Standardization of the ultrasound for catheterism in brazilian Sistema Único de Saúde (SUS): recommendation of cost-effectiveness analysis

Authors

DOI:

https://doi.org/10.33448/rsd-v9i7.4910

Keywords:

Catheterization; Central venous; Ultrasonography; Interventional; Cost-Effectiveness evaluation; Subclavian Vein; practice guideline.

Abstract

The standardization process of certain technologies in the Brazilian Unified Health System must be proceded by cost-effectiveness analyzes. The catheterization procedure is performed in 8% of hospitalized patients and in 15% it causes complications. In view of this scenario, a technology that can provide safety for patients and professionals and reduce the rate of complications must be analyzed and perhaps incorporated into the medical routine. In this way, the objective is to determine the economic feasibility of the technique of central catheterization in a subclavian vein guided by ultrasound compared to guidance by anatomical references, from the perspective of the Brazilian Unified Health System. Through cost-effectiveness analysis using a decision tree model under a population of adult patients in a tertiary health care setting with materials and procedures costs estimated in Brazilian purchase records banks. The outcomes were defined in a literature review by incidence. The results showed that the intervention cost the procedure R$53.81. Despite this, 80.1% of the simulations proved to be cost-effective and 16.5% “dominant”. Other factores corroborated the discussion, concluding the intervention as very cost-effective and the result brings security to de manager when making decisions regarding the standardization of technology.

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Published

16/06/2020

How to Cite

BOLLER, C. E. P.; SENNA, K. M. S.; TEIXEIRA, R. da S.; GOULART, M. C.; TURA, B. R.; SANTOS, M. da S. Standardization of the ultrasound for catheterism in brazilian Sistema Único de Saúde (SUS): recommendation of cost-effectiveness analysis. Research, Society and Development, [S. l.], v. 9, n. 7, p. e861974910, 2020. DOI: 10.33448/rsd-v9i7.4910. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/4910. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences