Evidence map›Paper›PMID 34148261›Full record

ArticleJournal of cardiac surgery2021

Impact of the COVID-19 pandemic on coronary artery bypass graft surgery in Brazil: A nationwide perspective.

Kalil Hussein Khalil, Michel Pompeu B O Sá, Dominique Vervoort, Leonardo Roever, Marcos Alfredo de Andrade Pires, Jaqueline Maria de Oliveira Lima, Felipe Borsu de Salles, Giovana Munhoz Khalil, Pedro Felipe Gomes Nicz, Omar Asdrúbal Vilca Mejía and 2 more

Abstract read
In one paragraph

Article in Journal of cardiac surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Kalil Hussein KhalilDepartment of Cardiovascular Surgery, Hospital Norte Paranaense, Jardim Universitário, Arapongas, Paraná, Brazil.ORCID http://orcid.org/0000-0002-5995-893X
Michel Pompeu B O SáDepartment of Cardiovascular Surgery, PROCAPE, University of Pernambuco, Recife, Brazil.ORCID http://orcid.org/0000-0001-5356-2996
Dominique VervoortDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States.ORCID http://orcid.org/0000-0002-3142-0388
Leonardo RoeverDepartment of Cardiovascular Surgery, Federal University of Uberlândia, Uberlândia, MG, Brasil.
Marcos Alfredo de Andrade PiresDepartment of Cardiovascular Surgery, Hospital Norte Paranaense, Jardim Universitário, Arapongas, Paraná, Brazil.
Jaqueline Maria de Oliveira LimaDepartment of Cardiovascular Surgery, Hospital Norte Paranaense, Jardim Universitário, Arapongas, Paraná, Brazil.
Felipe Borsu de SallesDepartment of Cardiovascular Surgery, Institute of Cardiology - Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil.
Giovana Munhoz KhalilDepartment of Cardiovascular Surgery, Hospital Norte Paranaense, Jardim Universitário, Arapongas, Paraná, Brazil.
Pedro Felipe Gomes NiczDepartment of Cardiology and Cardiovascular Surgery, Heart Institute - INCOR-HCFM-USP, São Paulo, SP, Brazil.
Omar Asdrúbal Vilca MejíaDepartment of Cardiology and Cardiovascular Surgery, Heart Institute - INCOR-HCFM-USP, São Paulo, SP, Brazil.
Arnaldo Akio OkinoDepartment of Cardiovascular Surgery, Hospital Norte Paranaense, Jardim Universitário, Arapongas, Paraná, Brazil.
Ricardo de Carvalho LimaDepartment of Cardiovascular Surgery, PROCAPE, University of Pernambuco, Recife, Brazil.ORCID http://orcid.org/0000-0002-1369-0296

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe coronavirus disease 2019 (COVID-19) pandemic has been a worldwide challenge, and efforts to "flatten the curve," including restrictions imposed by policymakers and medical societies, have forced a reduction in the number of procedures performed in the Brazilian Health Care System. The aim of this study is to evaluate the outcomes of coronary artery bypass graft (CABG) from 2008 to 2020 in the SUS and to assess the impacts of the COVID-19 pandemic in the number of procedures and death rate of CABG performed in 2020 through the database DATASUS.

methodsThis study is based on publicly available material obtained from DATASUS, the Brazilian Ministry of Health's data processing system, on numbers of surgical procedures and death rates. Only isolated CABG procedures were included in our study. We used the TabNet software from the DATASUS website to generate reports.

resultsWe identified 281,760 CABG procedures performed from January 2008 to December 2020. The average number of procedures until the end of 2019 was of 22,104. During 2020 there was a 25% reduction CABG procedures, to 16,501. There was an increase in the national death rate caused by a statistical significant increase in death rates in Brazil's Southeast and Central-west regions.

conclusionThe COVID-19 pandemic remains a global challenge for Brazil's health care system. During the year of 2020 there was a reduction in access to CABG related to an increase in the number of COVID-19 cases. There was also an increase in the national CABG death rate.

Indexed as

COVID-19PandemicsBrazilCoronary Artery BypassHumansSARS-CoV-2Brazilcoronary artery bypass graftCOVID-19databasedeath ratehealth care policyrisk adjustmentSARS-CoV-2

Identifiers

PMID34148261
PMCPMC8447419

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.