Epidemiology and Estimated Cost of Microsurgical Treatment of Peripheral Nerve Tumor Conducted by the Brazilian Unified Health Care System (2008–2016)

Abstract

Introduction Primary nerve tumors correspond to ∼ 5% of the soft tissue neoplasms affecting the upper limbs, with benign lesions being more frequent than malignant lesions.

Objective To describe the epidemiological data of the microsurgical treatment of peripheral nerve tumors performed by the Brazilian Unified Health System (SUS, in the Portuguese acronym), with the code 0403020131, from 2008 to 2016, regarding the number of annual procedures, hospital and professional expenses, the average duration of hospital stay, and the number of deaths.

Methods This is a descriptive epidemiological study whose data were obtained by consulting the database provided by the Health Informatics Department of the Brazilian Ministry of Health (DATASUS, in the Portuguese acronym).

Results/Discussion A total of 6,012 procedures were performed during the period studied, with an average of 688 procedures per year. The average hospital stay was of 2.13 days. There was no mortality rate. The average annual cost of the professional was BRL 50,091.45; and the average hospital expenses were BRL111,887.94.

Conclusion The microsurgical treatment of peripheral nerve tumors is a safe surgical procedure with zero mortality rate and short hospital stay. There was no national data on tumors of this nature in the medical literature.

Resumo

Introdução Os tumores primários de nervos periféricos correspondem a ∼5% dos tumores de tecidos moles dos membros superiores, dentre os quais os de natureza benigna são os mais frequentemente encontrados.

Objetivo Descrever os dados epidemiológicos do tratamento microcirúrgico de tumores de nervos periféricos realizados pelo Sistema Único de Saúde (SUS), código 04.03.02.01-31, de 2008 a 2016, referente ao número de procedimentos anuais, às despesas hospitalares e profissionais, ao tempo de internação e ao número de óbitos.

Métodos Trata-se de um estudo epidemiológico descritivo cujos dados foram obtidos através do Departamento de Informática do Ministério da Saúde do Brasil (DATASUS).

Resultados/Discussão Um total de 6.012 procedimentos foram realizados durante o período estudado, com uma média de 688 procedimentos por ano. A permanência hospitalar média foi de 2,13 dias, com mortalidade nula durante o período do estudo. O custo médio anual com o profissional médico foi de R$ 50.091,45, e de R$ 111.887,94 com despesas hospitalares.

Conclusão O tratamento microcirúrgico dos tumores nervosos periféricos é um procedimento cirúrgico seguro. Trata-se de um procedimento com taxa de mortalidade nula e curta permanência hospitalar. Notou-se uma ausência de trabalhos nacionais com dados epidemiológicos sobre os tumores desta natureza.

Keywords

epidemiology - costs - peripheral tumor nerve - microsurgery - tumor-like lesions

Palavras-chave

epidemiologia - custos - tumor periférico - nervo - microcirurgia - lesões pseudotumorais

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