Assessment of the progression of public investment in cataract surgery in Brazil

Main Article Content

Silvana ROSSI http://orcid.org/0000-0001-8575-2727 Amanda Latuffe Soares DAMIÃO http://orcid.org/0000-0002-3322-0320 Samuel Elias Marinho da COSTA http://orcid.org/0009-0000-8023-1877 Guilherme de Almeida HORTA http://orcid.org/0000-0002-5683-7681 Newton KARA-JUNIOR http://orcid.org/0000-0002-0857-6640

Abstract

Aim: This study aimed to evaluate the progression of public investments in cataract surgery in Brazil and its correlation with the growth of the elderly population and the gross domestic product (GDP) between 2010 and 2021.


Methods: This descritive, retrospective study analyzed data from public databases recording surgical procedures and the amounts invested per surgery to treat senile cataracts, performed per year and by region by the Unified Health System in 2010 and 2021.


Results: The number of cataract surgeries performed by Brazil’s public health system increased by 79.77%, from 356,088 in 2010 to 640,408 in 2021, while the population aged >60 years increased by 50.08%. The increase in the number of surgeries resulted from greater public investments in the area (an increase of 26.61% in corrected values), which was consistent with the increase in the GDP during the period (30.88% in corrected values).


Conclusions: The progression of public investments in cataract surgery from 2010 to 2021 was similar to the increase in GDP of Brazil. Moreover, the increase in the number of surgeries performed by the public health system offset the increase and aging of the population and also reduced the proportion of accumulated cases of cataract-related blindness. However, the improvement was not homogeneous, demonstrating the need to adopt public policies based on regional epidemiological evidence.

Keywords: Cataract surgery, Preventing blindness, Phacoemulsification, Extracapsular cataract extraction, Epidemiology, Public health service

Article Details

How to Cite
ROSSI, Silvana et al. Assessment of the progression of public investment in cataract surgery in Brazil. Medical Research Archives, [S.l.], v. 12, n. 2, feb. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5113>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.18103/mra.v12i2.5113.
Section
Research Articles

References

1. Kara-Júnior N, Dellapi R Jr, Espíndola RF. Difficulties in access to treatment for patients undergoing cataract surgery in public and private health systems. Arq Bras Oftalmol. 2011;7 4(5):323-325. doi:10.1590/s0004-2749 2011000500002.

2. Prokofyeva E, Wegener A, Zrenner E. Cataract prevalence and prevention in Europe: a literature review. Acta Ophthalmol. 2013 91(5):395-405. doi:10.1111/j.1755-3768 .2012.02444.x.

3. Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012;96(5):614-618. doi:10.1136/bjophthalmol-2011-300539.

4. Jonas JB, George R, Asokan R, et al. Prevalence and causes of vision loss in Central and South Asia: 1990-2010. Br J Ophthalmol. 2014;98(5):592-598. doi:10.1136/bjophthalmol-2013-303998.

5. Wong TY, Zheng Y, Jonas JB, et al. Prevalence and causes of vision loss in East Asia: 1990-2010. Br J Ophthalmol. 2014;98 (5):599-604. doi:10.1136/bjophthalmol-2013-304047.

6. Leasher JL, Lansingh V, Flaxman SR, et al. Prevalence and causes of vision loss in Latin America and the Caribbean: 1990-2010. Br J Ophthalmol. 2014; 98(5):619-628. doi:10.1136/bjophthalmol-2013-304013.

7. Keeffe J, Taylor HR, Fotis K, et al. Prevalence and causes of vision loss in Southeast Asia and Oceania: 1990-2010. Br J Ophthalmol. 2014;98(5):586-591. doi:10.1136/bjophthalmol-2013-304050.

8. Naidoo K, Gichuhi S, Basáñez MG, et al. Prevalence and causes of vision loss in sub-Saharan Africa: 1990-2010. Br J Ophthalmol. 2014;98(5):612-618. doi:10.1136/bjophthalmol-2013-304081.

9. Khairallah M, Kahloun R, Bourne R, et al. Number of people blind or visually impaired by cataract worldwide and in world regions, 1990 to 2010. Invest Ophthalmol Vis Sci. 2015;56(11):6762-6769. doi:10.1167/iovs.15-17201.

10. The Royal College of Ophthalmologists of London. Cataract Surgery Guidelines. Londres; 2001.

11. Congdon NG, Friedman DS, Lietman T. Important causes of visual impairment in the world today. JAMA. 2003;290(15):2057-2060. doi:10.1001/jama.290.15.2057.

12. de Notícias A. Agência de Notícias – IBGE. Accessed May 5, 2023. http://agenciadenoticias.ibge.gov.br

13. IBGE. Portal do IBGE. IBGE. Ibge.gov.br. Published 2019. Accessed May 5, 2023. https://www.ibge.gov.br

14. World Health Organization (WHO). Universal Eye Health: A Global Action Plan 2014-2019. http://www.who

15. Common Wealth Fund. http://www.commonwealthfund.org › websites › default HEALTH SYSTEM OVERVIEW Brazil - Commonwealth Fund.

16. Agencia IBGE Noticias. PIB cresce 4,6% em 2021 e fecha o ano em R$ 8,7 trilhões. Published March 04, 2022. https://Agenciadenoticias.Ibge.Gov.Br/Agencia-Sala-De-Imprensa/2013-Agencia-De-Noticias/Releases/33067-Pib-Cresce-4-6-Em-2021-E-Fecha-O-Ano-Em-R-8-7-Trilhoes

17. FNS. Repasses Fundo a Fundo. https://painelms.saude.gov.br/extensions/Portal_FAF/Portal_FAF.html

18. IBGE. Portal do IBGE. IBGE. Published 2019. Ibge.gov.br. https://www.ibge.gov.br

19. Department of Informatics of the SUS. Outpatient production (SIA/SUS). Accessed June 20, 2022. https://datasus.saude.gov.br/acesso-a-informacao/producao-ambulatorial-sia-sus/

20. DATASUS. Ministério da Saúde. Accessed May 5 2023. http://www2.datasus.gov.br/DATASUS/APRESENTACAO/TABNET/Tutorial_tabNet_FINALout2014.pptx_html/html/index.html#17

21. Tabnet. DATASUS. Accessed May 5 2023.http://datasus.saude.gov.br/informacoes-de-saude/tabnet

22. DATASUS. http://www2.datasus.gov.br .http://www2.datasus.gov.br/DATASUS/index.php?area=0203

23. FNS. Nacional de Saúde F. https://portalfns.saude.gov.br/sobre-o-fns

24. Wang W, Yan W, Fotis K, et al. Cataract surgical rate and socioeconomics: a global study. Invest Ophthalmol Vis Sci. 2016;57(14): 5872-5881. doi:10.1167/iovs.16-19894.

25. Castro MC, Massuda A, Almeida G, et al. Brazil’s unified health system: the first 30 years and prospects for the future. Lancet. 2019;394 (10195):345-356. doi:10.1016/S0140-6736(19 )31243-7.

26. Kara-Junior N, Espindola RF. Evolução e viabilização de um centro cirúrgico ambulatorial para cirurgias de catarata em larga escala em um hospital universitário. Arq Bras Oftalmol. (impresso). 2010;73:494-496.

27. Kara-Junior N, Avakian A, Lower LMT, Rocha AM, Cursino M, Alves MR. Facoemulsificação versus extração manual do cristalino: análise de custos. Arq Bras Oftalmol. 2004;67:481.

28. Kara-Júnior N, Temporini ER, Kara-José N. Cataract surgery: expectations of patients assisted during a community project in São Paulo, state of São Paulo, Brazil. Rev Hosp Clin Fac Med Sao Paulo. State of São Paulo. 2001;56(6):163-168. doi:10.1590/s0041-8781 2001000600001.

29. Temporini ER, Kara N, Jose NK, Holzchuh N. Popular beliefs regarding the treatment of senile cataract. Rev Saude Publica. 2002;36(3) :343-349. doi:10.1590/s0034-891020020003 00014.