Tireoidectomias em portadores de neoplasias da tireoide realizadas nos hospitais do Sistema Único de Saúde em 2017

Abstract

Introduction: Surgery is a primordial component of the multifaceted thyroid neoplasms management. It have been being noticed an important rising at the number of thyroidectomies performed in several countries nowadays, but data about Brazil are missing. Aims: To characterize hospitalizations of thyroid neoplasm carriers, paid by SUS, in which thyroidectomy was performed throughout the country in 2017. Materials and Methods: This is a descriptive, population-based study that used secondary data from SIH-SUS extracted from DATASUS. Demographic characteristics and diagnosis of the patients, the type of procedure performed, in addition to hospital stay, use of hospital beds and in-hospital mortality were studied. Results: There were 12,516 hospitalizations, of which 89.5% were female and 10.5% were male. The age group with the highest frequency of registries was 45 to 54 years, with 24.72% of hospitalizations. The most frequent diagnosis was malignant neoplasm, present in 43.86% of hospitalizations and 87.21% of the procedures performed involved the complete resection of the gland. We found a mean length of stay of 2.39 days, a mean of ICU bed stay of 0.09 day and an in-hospital mortality rate of 0.14%. These indicators were generally higher in the male gender, in extremes of age, and in total thyroidectomies with nodal emptying. An average of 82 hospital beds daily occupied by these patients was found. Discussion/Conclusion: In 2017, SUS hospitalizations to perform thyroidectomy in thyroid neoplasm carriers were characterized by the predominance of adult female patients with malignant neoplasm diagnosis submitted to total thyroidectomy, with low indices of lenth of stay, use of hospital beds and in-hospital mortality.