Giordani Camila Biedler, Correa Mateus Picada, Borges Luiza Brum, Farias Vitória Cerbaro, Puton Renan Camargo, Saleh Jaber Nashat, Noel Rafael Stevan, Bajerski Julio Cesar
Universidade de Passo Fundo - UPF, Passo Fundo, RS, Brasil.
Instituto Vascular de Passo Fundo - Invasc, Passo Fundo, RS, Brasil.
J Vasc Bras. 2025 Jun 30;24:e20240160. doi: 10.1590/1677-5449.202401602. eCollection 2025.
Varicose disease is a common pathology among the population, with an incidence of about 38%. In Brazil, it affects 45% of women and 30% of men. Currently, endovenous thermal ablation (EVTA) of the saphenous vein is the method of choice in the treatment of varicose veins. As a minimally invasive procedure that promotes quick recovery and does not require hospitalization, it can be performed on an outpatient basis.
To evaluate the safety and cost-benefit of outpatient varicose vein treatment in a clinic compared to the same procedure performed in a hospital environment.
A uncontrolled retrospective transversal study of case series evaluated a random group of 50 patients undergoing EVTA for the treatment of varicose disease by the same group of vascular surgeons. Twenty-five underwent the procedure in a tertiary hospital environment and 25 on an outpatient basis. The average costs of room fees and materials from both groups were analyzed and statistically compared with the Student's t-test. Intraoperative and postoperative complications were assessed.
The average hospital cost of the procedure was R$ 1391.99 (± 280.8) in the hospital and R$ 1593.40 (± 99.53) in the clinic. The Student's t-test showed a significant difference with p=0.02. No patient had complications either intraoperatively or postoperatively.
Outpatient surgery, despite having a statistically higher cost than hospital surgery in Brazil, is safe and has a positive cost-benefit for the patient.
静脉曲张疾病在人群中是一种常见病症，发病率约为38%。在巴西，它影响45%的女性和30%的男性。目前，大隐静脉腔内热消融术（EVTA）是治疗静脉曲张的首选方法。作为一种微创手术，它能促进快速康复且无需住院，可在门诊进行。
评估在诊所进行门诊静脉曲张治疗与在医院环境中进行相同手术相比的安全性和成本效益。
一项对病例系列的非对照回顾性横断面研究评估了由同一组血管外科医生为治疗静脉曲张疾病而进行EVTA的50例随机患者。25例在三级医院环境中进行手术，25例在门诊进行。分析两组的病房费用和材料的平均成本，并采用学生t检验进行统计学比较。评估术中及术后并发症。
该手术在医院的平均费用为1391.99雷亚尔（±280.8），在诊所为1593.40雷亚尔（±99.53）。学生t检验显示差异有统计学意义，p = 0.02。没有患者在术中或术后出现并发症。
在巴西，门诊手术尽管在统计学上比医院手术成本更高，但对患者来说是安全的且具有积极的成本效益。
