| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 2885596 | Annals of Vascular Surgery | 2016 | 9 Pages |
BackgroundThe prevalence of peripheral artery disease (PAD) is rising worldwide, with considerable impact on health care systems.MethodsWe aimed to characterize the trends in therapeutic procedures and outcomes of PAD in the Brazilian Public Health System Database (DataSUS) between 2008 and 2012.ResultsThe number of hospitalizations remained stable from 2008 to 2012, although there was a significant change in the proportions of treatment modalities. In 2008, surgical revascularization (SR) = 8,001 (29%), endovascular revascularization (EVR) = 3,207 (11%), and clinical treatment (CT) = 16,887 (60%); and in 2012, SR = 7,882 (28%), EVR = 5,044 (18%), and CT = 15,225 (54%); P < 0.001, a 57% increase in EVR, and 9.8% decrease in CT. Total costs raised 37% (US $18.2–24.9 million, P < 0.001), with a marked 92% increase in EVR costs (US $5.1–9.8 million), compared with SR (11%) and CT (30%). Mortality decreased for EVR (2.0–1.4%, P = 0.048), increased for CT (5.1–5.8%, P = 0.002) and remained stable for SR. A nonsignificant increase was observed in total mortality (5.7–5.9%, P = NS).ConclusionsOur analysis depicts the high-PAD mortality in Brazil emphasizing the need of preventing and controlling cardiovascular risk factors. The impact of PAD in costs increased, mainly because of costs related to EVR.
