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Social costs of two cataract surgical techniques in Brazil

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Resumo:OBJECTIVE: To compare postoperative social costs of two cataract surgical techniques, phacoemulsification (PHACO) and extracapsular extraction (ECCE). METHODS: Prospective randomized intervention study including 205 patients, of which 101 underwent PHACO and 104 ECCE in the public service, in the city of São Paulo, Southeastern Brazil, in 2002. The socioeconomic impact of these surgical procedures was assessed based on postoperative costs for patients, employers and social security. Comparisons between the two groups studied were performed using the chi-square test or Mann-Whitney test, when appropriate. A 5% significance level was set. RESULTS: Hospital and eyeglasses costs for PHACO were lower than for ECCE patients, with a mean difference of US$ 16.74. Costs to employers related to medical leave for the first 15 days of absence and costs of caregivers in the form of absence from work to attend postoperative follow-up visits were on average US$ 0.18 lower in PHACO compared to ECCE group. The estimated Social Security expenditure per patient undergoing surgery was US$ 6.57 and US$ 51.15 in PHACO and ECCE groups, respectively. CONCLUSIONS: The average saving with PHACO compared to ECCE technique was US$ 61.50 for employers, patients, caregivers and Social Security.
Autores principais:Kara-Junior, Newton
Outros Autores:Parede, Tais Renata Ribeira; Santhiago, Marcony Rodrigues; Espindola, Rodrigo França; Mazurek, Maysa Godoy Gomes; Carvalho, Regina de Souza
Assunto:Catarata Extração de Catarata Procedimentos Cirúrgicos Oftalmológicos^i1^sreabilita Gastos em Saúde Custos de Saúde para o Empregador Previdência Social Custos e Análise de Custo Catarata Extracción de Catarata Procedimientos Quirúrgicos Oftalmológicos^i3^srehabilitac Gastos en Salud Costos de Salud para el Patrón Seguridad Social Costos y Análisis de Costo Cataract Cataract Extraction Ophthalmologic Surgical Procedures^i2^srehabilitat Health Expenditures Employer Health Costs Social Security Costs and Cost Analysis
Ano:2010
País:Brasil
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:IBICT
Idioma:português
Origem:Oasisbr

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