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COVID-19 大流行对巴西白内障手术的影响:一项回顾性研究。

Impact of the COVID-19 pandemic on cataract surgeries in Brazil: A retrospective study.

机构信息

Department of Ophthalmology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.

Department of Ophthalmology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.

出版信息

Clinics (Sao Paulo). 2024 May 15;79:100380. doi: 10.1016/j.clinsp.2024.100380. eCollection 2024.

Abstract

PURPOSE

This study aimed to describe the behavioral patterns of data on cataract surgery performed in the Brazilian public health system before, during, and after the COVID-19 outbreak and estimate the setbacks generated by the pandemic to guide public policies.

MATERIALS AND METHODS

This was an observational, longitudinal, and descriptive epidemiological study based on data retrieved from the public health system's databases of cataract surgeries performed each year and in each region from 2015 to 2022.

RESULT

In Brazil, compared with the average of the 5-years preceding the pandemic, a 23 % reduction in the number of cataract surgeries was observed in 2020, followed by a 21 % increase in 2021, compensating for the majority of patients that were not operated on. However, the worsening situation of blindness caused by cataracts due to the pandemic not be avoided in the Central-West region, where unrecovered cases continue to accumulate.

CONCLUSION

The COVID-19 pandemic did not worsen the situation of cataract blindness in Brazil due to the efficacy of the measures taken by the government in resuming elective surgeries. However, the auhtors recommend that the distribution of resources for cataract surgeries should consider regional discrepancies based on epidemiological data.

摘要

目的

本研究旨在描述巴西公共卫生系统中白内障手术数据在 COVID-19 爆发前后的行为模式,并评估大流行带来的挫折,以指导公共政策。

材料和方法

这是一项基于从 2015 年至 2022 年每年和每个地区白内障手术公共卫生系统数据库中检索到的数据进行的观察性、纵向和描述性流行病学研究。

结果

在巴西,与大流行前 5 年的平均值相比,2020 年白内障手术数量减少了 23%,随后 2021 年增加了 21%,弥补了大部分未接受手术的患者。然而,由于 COVID-19 大流行,白内障导致的失明状况在中西部地区仍在恶化,未恢复的病例仍在不断增加。

结论

由于政府采取有效措施恢复择期手术,COVID-19 大流行并未使巴西白内障失明状况恶化。然而,作者建议根据流行病学数据,考虑资源在白内障手术方面的区域差异分配。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d59/11126767/71cd30dc3055/gr1.jpg

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本文引用的文献

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