Razão oferta/necessidade de consultas médicas e exames de diagnóstico  e acompanhamento da doença renal crônica no Sistema Único de  Saúde: estudo descritivo, estado de São Paulo, 2019

Farid  Samaan; Marcelo Gutierrez; Gianna Mastroianni Kirsztajn; Ricardo Cintra Sesso

doi:10.1590/S2237-96222022000200014

##article.authors##

Farid Samaan Secretaria de Estado da Saúde de São Paulo https://orcid.org/0000-0003-4393-7330
Marcelo Gutierrez Secretaria de Estado da Saúde de São Paulo
Gianna Mastroianni Kirsztajn Federal University of São Paulo https://orcid.org/0000-0003-1317-4109
Ricardo Cintra Sesso Federal University of São Paulo https://orcid.org/0000-0002-1062-0073

DOI:

https://doi.org/10.1590/S2237-96222022000200014

Keywords:

Renal Insufficiency, Chronic, Primary Health Care, Health Planning, Unified Health System, Epidemiology, Descriptive

Abstract

Objective: To determine the supply/need ratio of procedures related to the diagnosis and care of chronic kidney disease in the SUS in the State of São Paulo, Brazil, in 2019. Methods: Descriptive study using data from SUS outpatient and hospital information systems. The number of medical consultations and diagnostic and follow-up tests for kidney disease carried out was compared with the estimates of need recommended by ministerial guidelines. Results: The exclusive SUS users were 28,791,244 and the number of individuals with hypertension and/or diabetes, 5,176,188. The number of procedures performed and the relationship between this number and the population's need was 389,414 consultations with a nephrologist (85%), 11,540,371 serum creatinine measurements (223%), 705,709 proteinuria measurements (14%), 438,123 renal ultrasounds (190%) and 1,045 kidney biopsies (36%). Conclusion: In the care of chronic kidney disease in the SUS, there is simultaneously a lack of supply, waste, and deficient tracking of important procedures.