Custos relacionados às cirurgias do sistema osteomuscular no Sistema Único de Saúde entre 2017 e 2022.

Abstract

Introduction: The Unified Health System (SUS) faces a Herculean challenge to balance one of the most basic laws of the Economy: Demand and Supply. Surgical expenses are important factors in hospital costs, whether in the public or private service. Due to this fact, there are often expenses that could be avoided, violating the principle of economy. Objective: To demonstrate the costs generated to the Unified Health System by Surgeries of the Musculoskeletal System in the period between January 2017 and October 2022 in Brazil. Materials and Methods: Cross-sectional study based on secondary data obtained by the SIH-DATASUS Information System. The filters of Surgeries by place of Residence, filtered by surgical procedures, subgroup Surgeries of the Musculoskeletal System, between the years 2016 and 2022, by geographic region were combined. Data related to total values per region were excluded from the individual analysis, in addition to data related to private health services. Quantitative analysis was performed using the Microsoft EXCEL 2016 tool. Results: The Northeast was responsible for 20% of the expenses incurred with surgeries, the equivalent of R$ 987,835,167.30 between January 2017 and October 2022. The year in which Brazil had the highest expenses with orthopedic surgeries was 2019, totaling R$ 175476152.5 versus R$ 130144309.2 spent in the year 2022. The year with the highest amount spent in the State of Sergipe was 2019, with a value of R$ 7758582.05 compared to the year 2017, which presented the lowest spent, with a total of R$ 5432454.71. Conclusion: From the data obtained and charts drawn, it was possible to achieve the proposed objective. The costs generated to the Unified Health System by surgeries of the musculoskeletal system in the state of Sergipe are equivalent to the other costs spent in the Northeast and in Brazil. Among the years analyzed, the period 2019 was the one that most benefited patients who needed surgical interventions. The identified limitations of the study relate to the scarcity of reference literature to establish a similar or differential correlation, as well as the difficulty in gathering specific data from musculoskeletal surgeries, in particular, from the states, according to their feed and availability in the official information systems. It is expected that more studies will be developed, allowing the expansion of evidence, according to the scientific method, aiming at the best use of public financial resources.