12/Sep/2025
Hallux valgus surgery in the public health system of Brazil
DOI: 10.31744/einstein_journal/2025AO1053
Highlights ■ Public hospitals in Brazil performed 37,741 hallux valgus surgery procedures between January 2008 and October 2024. ■ The study population consisted of 79.7% females, with the most common age group being 40-69 years (67.7%). The mean length of stay was 1.7 days. ■ The mean cost per patient was US$ 141.53. ■ The overall mortality count was nine, corresponding to a death rate of 0.024%. ABSTRACT Objective: This study aimed to describe patient profiles and analyze costs, hospital […]
Keywords: Cost of illness; Foot; Hallux valgus; Mortality; Orthopedic procedures; Osteotomy; Public health
06/Aug/2024
Clinical outcomes and direct cost analysis of rotator cuff repair surgery
DOI: 10.31744/einstein_journal/2024GS0473
Highlights Rotator cuff repair surgery improves clinical outcomes and quality of life. Surgical procedures were highly effective with low complication rates. Arthroscopic surgery was associated with higher costs than open surgery. ABSTRACT Objective The purpose of this study was to evaluate the clinical and functional outcomes in patients who underwent surgical treatment for rotator cuff tears using open and arthroscopic techniques, and to evaluate the direct costs involved. Methods Retrospective cohort study with analysis of the data of patients who […]
Keywords: Arthroscopy; Cost-effectiveness analysis; Costs and cost analysis; Health care costs; Orthopedic procedures; Rotator cuff; Shoulder pain; Treatment outcomes
07/Apr/2022
Quality assessment of systematic reviews of surgical treatment of cervical spine degenerative diseases: an overview
DOI: 10.31744/einstein_journal/2022AO6567
ABSTRACT Objective To gather all systematic reviews of surgical treatment of degenerative cervical diseases and assess their quality, conclusions and outcomes. Methods A literature search for systematic reviews of surgical treatment of degenerative cervical diseases was conducted. Studies should have at least one surgical procedure as an intervention. Included studies were assessed for quality through Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) and Assessment of Multiple Systematic Reviews (AMSTAR) questionnaires. Quality of studies was rated accordingly to their […]
Keywords: Cervical vertebrae; Chronic disease; Hernia; Intervertebral disc; Orthopedic procedures; Spinal diseases; Spondylosis
02/Feb/2022
Minimally invasive swine spine surgery training: technical aspects, benefits, and anatomical limitations
DOI: 10.31744/einstein_journal/2022AO6318
ABSTRACT Objective To describe the technical specificities and feasibility of simulation of minimally invasive spine surgery in live pigs, as well as similarities and differences in comparison to surgery in humans. Methods A total of 22 Large White class swine models, weighing between 60 and 80kg, were submitted to surgical simulations, performed during theoretical-practical courses for training surgical techniques (microsurgical and endoscopic lumbar decompression; percutaneous pedicular instrumentation; lateral access to the thoracic spine, and anterior and retroperitoneal to the lumbar […]
Keywords: Decompression, surgical; Microsurgery; Minimally invasive surgical procedures; Models, animal; Orthopedic procedures; Simulation training; Spine/surgery; Swine
13/Mar/2020
Impact of demonstration in a realistic simulation environment as a postoperative education in patients’ experience
DOI: 10.31744/einstein_journal/2020AO4831
ABSTRACT Objective To evaluate the impact of training in the Practical Life Room on patients experience during hospitalization. Methods Subjects submitted to orthopedic surgeries were randomized to two groups (Control and Intervention) in the postoperative period. The Control Group received only the printed guidelines regarding the postoperative period, and the Intervention Group received the printed guidelines and a demonstration and training session with a physical therapist, in an environment created to simulate a house and its rooms (living room, bedroom, […]
Keywords: Health education; Orthopedic procedures; Patient satisfaction; Simulation training
09/Apr/2013
Spine surgery cost reduction at a specialized treatment center
DOI: 10.1590/S1679-45082013000100018
OBJECTIVE: To compare the estimated cost of treatment of spinal disorders to those of this treatment in a specialized center. METHODS: An evaluation of average treatment costs of 399 patients referred by a Health Insurance Company for evaluation and treatment at the Spine Treatment Reference Center of Hospital Israelita Albert Einstein. All patients presented with an indication for surgical treatment before being referred for assessment. Of the total number of patients referred, only 54 underwent surgical treatment and 112 received […]
Keywords: Cost-efficiency analysis; Costs and cost analysis; Orthopedic procedures; Spine