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. 2024 Aug 23:58:e20240039.
doi: 10.1590/1980-220X-REEUSP-2024-0039en. eCollection 2024.

Transplant management in Brazil: a temporal analysis of financial investments and procedures

[Article in English, Portuguese]
Mercy da Costa Souza  1 , Marcos Antonio Ferreira Júnior  2 , Carolina Mariano Pompeo  2 , Felipe Machado Mota  2 , Elenir Rose Jardim Cury  1
Affiliations

Transplant management in Brazil: a temporal analysis of financial investments and procedures

[Article in English, Portuguese]
Mercy da Costa Souza et al. Rev Esc Enferm USP. .

Abstract
in English, Spanish

Objective: To analyze public management actions regarding organ, cell, and tissue transplant procedures and their financial investments in Brazil.

Method: Mixed (time and place) ecological study, carried out based on data from the Hospital Information System of the Brazilian Public Health System (SUS) Information Technology Department and the National Transplant System, from 2001 to 2023. Temporal trend analyses, descriptive and inferential statistics were performed.

Results: Organ, cell, and tissue transplants are concentrated in the Southeast region of the country, with increased costs there. The Northeast and South regions of Brazil have the longest waiting list, with an increasing trend (R2 = 0.96), associated with a decreasing trend in the number of transplants (R2 = 0.97).

Conclusion: The difference in the total number of transplants and procedures performed among the Brazilian regions represents the need for organization and investments with strategies aimed at training professionals and raising awareness among the population.

Objetivo:: Analizar acciones de gestión pública en materia de inversiones financieras y procedimientos de trasplante de órganos, células y tejidos en Brasil.

Método:: Estudio ecológico mixto (tiempo y lugar), realizado con datos del Sistema de Información Hospitalaria del Sistema Público Brasileño de Salud (SUS), del Departamento de Informática del SUS y del Sistema Nacional de Trasplantes, de 2001 a 2023. Se realizaron análisis de tendencias temporales, estadística descriptiva e inferencial.

Resultados:: Los trasplantes de órganos, células y tejidos se concentran en la región Sudeste del país, donde los costos aumentan. Las regiones Nordeste y Sur de Brasil tienen la lista de espera más larga, con tendencia creciente (R2 = 0,96), asociada a una tendencia decreciente en el número de trasplantes (R2 = 0,97).

Conclusión:: La diferencia en el número total de trasplantes y procedimientos realizados entre regiones de Brasil representa la necesidad de organización e inversiones con estrategias orientadas a la formación de profesionales y la sensibilización de la población.

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Figures

Figure 1
Figure 1. Time trend curve and moving average of the waiting list for transplants from 2008 to 2021, number of transplants and number of transplants per million population (solid organs and corneas), number of potential donors and actual donors from 2001 to 2021 – Campo Grande, MS, Brazil, 2024.
Figure 2
Figure 2. Demographic characterization of data related to solid organ and cornea transplantation by region of the country between 2008 and 2023 – Campo Grande, MS, Brazil, 2024.
Figure 3
Figure 3. Comparison of subgroups of procedures related to transplantation by hospitalization, costs, and days of stay in the five regions of the country between the years 2008 and 2023 – Campo Grande, MS, Brazil, 2024.
Figura 1
Figura 1. Curva de tendência temporal e média móvel da fila de espera por transplantes de 2008 a 2021, número de transplantes e número de transplantes por milhão de população (órgãos sólidos e córneas), número de potenciais doadores e doadores efetivos de 2001 a 2021 – Campo Grande, MS, Brasil, 2024.
Figura 2
Figura 2. Caracterização demográfica dos dados relacionados ao transplante de órgãos sólidos e córneas por região do país entre os anos de 2008 a 2023 – Campo Grande, MS, Brasil, 2024.
Figura 3
Figura 3. Comparação dos subgrupos de procedimentos relacionados ao transplante por internação, custos e dias de permanência nas cinco regiões do país entre os anos de 2008 a 2023 – Campo Grande, MS, Brasil, 2024.
See this image and copyright information in PMC

References

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