Geographic Analysis of Congenital Cataract Surgeries Performed by SUS in Brazil: Understanding Regional Variations

COMPREENDENDO AS VARIAÇÕES REGIONAIS

Authors

  • Lauany Évellin Pires da Silva Faculdade ZARNS Itumbiara
  • Carolina Oliveira de Ávila Faculdade ZARNS
  • Patrícia Roberta dos Santos Faculdade ZARNS
  • Cássio Emílio Moura Duarte Faculdade ZARNS
  • Débora Vieira Faculdade ZARNS

DOI:

https://doi.org/10.53843/bms.v9i13.718

Keywords:

catarata congênita, Cirurgia, Saúde pública

Abstract

INTRODUCTION: Congenital cataract, characterized by opacification of the lens from birth, is one of the main causes of visual impairment in children globally. Early intervention is crucial to prevent complications in visual development.  METHODS: This study analyzed the number of congenital cataract surgeries performed in Brazil between 2013 and September 2023, using data from DATASUS.  RESULTS: There were wide heterogeneity in the number of procedures performed in different regions of the country.The Southeast was the leading region in terms of number (873 surgeries), followed by the North (406), Northeast (459), Midwest (136) and South (131).  DISCUSSION: The Southeast, due to its population density and access to specialized professionals, leads in the number of procedures. The North and Northeast require further assistance and preventive measures. On the other hand, the South and Midwest had lower numbers of surgeries, which may indicate a reduced incidence of the condition or less use of the SUS for this service. CONCLUSION: The study reveals disparities in congenital cataract surgeries. The Southeast leads in procedures, while the North and Northeast face access challenges. The South and Midwest have lower demand, due to factors such as lower incidence or use of the private network.  In order to better understand these differences and optimize the allocation of resources, it is advisable to carry out more in-depth studies and improve the information on ophthalmology in DATASUS.

Metrics

Metrics Loading ...

References

Grzybowski A. Recent developments in cataract surgery. Annals of Translational Medicine. 2020 Nov;8(22):1540–0. DOI: https://doi.org/10.21037/atm-2020-rcs-16

Hejtmancik JF. Congenital cataracts and their molecular genetics. Semin Cell Dev Biol. 2008 Apr;19(2):134-49. doi: 10.1016/j.semcdb.2007.10.003. Epub 2007 Oct 10. PMID: 18035564; PMCID: PMC2288487. DOI: https://doi.org/10.1016/j.semcdb.2007.10.003

Shiels A, Hejtmancik JF. Mutations and mechanisms in congenital and age-related cataracts. Exp Eye Res. 2017 Mar;156:95-102. doi: 10.1016/j.exer.2016.06.011. Epub 2016 Jun 19. PMID: 27334249; PMCID: PMC5538314. DOI: https://doi.org/10.1016/j.exer.2016.06.011

Lam M, Suh D. Screening, Diagnosis, and Treatment of Pediatric Ocular Diseases. Children. 2022 Dec 10;9(12):1939. DOI: https://doi.org/10.3390/children9121939

Graw J. Genetics of cataract. In: Lloyd IC, Lambert SR. Congenital Cataract: A Concise Guide to Diagnosis and Management. Springer, 2009.

Lorenzetti DWC, Uotila MH, Parikh N, Kaufman HE. Central Cornea Guttata: Incidence in the General Population. American Journal of Ophthalmology. 1967 Oct 1;64(6):1155–8. DOI: https://doi.org/10.1016/0002-9394(67)93073-5

Lenhart PD, Lambert SR. Current management of infantile cataracts. Surv Ophthalmol. 2022 Sep-Oct;67(5):1476-1505. doi: 10.1016/j.survophthal.2022.03.005. Epub 2022 Mar 17. PMID: 35307324; PMCID: PMC10199332. DOI: https://doi.org/10.1016/j.survophthal.2022.03.005

Chang DF, Steinert RF. Cataract surgery. Philadelphia: Saunders/Elsevier; 2010.

Kara Jose N, Barbosa E, Fonseca-Neto JC, Oura MH, Martins WH. Consideracoes sobre aspectos sociais do atendimento clinico e cirurgico de pacientes portadores de catarata senil. Arq. Brasileiros De Oftalmologia. 1982 Jan 1;45(4):115–8.

Chang MA, Congdon NG, Baker SK, Bloem MW, Savage H, Sommer A. The surgical management of cataract: barriers, best practices and outcomes. International Ophthalmology. 2007 Aug 22;28(4):247–60. DOI: https://doi.org/10.1007/s10792-007-9121-2

Foster A, Gilbert C, Rahi J. Epidemiology of cataract in childhood: a global perspective.J Cataract Refract Surg. 1997;23 Suppl 1:601-4. Review. DOI: https://doi.org/10.1016/S0886-3350(97)80040-5

Eriksen JR, Bronsard A, Mosha M, Carmichael D, Hall A, Courtright P. Preditores de mau acompanhamento em crianças submetidas à cirurgia de catarata. Epidemiol Oftalmológico. 2006;13(4):237-43. DOI: https://doi.org/10.1080/09286580600672213

Santana A, Waiswo M. The genetic and molecular basis of congenital cataract. Arquivos Brasileiros de Oftalmologia. 2011 Apr;74(2):136–42. DOI: https://doi.org/10.1590/S0004-27492011000200016

Haargaard B, Wohlfahrt J, Rosenberg T, Fledelius HC, Melbye M. Risk Factors for Idiopathic Congenital/Infantile Cataract. Investigative Opthalmology & Visual Science. 2005 Sep 1;46(9):3067. DOI: https://doi.org/10.1167/iovs.04-0979

Fernandes AG, Ferraz AN, Lemos RDS, Watanabe SES, Berezovsky A, Salomão SR. Trends in cataract surgical treatment within the Brazilian national public health system over a 20-year period: Implications for Universal Eye Health as a global public health goal. PLOS Glob Public Health. 2022 Jun 9;2(6):e0000328. doi: 10.1371/journal.pgph.0000328. DOI: https://doi.org/10.1371/journal.pgph.0000328

Rahi JS. Catarata congênita e infantil. In: Wormald R, Smeeth L, Henshaw K, editores. Oftalmologia baseada em evidências. Londres: Blackwell BMJ Books; 2003. pág. 47-51.

Borges MA. Panorama clínico-epidemiológico dos pacientes com catarata pediátrica no Brasil: uma revisão sistemática. [undergraduate thesis]. Bahia: Escola Bahiana de Medicina e Saúde Pública. 2022.

Published

25.08.2024

How to Cite

1.
Pires da Silva L Évellin, Oliveira de Ávila C, Roberta dos Santos P, Moura Duarte CE, Vieira D. Geographic Analysis of Congenital Cataract Surgeries Performed by SUS in Brazil: Understanding Regional Variations: COMPREENDENDO AS VARIAÇÕES REGIONAIS. BMS [Internet]. 2024 Aug. 25 [cited 2024 Nov. 21];9(13). Available from: https://bms.ifmsabrazil.org/index.php/bms/article/view/718