A New Dawn for Brazilian Pediatric Cardiac Surgery Is on the Way - Issues Around and Outside the Operating Room

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Abstract

In some developing countries, congenital heart disease still stands out among the leading causes of death in the first year of life. Therefore, there is a great need to develop programs designed to improve outcomes in the diagnosis and surgical treatment of congenital heart disease in these nations, where children have always been and still are severely underserved.

The Brazilian Public Health Care System demands universal access to treatment as a constitutional right. Therefore, an underfunded Pediatric Cardiac Surgery program is unacceptable since it will cost lives and increase the infant mortality rate. Additionally, poor funding decreases providers’ interest, impedes technological advances and multidisciplinary engagement, and reduces access to comprehensive care.

Unfortunately, in most developing countries, Pediatric Cardiac Surgery progress is still the result of isolated personal efforts, dedication, and individual resilience. This article aims to present the current state of Brazilian pediatric cardiac surgery and discuss the structural and human limitations in developing a quality care system for children with congenital heart disease. Considering such constraints, quality improvement programs via International collaboration with centers of excellence, based on proper data collection and outcomes analysis, have been introduced in the country. Such initiatives should bring a new dawn to Brazilian Pediatric Cardiac Surgery.

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Most cited references 45

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Global cardiac surgery: access to cardiac surgical care around the world

Dominique Vervoort, Bart Meuris, Bart Meyns … (2019)

Cardiovascular disease is the leading cause of death worldwide, responsible for 17.5 million deaths every year, of which 80% occur in low- and middle-income countries. Some 75% of the world does not have access to cardiac surgery when needed because of lack of infrastructure, human resources, and financial coverage. This study aims to map access to cardiac surgery around the world.

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Record: found
Abstract: found
Article: not found

Reducing mortality and infections after congenital heart surgery in the developing world.

K M Cherian, Aldo Castañeda, Kathy Jenkins … (2014)

There is little information about congenital heart surgery outcomes in developing countries. The International Quality Improvement Collaborative for Congenital Heart Surgery in Developing World Countries uses a registry and quality improvement strategies with nongovernmental organization reinforcement to reduce mortality. Registry data were used to evaluate impact.

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Is Open Access

Pediatric Cardiac Surgery in Low-and Middle-Income Countries: Present Status and Need for a Paradigm Shift

John Murala, Tom Karl, A Thomas Pezzella (2019)

In low and mid-income countries, there has been a 50% global decrease in the incidence of preventable deaths of children since 1990. However, the mortality from non-communicable diseases (NCD) such as congenital heart disease (CHD) has not changed. Of the estimated 1.3 million children born with CHD annually, over 90% do not have access to cardiac care. With the increasing fertility rates in sub-Saharan Africa, the health burden of CHD will increase as well. Over the last 30 years much has been achieved with short term cardiac medical missions. However, much remains to be done to provide long term solutions needed to achieve the sustainable development goal of reducing deaths of children <5 years of age. This review discusses the present status and the need for a paradigm shift to achieve long term sustainability.

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Author and article information

Journal

Journal ID (nlm-ta): Braz J Cardiovasc Surg

Journal ID (iso-abbrev): Braz J Cardiovasc Surg

Journal ID (publisher-id): rbccv

Title: Brazilian Journal of Cardiovascular Surgery

Publisher: Sociedade Brasileira de Cirurgia Cardiovascular

ISSN (Print): 0102-7638

ISSN (Electronic): 1678-9741

Publication date (Print and electronic): Jul-Aug 2022

Publication date (Print): Jul-Aug 2022

Volume: 37

Issue: 4

Pages: 566-574

Affiliations

[1 ] Pediatric Cardiac Surgery Unit, Cardiovascular Division, Instituto do Coração, Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil

[2 ] Department of Pediatrics, Division of Critical Care, Faculty of Medicine, University of Alberta, Stollery Children’s Hospital, Edmonton, Alberta, Canada

[3 ] Pediatric Cardiovascular Surgery Department, Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV), São Paulo, São Paulo, Brazil

[4 ] Clinical Professor of Surgery and Pediatrics, Emeritus Michigan State University, Michigan, United States of America

Author notes

Correspondence Address: Luiz Fernando Caneo, https://orcid.org/0000-0001-5545-8172, Instituto do Coração, Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar 44 - Sala 5 - Bloco 2 - 2º andar, Cerqueira César, São Paulo, SP, Brazil, Zip Code: 05403-000, E-mail: caneo@ 123456me.com

Author information

Luiz Fernando Caneo https://orcid.org/0000-0001-5545-8172

Article

DOI: 10.21470/1678-9741-2022-0141

PMC ID: 9423817

PubMed ID: 35976209

SO-VID: 53c860ff-c981-40ac-b83d-471d3a8b72f6

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.