Loading...
Publication
Eficácia da cirurgia de glaucoma com dispositivos de drenagem do humor aquoso e o seu impacto nos custos
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.82 MB | Adobe PDF |
Abstract(s)
O glaucoma é a segunda causa de cegueira irreversível a nível mundial. Trata-se de uma doença crónica que por ser silenciosa, é diagnosticada tardiamente. Esta patologia tem sido objeto de atenção, pois constitui um problema de saúde pública, que compromete a qualidade de vida dos doentes e acarreta custos para o SNS.
Este trabalho pretende demonstrar a eficácia da cirurgia de glaucoma com dispositivos de drenagem de humor aquoso, e avaliar o impacto que a cirurgia de glaucoma com dispositivos de drenagem de humor aquoso tem nos custos da terapêutica médica e da terapêutica cirúrgica. Estudo retrospetivo, através da consulta do registo cirúrgico e processo clínico, a uma amostra selecionada por conveniência de 38 doentes com diagnóstico de glaucoma, submetidos a cirurgia com implante de dispositivo de drenagem do humor.
Com os resultados obtidos, sugerem uma redução significativa no número de hipotensores usados após cirurgia de glaucoma com implante de dispositivo de drenagem do humor aquoso, bem como do valor médio da pressão intraocular. Contudo o custo médio da terapêutica cirúrgica verifica-se mais oneroso que o custo médio da terapêutica médica.
Glaucoma is the second leading cause of irreversible blindness worldwide. It is a chronic disease that is diagnosed late because it is silent. This pathology has been the object of attention, since it is a public health problem that compromises the quality of life of patients and entails costs to the SNS. This study aims to demonstrate the efficacy of glaucoma surgery with aqueous humor drainage devices, and to evaluate the impact that glaucoma surgery with aqueous humor drainage devices has on medical and surgical therapy costs. Retrospective study, through consultation of the surgical record and clinical file, to a sample selected by convenience of 38 patients diagnosed with glaucoma, undergoing surgery with implant of a humor drainage device. The results obtained suggest a significant reduction in the number of hypotensive agents used after glaucoma surgery with aqueous humor drainage device implant, as well as in the mean value of intraocular pressure. However, the average cost of surgical therapy is more expensive than the average cost of medical therapy.
Glaucoma is the second leading cause of irreversible blindness worldwide. It is a chronic disease that is diagnosed late because it is silent. This pathology has been the object of attention, since it is a public health problem that compromises the quality of life of patients and entails costs to the SNS. This study aims to demonstrate the efficacy of glaucoma surgery with aqueous humor drainage devices, and to evaluate the impact that glaucoma surgery with aqueous humor drainage devices has on medical and surgical therapy costs. Retrospective study, through consultation of the surgical record and clinical file, to a sample selected by convenience of 38 patients diagnosed with glaucoma, undergoing surgery with implant of a humor drainage device. The results obtained suggest a significant reduction in the number of hypotensive agents used after glaucoma surgery with aqueous humor drainage device implant, as well as in the mean value of intraocular pressure. However, the average cost of surgical therapy is more expensive than the average cost of medical therapy.
Description
Dissertação, Mestrado, Gestão de Unidades de Saúde, Instituto Politécnico de Santarém, Escola Superior de Gestão e Tecnologia, Escola Superior de Saúde de Santarém, 2023
Keywords
Custos do glaucoma Glaucoma Pressão intraocular Cirurgia com dispositivos de drenagem do humor aquoso Glaucoma costs Intraocular pressure Aqueous humor drainage device surgery
Citation
Fazenda, P. (2023). Eficácia da cirurgia de glaucoma com dispositivos de drenagem do humor aquoso e o seu impacto nos custos (Mestrado). Escola Superior de Gestão e Tecnologia, Escola Superior de Saúde, Santarém. Disponível na WWW em: <http://hdl.handle.net/10400.15/4478>