Universidade Federal do Pará (UFPA), Laboratório de Cirurgia Experimental, Belém, PA, Brasil,
Universidade do Estado do Pará (UEPA), Laboratório de Cirurgia Experimental, Belém, PA, Brasil.
Arch Endocrinol Metab. 2023 Mar 30;67(3):372-377. doi: 10.20945/2359-3997000000590.
To describe the distribution profile of thyroidectomies in Brazil from 2010 to 2020 from a macro-regional perspective.
This is a retrospective, detailed and descriptive study built on secondary data obtained from the Hospital Information System of the Unified Health System (SIH/SUS). We organized the data in tables and grouped them according to the federative unit, macro-region, type of procedure, mortality rate, and year of performance. We performed statistical analysis using the χ test to assess the association between the variables, observing a P value of < 0.05 and a confidence interval of 95%.
From 2010 to 2020, 160 219 thyroidectomy surgeries were performed, of which 77 812 (48.56%) were total, 38 064 (23.76%) partial and 41 191 (25.70%) oncological. The Southeast was responsible for the largest share of procedures, with 70 745 (44.15%), followed by the Northeast with 43 887 (27.39%). In 2020, the procedure was less performed, with 9226 (5.75%) surgeries. The total mortality rate was 0.16% during the study period.
We found that thyroidectomies are carried out mainly in the Southeastern, Northeastern, and Southern regions, and showed a downward trend in 2020, which may be related to the COVID-19 pandemic. In addition, total thyroidectomy is the most performed surgery, and the Northern region had the highest mortality rate.
从大区角度描述 2010 年至 2020 年巴西甲状腺切除术的分布情况。
这是一项回顾性、详细和描述性研究，基于从统一卫生系统医院信息系统（SIH/SUS）获得的二级数据。我们将数据制成表格，并根据联邦单位、大区、手术类型、死亡率和手术年份进行分组。我们使用卡方检验进行统计分析，以评估变量之间的相关性，观察 P 值<0.05 和置信区间为 95%。
2010 年至 2020 年，共进行了 160219 例甲状腺切除术，其中全甲状腺切除术 77812 例（48.56%）、部分甲状腺切除术 38064 例（23.76%）和肿瘤切除术 41191 例（25.70%）。东南地区负责的手术量最大，为 70745 例（44.15%），其次是东北地区，为 43887 例（27.39%）。2020 年，手术量较少，为 9226 例（5.75%）。研究期间总死亡率为 0.16%。
我们发现甲状腺切除术主要在东南部、东北部和南部地区进行，并在 2020 年呈下降趋势，这可能与 COVID-19 大流行有关。此外，全甲状腺切除术是最常见的手术，北部地区死亡率最高。
