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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(01): 019-022
DOI: 10.1055/s-0042-1750829
Revisão Sistemática e Metanálise
Ombro e Cotovelo

Impacts of the Delayed Surgical Correction of Adolescent Idiopathic Scoliosis and its Repercussions for the Brazilian Unified Health System: Systematic Review Protocol

Article in several languages: português | English
Mariana Demétrio de Sousa Pontes 
1   Departamento de Ortopedia, Divisão de Ortopedia Pediátrica, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
5   Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
,
Thabata Pasquini Soeira 
2   Departamento de Fisioterapia, Divisão de Fisioterapia Neurofuncional, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
5   Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
,
Mariangela Louzada Sampaio 
3   Departamento de Fisioterapia, Universidade de Ribeirão Preto (UNAERP), Ribeirão Preto, São Paulo, Brasil
,
Carlos Fernando Pereira da Silva Herrero 
4   Departamento de Ortopedia, Divisão de Cirurgia da Coluna, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto, Ribeirão Preto, SP, Brasil
5   Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
› Author Affiliations Financial Support This project received a grant from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), process number 442639/2019–8. CNPq/MS/SCTIE/Decit Call number 27/2019–Research to strengthen the objectives and guidelines of the Care Network for People with Disabilities within the Brazilian Unified Health System (SUS). Thematic line 3: Assessment of the health status of people with adolescent idiopathic scoliosis (AIS) and its repercussions for SUS.
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Abstract

Surgical correction is an effective treatment for adolescent idiopathic scoliosis (AIS) with deformities over 45°. In the Brazilian Unified Health System (SUS, Sistema Único de Saúde), if the surgical procedure is indicated, the patients are placed on a waiting list and wait until the treatment can be performed. An extended waiting period can be harmful due to worsening symptoms and increased treatment costs. Additionally, it has negative effects on the mental health and quality of life of these patients. This paper is a systematic review protocol to answer the following question: “What is the impact of the delayed surgical correction of AIS considering costs and quality of life?” Collecting health status information is the first step to improve high complex public health actions. Future publications from this protocol may serve as a subsidy to point out potential priority criteria to enhance the global health of AIS patients and the management of Brazilian public health financial resources.

Keywords

scoliosis - waiting lists - spine - adolescent health - Unified Health System - systematic review

Authors Contribution

MDSP: data acquisition, analysis, and interpretation; manuscript preparation.

TPS: data acquisition, analysis, and interpretation.

MLS: data acquisition.

CFPSH: study conception, design, and review


Work developed at Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.




Publication History

Received: 06 October 2021

Accepted: 12 May 2022

Article published online:
27 June 2022

© 2022. 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/)

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