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      Cancelamento de cirurgias de catarata em um hospital público de referência Translated title: Cancellation of cataract surgery in a public hospital

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          Abstract

          OBJETIVO: Analisar a incidência e causas de cancelamento de cirurgias de catarata em um hospital público de referência. MÉTODOS: Trata-se de um estudo retrospectivo em que foram analisados o número de cancelamentos de facectomias durante o ano de 2009. Foram analisados sexo, idade, tipo de procedimento suspenso (facoemulsificação ou extração extracapsular do cristalino), tipo de anestesia, convênio (Sistema Único de Saúde ou convênio/particular) e motivo de suspensão da cirurgia (causas clínicas, institucionais ou pessoais). RESULTADOS: Foram agendadas no período 2.965 cirurgias de catarata, havendo 650 cancelamentos (21,92%). Dentre as principais razões para a suspensão do procedimento destacaram-se as causas clínicas (86,90%). Os meses de inverno apresentaram os maiores índices de suspensão de cirurgias de catarata. CONCLUSÃO: A taxa de cancelamento de cirurgia de catarata em serviços públicos parece ser a mesma que há 10 anos. A principal causa de suspensão deve-se por condições clínicas (hipertensão, diabetes, falta de exames, etc.).

          Translated abstract

          PURPOSE: To report the incidence and causes of cataract surgery cancellations in a public hospital. METHODS: This is a retrospective study, which examined the number of cancellations of cataract surgery during 2009. We analyzed the type of procedure suspended (phacoemulsification or extracapsular extraction), type of anesthesia, gender, age, covenant (public/private) and the main reasons for suspension of the surgeries (clinical causes, institutional or personal). RESULTS: We analyzed 2,965 scheduled cataract surgeries, with 650 cancellations (21.92%). The main reason for the suspension of the procedure was clinical causes (86.90%). The winter months had the highest suspension rates of cataract surgery. CONCLUSION: The cancellation rate of cataract surgery in Brazilian public system seems to be the same as 10 years ago. The main cause of the suspension should be in clinical conditions (hypertension, diabetes, lack of exams, etc.).

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          Most cited references23

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          Catarata senil: características e percepções de pacientes atendidos em projeto comunitário de reabilitação visual

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            Cost-effective preoperative evaluation and testing.

            Cost-effective preoperative evaluation can be approached from a variety of methods, educational strategies, and use of data to modify clinical practice. This article focuses on the proposed organizational and clinical changes in the process of preoperative evaluations, the cost-effective outcomes, and the relative merits these changes provide the physicians, operating room nurses, and center administrators.
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              Eye care in developing nations

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                abo
                Arquivos Brasileiros de Oftalmologia
                Arq. Bras. Oftalmol.
                Conselho Brasileiro de Oftalmologia (São Paulo, SP, Brazil )
                0004-2749
                1678-2925
                October 2012
                : 75
                : 5
                : 333-336
                Affiliations
                [02] São Paulo SP orgnameUniversidade de São Paulo orgdiv1Departamento de Oftalmologia Brasil
                [01] São Paulo SP orgnamePontifícia Universidade Católica de São Paulo Brasil
                Article
                S0004-27492012000500007
                10.1590/S0004-27492012000500007
                ac3d2bcc-352b-4ff5-a953-43f3bc9f3503

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 12 April 2012
                : 28 August 2012
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 16, Pages: 4
                Product

                SciELO Brazil


                Cataract extraction,Phacoemulsification,Blindness,Hospitals, public,Surgical procedures, elective,Efficiency, organizational,Patient dropouts,Catarata,Extração de catarata,Facoemulsificação,Cegueira,Hospitais públicos,Procedimentos cirúrgicos eletivos,Eficiência organizacional,Pacientes desistentes do tratamento,Cataract

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