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Obesity Surgery

, Volume 27, Issue 3, pp 641–648 | Cite as

Spending on Bariatric Surgery in the Unified Health System from 2010 to 2014: a Study Based on the Specialist Hospitals Authorized by the Ministry of Health

  • Danielly Batista Xavier
  • Walter Massa Ramalho
  • Everton Nunes da SilvaEmail author
Original Contributions

Abstract

Background

The aim of this study is to analyze the production of 76 specialist hospitals for the morbidly obese in Brazil’s public healthcare system (SUS) from 2010 to 2014 in terms of quantity and costs of bariatric surgery and its complications.

Methods

Secondary data from the SUS Hospital Information System and the National Healthcare Establishments Registry were used. Current spending on bariatric surgery and its medical and postoperative complications were analyzed.

Results

There was a 60 % rise in the number of surgeries between 2010 and 2014. This increase was not homogeneous among the hospitals studied, since only 19 performed the minimum number of surgeries required. Women accounted for 85 % of the surgeries carried out, and 32 % were aged between 35 and 44 years. The Roux-en-Y technique was the most widely used (93.7 % of the total), followed by sleeve gastrectomy. The ratio between the occurrence of medical complications and total number of surgeries performed in each hospital varied significantly (between 0 and 5.97 %) but was lower for postoperative complications, ranging from 0 to 1.7 %. There was a nominal increase of 44 % in average expenditure on postoperative complications between 2013 and 2014, while the average cost of medical complications decreased by 8.7 % in the same period.

Conclusions

Despite the rise in the number of bariatric surgeries in Brazil, there is still a high demand for surgeries that is not being met, while most specialist hospitals fail to perform the minimum number of surgeries stipulated by the Ministry of Health.

Keywords

Health economics Bariatric surgery Postoperative complications Cost analysis Public health 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors. For this type of study, formal consent is not required.

Informed Consent

Does not apply.

Supplementary material

11695_2016_2327_MOESM1_ESM.docx (20 kb)
ESM 1 (DOCX 20.0 kb)

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Danielly Batista Xavier
    • 1
  • Walter Massa Ramalho
    • 1
  • Everton Nunes da Silva
    • 1
    • 2
    Email author
  1. 1.University of BrasiliaBrasiliaBrazil
  2. 2.Centro MetropolitanoBrasíliaBrazil

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