Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.202401601
Jornal Vascular Brasileiro
Original Article

Tratamento ambulatorial de varizes com endolaser em clínica × hospital: avaliação de custo-benefício e segurança

Outpatient treatment of varicose veins with endolaser in clinic vs. hospital: cost-benefit and safety assessment

Camila Biedler Giordani; Mateus Picada Correa; Luiza Brum Borges; Vitória Cerbaro Farias; Renan Camargo Puton; Jaber Nashat Saleh; Rafael Stevan Noel; Julio Cesar Bajerski

http://dx.doi.org/10.1590/1677-5449.202401601 J Vasc Bras, vol.24, e20240160, 2025
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Resumo

Contexto: A doença varicosa é comum entre a população, com incidência de cerca de 38%. No Brasil, ela atinge 45% das mulheres e 30% dos homens. Atualmente, a termoablação endovenosa (TAEV) de safenas é o método de escolha no tratamento de varizes. Por ser um procedimento minimamente invasivo, que promove rápida recuperação e não exige internação hospitalar, ele pode ser realizado a nível ambulatorial.

Objetivos: Avaliar a segurança e o custo-benefício do tratamento ambulatorial de varizes em clínica, comparando ao mesmo procedimento realizado em ambiente hospitalar.

Métodos: Estudo transversal, retrospectivo e não controlado, do tipo série de casos, que avaliou um grupo aleatório de 50 pacientes submetidos à TAEV para tratamento de doença varicosa, realizado por um mesmo grupo de cirurgiões vasculares. Entre os pacientes, 25 realizaram o tratamento em hospital terciário e 25 ambulatorialmente. As médias dos custos de taxa de sala e de materiais dos dois grupos foram analisadas e comparadas estatisticamente com o teste t de Student. Complicações intra e pós-operatórias foram avaliadas.

Resultados: A média do custo hospitalar do procedimento foi de R$ 1.391,99 (± 280,8) no hospital e de R$ 1.593,40 (± 99,53) na clínica. O teste t de Student apresentou diferença significativa, com p = 0,02. Nenhum paciente teve complicações intra ou pós-operatórias.

Conclusões: A cirurgia ambulatorial, apesar de ter um custo estatisticamente maior que a hospitalar no Brasil, é segura e tem custo-benefício positivo para o paciente.

Palavras-chave

cirurgia ambulatorial; termoablação endovenosa; varizes; custo-benefício

Abstract

Background: Varicose disease is a common pathology among the population, with an incidence of about 38%. In Brazil, it affects 45% of women and 30% of men. Currently, endovenous thermal ablation (EVTA) of the saphenous vein is the method of choice in the treatment of varicose veins. As a minimally invasive procedure that promotes quick recovery and does not require hospitalization, it can be performed on an outpatient basis

Objectives: To evaluate the safety and cost-benefit of outpatient varicose vein treatment in a clinic compared to the same procedure performed in a hospital environment.

Methods: A uncontrolled retrospective transversal study of case series evaluated a random group of 50 patients undergoing EVTA for the treatment of varicose disease by the same group of vascular surgeons. Twenty-five underwent the procedure in a tertiary hospital environment and 25 on an outpatient basis. The average costs of room fees and materials from both groups were analyzed and statistically compared with the Student’s t-test. Intraoperative and postoperative complications were assessed

Results: The average hospital cost of the procedure was R$ 1391.99 (± 280.8) in the hospital and R$ 1593.40 (± 99.53) in the clinic. The Student’s t-test showed a significant difference with p=0.02. No patient had complications either intraoperatively or postoperatively

Conclusions: Outpatient surgery, despite having a statistically higher cost than hospital surgery in Brazil, is safe and has a positive cost-benefit for the patient.

Keywords

outpatient surgery; endovenous thermal ablation; varicose veins; cost-benefit

References

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Submitted date:
12/12/2024

Accepted date:
04/21/2025

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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