The Society of Bariatric Surgery presents to the Minister of Health the organization of public lines in the SUS

The lower in SUS surgical procedures was 77% in contrast to the yr 2019 and the yr 2021. Regarding well being insurance policies, the procedures decreased by 11.9%

At: Ceres Battistelli

The Brazilian Society of Bariatric and Metabolic Surgery (SBCBM) requested, this Wednesday (26), in a gathering with the Minister of Health, Mr. Marcelo Queiroga, to revise the regulation code. 424 and 425 of March 19, 2013 which establishes insurance policies for the therapy of weight problems in the Unified Health System (SUS), in addition to the administration of the processes and strategies of offering the highest stage of look after individuals with weight problems.

“Since 2013, the drawback of weight problems in Brazil has modified quite a bit, particularly after the epidemic, once we had lively organs and, on the different hand, the prevalence of weight problems and associated illnesses in the nation”, mentioned the President. of SBCBM, Fábio Viegas.

According to him, at the suggestion of the Minister of Health, a working group will likely be established to evaluate the legal guidelines that expire ten years and that may deliver advantages to sufferers, together with the risk of laparoscopic surgical procedure, via applicable packages. about hospitals.

In 2021, 52% of Brazilians surveyed by Diet & Health Under Covid-19 mentioned they may acquire weight. According to the survey, which requested 22,000 individuals from 30 international locations, Brazilians gained a mean of 6.5 kilograms throughout this era.

The Minister of Health, Marcelo Queiroga, reiterated the want to evaluate the legal guidelines, since after 9 years the tips for the prevention and therapy of the illness have been modified.

“We can have a working group to set up the plan, along with representatives of the Brazilian Society of Bariatric Surgery”, mentioned the Minister.

Bariatric entry line

“On the different hand, the queues for bariatric surgical procedure via the Unified Health System (SUS) have elevated and, in many international locations in Brazil, the quantity of individuals ready for the process is unknown to the public,” mentioned Fábio Viegas. .

The SBCBM mentioned they need to set up authorities tips to promote entry, prioritizing particularly the most important sufferers. “Obesity and associated illnesses have elevated and, in addition to this, there was a lower in bariatric surgical procedures in 2020. This has made it potential for sufferers who need SUS to obtain therapy for weight problems surgical procedure.”, says Viegas.

Brazil presently has 7,700 hospitals in 5,568 Brazilian municipalities. Of these, solely 98 providers carry out bariatric and metabolic surgical procedure, and 4 Brazilian states don’t provide this process. Currently, Amazonas, Rondônia, Roraima and Amapá wouldn’t have well being care in the SUS.

The Society supplied help in relation to the certification and accreditation of surgeons and hospitals in Brazil, in the analysis of the current surgical providers and in the improvement of medical care and coaching for individuals who weren’t certified to carry out bariatric surgical procedure by the SUS.

“We are prepared to take part in this mission, as a result of there are errors associated to the {qualifications} and accreditation of the SUS establishments. The thought is to set up a system for the choice procedures which were suspended throughout the epidemic, to scale back the ready time for the operation”, emphasised Viegas.

Bariatric info in Brazil

Between 2019 and 2021, 19,203 bariatric surgical procedures have been carried out by SUS in the nation, with 12,568 procedures in 2019; 3,129 procedures in 2020 and 1935 in 2021. The lower was 77% in contrast to 2019 and 2021 and 23% in contrast to 2020 and 2021.

Surgeries carried out by well being plans, in accordance to the newest knowledge from the National Supplementary Health Agency (ANS), went from 52,699 in 2019 to 46,419 in 2020. In 2021, 56,991 procedures have been carried out by ANS. The drop from 2019 to 2020 was 11.9%.

Instructions

Among the procedures described in the rules 424 and 425 of the Ministry of Health for bariatric surgical procedure and SUS is to refer sufferers with a Body Mass Index (BMI) of 50 Kg/m2 and sufferers BMI ³40 Kg/m², with or with out comorbidities , haven’t been profitable in therapy for no less than two years and have adopted medical procedures. In addition, the rules additionally permit bariatric surgical procedure for sufferers with a BMI > 35 kg/m2 and comorbidities with a excessive threat of coronary heart illness, diabetes and/or hypertension, dysregulation, sleep problems, and heart problems. joints or others who observe. they didn’t do effectively in long-term therapy that lasted for no less than two years and people who adopted medical procedures.

Obesity and Diabetes in Brazil

In Brazil, weight problems elevated by 72% between 2006 and 2019, from 11.8% to 20.3%, in accordance to the Surveillance Survey of Risk and Protection Factors for Chronic Diseases and Telephone Survey (Vigitel). Obesity (BMI equal to or better than 25) is current in 55.4% of Brazilians.

In phrases of diabetes, Brazil is the sixth nation in the incidence of the illness in the world and the first in Latin America. There are 15.7 million adults with this situation, and it’s estimated that, by 2045, the illness will attain 23.2 million Brazilian adults. About 90 % of diabetes sufferers worldwide are Type 2, which is related to weight problems and insulin resistance, in accordance to the International Diabetes Federation.

metabolic surgical procedure

As with any medical therapy, some sufferers could not reply as anticipated. For these causes, metabolic surgical procedure may be mandatory to stop the development of the illness and the penalties of diabetes. In Brazil, the Federal Council of Medicine (CFM) accredited the therapy of kind 2 diabetes in 2017, indicating therapy failure and weight problems with physique mass index (BMI) between 30 kg/m 2 and 34, 9 kg. /m².

Court listening to

Participants in the assembly have been the vp of SBCBM, Antônio Carlos Valezi; SBCBM govt vp, Luiz Vicente Berti, SBCBM medical director, Luiz Fernando Córdova; former president of the Paraíba Chapter and mentor of the SBCBM Chapter, Augusto Almeida Júnior; surgeon and former president of the Pernambuco Chapter of the SBCBM, Flávio Kreimer and director of the union of organizations in the SBCBM, Galzuinda Maria Figueiredo Reis.

Cover Photo: Publications

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