HAS THE COVID-19 PANDEMIC AFFECTED SURGICAL TREATMENT FOR CARPAL TUNNEL SYNDROME IN BRAZIL? A 10-YEAR EPIDEMIOLOGICAL ANALYSIS
DOI:
https://doi.org/10.51891/rease.v11i9.20606Keywords:
Carpal tunnel sýndrome. Decompression. Surgical. Health expenditures.Abstract
The objective of this study was to analyze the epidemiology and costs of surgical treatment for CTS in the Brazilian Unified Health System (SUS) between 2015 and 2024. This was a descriptive, population-based epidemiological study using DATASUS data for hospitalizations under code 0403020123. The volume of procedures, incidence per 100,000 population, average length of stay, and costs were analyzed. Related codes were also investigated to assess the total volume of surgeries for compressive neuropathies. Results: A total of 141,725 surgeries were performed. The national incidence rate doubled from 5.42 in 2015 to 11.70 in 2024, with a sharp decline in 2020. Profound regional disparities persist, with the rate in the South (28.32) being more than 14 times higher than that in the North (1.98) in 2024. Analysis of other codes suggests that the total volume of related procedures is much higher. Conclusion: The SUS has demonstrated resilience and capacity for expansion in the treatment of CTS, but access to the procedure has deepened regional inequalities. The actual volume of surgeries is drastically underestimated by official records, indicating a higher-than-apparent disease burden.
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Atribuição CC BY