Epidemiological profile and study on waiting lists for corneal transplants in a tertiary hospital
Conteúdo do artigo principal
Resumo
Introduction: Epidemiological studies and about patients' waiting time on queues for corneal transplantation are important, as they allow us to know the assisted population and assist the medical team. Objective: To evaluate the epidemiological and demographic profile of patients undergoing corneal transplantation from January 2014 to September 2018 at a teaching hospital in the city of Santo André, as well as their waiting time for the procedure. Methods: Retrospective descriptive study, performed through analysis of medical records and data from the website of the Government of the State of São Paulo’s transplant center. The study was conducted at the External and Corneal Diseases sector of the discipline of Ophthalmology from Centro Universitário FMABC. The following data were evaluated: gender, age, race, origin and waiting time for the patient to have a transplant. Results: A total of 139 corneal transplant patients were recruited for the study, with a mean age of 47.4±23 years. According to gender, just over half of the transplanted were female (50.4%). Regarding to skin color, 45.3% of the patients were white, 44.6% were brown and 10.1% were black. As for their origin, most patients were from the city of Santo André. Conclusion: This study enabled the assessment and knowledge of the epidemiological profile and waiting time for corneal transplantation in our patients. This information is important, as it helps us to understand the profile of the assisted population and in the organization and planning of the medical team, contributing to better guidance and care for the patients.
Downloads
Detalhes do artigo
Autores que publicam nesta revista concordam com os seguintes termos:
- Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob uma licença Creative Commons CC BY que permite o compartilhamento e adaptação do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
- Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
Referências
2. Natarajan S. A close look at cornea. Indian J Ophthalmol. 2014;62(4):381-2. http://doi.org/10.4103/0301-4738.132102
3. Albert DM, Gamm DM. Cornea: anatomy. Available from https://www.britannica.com/science/cornea
4. Brunette I, Roberts CJ, Vidal F, Harissi-Dagher M, Lachaine J, Sheardown H, et al. Alternatives to eye bank native tissue for corneal stromal replacement. Prog Retin Eye Res. 2017;59:97-130. http://doi.org/10.1016/j.preteyeres.2017.04.002
5. Tan DTH, Dart JKG, Holland EJ, Kinoshita S. Corneal transplantation. Lancet. 2012;379(9827):1749-61. http://doi.org/10.1016/S0140-6736(12)60437-1
6. Ple-Plakon PA, Shtein RM. Trends in corneal transplantation: indications and techniques. Curr Opin Ophthalmol. 2014;25(4):300-5. http://doi.org/10.1097/ICU.0000000000000080
7. Kamp MT, Fink NE, Enger C, Maguire MG, Stark WJ, Stulting RD. Patient reported symptoms associated with graft reactions in high-risk patients in the collaborative corneal transplantation studies. Collaborative Corneal Transplantation Studies Research Group. Cornea. 1995;14(1):43-8.
8. Dobbins KR, Price Jr FW, Whitson WE. Trends in the indications for penetrating keratoplasty in the midwestern United States. Cornea. 2000;19(6):813-6. http://doi.org/10.1097/00003226-200011000-00010
9. Inoue K, Amano S, Oshika T, Sawa M, Tsuru T. A 10-year review of penetrating keratoplasty. Jpn J Ophthalmol. 2000;44(2):139-45. http://doi.org/10.1016/s0021-5155(99)00190-2
10. Chalita MRC, Diazgranados EBM, Sato EH, Branco BC, Freitas D. Rejeição corneana pós transplante de córnea: análise de dados do Banco de Olhos do Hospital São Paulo - Escola Paulista de Medicina. Arq Bras Oftalmol. 2000;63(1):55-8. https://doi.org/10.1590/S0004-27492000000100011
11. Pereira MLM, Passos MC, Santos AMC, Pecego JG. Normas médicas em Bancos de Olhos: controvérsias. Rev Bras Oftalmol. 2002;61(3):163-7.
12. Brasil. Câmara dos Deputados. Lei nº 9.434, de 4 de fevereiro de 1997. Dispõe sobre a remoção de órgãos, tecidos e partes do corpo humano para fins de transplante e tratamento e dá outras providências. Available from: https://www2.camara.leg.br/legin/fed/lei/1997/lei-9434-4-fevereiro-1997-372347-norma-pl.html
13. Brasil. Presidência da República. Decreto nº 2.268, de 30 de junho de 1997. Regulamenta a Lei nº 9.434, de 4 de fevereiro de 1997, que dispõe sobre a remoção de órgãos, tecidos e partes do corpo humano para fim de transplante e tratamento, e dá outras providências. Available from: http://www.planalto.gov.br/ccivil_03/decreto/1997/D2268impressao.htm
14. Diário Oficial Poder Executivo Estado de São Paulo. Saúde: Gabinete do Secretário. Resolução SS nº 114, de 29 de setembro de 2014. Dispõe sobre a estrutura organizacional e operacional do Sistema Estadual de Transplantes de São Paulo. Available from: http://www.saude.campinas.sp.gov.br/saude/lista_legislacoes/legis_2014/E_R-SS-114_290914.pdf
15. Calix Netto MJ, Giustina ED, Ramos GZ, Peccini RFC, Sobrinho M, Souza LB. Major indications for corneal penetrating keratoplasty at a reference service in São Paulo state (Sorocaba /SP, Brazil). Arq Bras Oftalmol. 2006;69(5):661-4. https://doi.org/10.1590/S0004-27492006000500007
16. Fabris C, Corrêa ZMS, Marcon AS, Castro TN, Marcon IM, Pawlowski C. Estudo retrospectivo dos transplantes penetrantes de córnea da Santa Casa de Porto Alegre. Arq Bras Oftalmol. 2001;64(5):449-53. https://doi.org/10.1590/S0004-27492001000500014
17. Bigan G, Puyraveau M, Saleh M, Gain P, Martinache I, Delbosc B, et al. Corneal transplantation trends in France from 2004 to 2015: A 12-year review. Eur J Ophthalmol. 2018;28(5):535-40. https://doi.org/10.1177/1120672118762224
18. Crawford AZ, McKelvie J, Craig JP, McGhee CNJ, Patel DV. Corneal Transplantation in Auckland, New Zealand, 1999-2009: Indications, Patient Characteristics, Ethnicity, Social Deprivation, and Access to Services. Cornea. 2017;36(5):546-52. https://doi.org/10.1097/ICO.0000000000001159
19. Belghmaidi S, Hajji I, Soummane H, Ennassiri W, Essafi H, Moutaouakil A. Corneal transplantation: study carried out at the Department of Ophthalmology, University Hospital Center Mohammed VI, Marrakech. Pan Afr Med J. 2016;23:158. https://doi.org/10.11604/pamj.2016.23.158.8667
20. Fonseca BA, Marcos AAA, Leite Filho LAM. Ceratoplastias penetrantes realizadas em serviço oftalmológico de referência revisão dos resultados e complicações. Rev Bras Oftalmol. 2018;77(6):342-4. https://doi.org/10.5935/0034-7280.20180074
21. Almeida HG, Souza ACD. Perfil epidemiológico de pacientes na fila de transplante de córnea no estado de Pernambuco, Brasil. Rev Bras Oftalmol. 2014;73(1):28-32. https://doi.org/10.5935/0034-7280.20140006
22. Araújo AA, Melo GB, Silva RL, Araújo Neta VM. Perfil epidemiológico dos pacientes na lista de espera para transplante de córnea no Estado de Sergipe. Arq Bras Oftalmol. 2004;67(4):613-6. https://doi.org/10.1590/S0004-27492004000