Trends in treatment of anterior cruciate ligament injuries of the knee in the public and private healthcare systems of Brazil

CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN...

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Detalles Bibliográficos
Autores: Astur, Diego Costa, Batista, Rodrigo Ferreira, Arliani, Gustavo Goncalves, Cohen, Moises [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/7503
Acceso en línea:http://dx.doi.org/10.1590/1516-3180.2013.1314498
http://repositorio.unifesp.br/handle/11600/7503
Access Level:acceso abierto
Palabra clave:Anterior cruciate ligament
Surgical procedures, operative
Anterior cruciate ligament reconstruction
Delivery of health care
Healthcare disparities
Ligamento cruzado anterior
Procedimentos cirurgicos operatorios
Reconstrucao do ligamento cruzado anterior
Assistencia a saude
Disparidades em assistencia a saude
Descripción
Sumario:CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.