A 15-Year Review of Corneal Transplant in Brazil

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorALMEIDA, Hirlana Gomes
dc.contributor.authorKARA-JOSE, Newton
dc.contributor.authorHIDA, Richard Yudi
dc.contributor.authorKARA-JUNIOR, Newton
dc.date.accessioned2019-03-26T14:30:17Z
dc.date.available2019-03-26T14:30:17Z
dc.date.issued2018
dc.description.abstractPurpose: To analyze 15-year of corneal transplant in Brazil. Methods: Cross-sectional, retrospective, observational, and analytical study, between available data from the Brazilian Transplant Registry (January 2002-December 2016), collected by the Brazilian Association of Organ Transplantation was performed. The variables analyzed per year were number of corneal transplants, corneal transplants per million people (pmp), corneal transplant teams, and individuals on the waiting list for corneal transplants. Quantitative variables were expressed by their respective values. To verify the relationship of time with the variables, the Spearman correlation test was applied, adopting P<0.05 for rejection of the null hypothesis. Results: Evaluation of the data from 2002 to 2016 revealed an increase in number of (1) corneal transplants (4,976-14,534-approximately 292% in 15 years; P<0.0001); (2) corneal transplants pmp (29.4-71.1 pmp; P<0.0001); (3) productivity of corneal transplants teams (40.1-79 transplants by each team per year; P=0.067); (4) effectiveness in meeting the Brazilian population demand for corneal transplants per year (18.2%-57.0%; P<0.0001); (5) potential donors (P<0.0001), effective donors (P<0.0001), and nondonors (P<0.0001). There was a reduction in the number of patients on the waiting list (19,189-10,923; P=0.056). Conclusion: Despite the progress in the last decade, the number of corneal transplants in Brazil cannot meet the growing population demand. Thus, this study suggests the implementation of more effective public policies of corneal transplants in Brazil, to minimize disparities in national territory, adequately meet the population demand, and reduce the time in waiting lists for corneal transplants.eng
dc.description.indexMEDLINEeng
dc.identifier.citationEYE & CONTACT LENS-SCIENCE AND CLINICAL PRACTICE, v.44, suppl.2, p.S376-S381, 2018
dc.identifier.doi10.1097/ICL.0000000000000554
dc.identifier.eissn1542-233X
dc.identifier.issn1542-2321
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/31178
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINSeng
dc.relation.ispartofEye & Contact Lens-Science and Clinical Practice
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINSeng
dc.subjectOphthalmologyeng
dc.subjectHealth systemseng
dc.subjectDiagnosiseng
dc.subjectCorneal diseaseseng
dc.subjectCorneal transplantationeng
dc.subject.othervisual impairmenteng
dc.subject.otherkeratoplastyeng
dc.subject.otherdonorseng
dc.subject.otherrejectioneng
dc.subject.otherintervieweng
dc.subject.otheradultseng
dc.subject.otherriskeng
dc.subject.wosOphthalmologyeng
dc.titleA 15-Year Review of Corneal Transplant in Brazileng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.citation.scopus6
hcfmusp.contributor.author-fmusphcHIRLANA GOMES ALMEIDA
hcfmusp.contributor.author-fmusphcNEWTON KARA JOSE
hcfmusp.contributor.author-fmusphcRICHARD YUDI HIDA
hcfmusp.contributor.author-fmusphcNEWTON KARA JOSE JUNIOR
hcfmusp.description.beginpageS376
hcfmusp.description.endpageS381
hcfmusp.description.issuesuppl 2
hcfmusp.description.volume44
hcfmusp.origemWOS
hcfmusp.origem.pubmed30256231
hcfmusp.origem.scopus2-s2.0-85055770922
hcfmusp.origem.wosWOS:000457840400064
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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