studied in the female gender, which reflects a worldwide
reality of gender distribution. Indirect costs, which reflect obesity impacts on the labor
market, accounted for around 20% of total costs. / Introdu??o: A preval?ncia de obesidade triplicou nas ?ltimas quatro d?cadas
em termos mundiais, passando de 4,8% em 1975 para 12,8% em 2014. No Brasil
houve um incremento de 6,3% na preval?ncia de obesidade de 2006 para 2014. O
sistema p?blico de sa?de brasileiro demonstrou um custo anual com procedimentos
ambulatoriais e hospitaliza??es de US$2,1 bilh?es, dado que 10% seria a fra??o
atribu?vel exclusivamente ? obesidade. O objetivo do presente estudo foi comparar os
custos do tratamento cl?nico e cir?rgico da obesidade grave em centros de refer?ncia
para o tratamento da obesidade do Sistema ?nico de Sa?de Brasileiro e estimar os
custos diretos e indiretos.
M?todos: Estudo observacional, de base populacional, multic?ntrico, que
estimou a utiliza??o de recursos de sa?de e a perda de produtividade no per?odo de
12 meses de indiv?duos obesos em acompanhamento em centros de refer?ncia para
o tratamento da obesidade no SUS.
Resultados: Foi inclu?do um total de 274 pacientes, sendo 140 pacientes no
grupo cir?rgico e 134 pacientes no grupo cl?nico, com predom?nio do sexo feminino
em ambos os grupos. Mostrou-se que o grupo cir?rgico possui uma carga de
morbidade maior que o grupo cl?nico. O grupo cir?rgico apresentou um custo direto
menor (R$ 2.785,64 versus R$ 2.939,70). Ap?s o terceiro ano de p?s-operat?rio o
custo indireto do tratamento cl?nico j? ? superior ao tratamento cir?rgico.
Conclus?o: O presente estudo evidenciou que os custos totais foram maiores
no grupo cir?rgico nos primeiros 2 anos de p?s-operat?rio, por?m a partir do terceiro
ano houve uma diminui??o significativa, atingindo n?veis inferiores ao do grupo cl?nico.
Em torno de 80% da popula??o estudada ? do g?nero feminino, o que reflete a
realidade mundial da distribui??o de g?neros. Os custos indiretos, que refletem
impactos da obesidade no mercado de trabalho, representaram em torno de 20% dos
custos totais.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/7564 |
| Date | 10 March 2017 |
| Creators | Zubiaurre, Paula Rosales |
| Contributors | Mottin, Cl?udio Cor?, Bahia, Luciana Ribeiro |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, Brasil, Escola de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 500, 500, 500, -224747486637135387, -969369452308786627 |
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