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Research ArticleOriginal Research

Hospitalizations for Cardiovascular Diseases Sensitive to Primary Health Care in Paraná State, Brazil: A Bayesian Spatiotemporal Model

Samile Bonfim, Miyoko Massago, Amanda de Carvalho Dutra, Matheus Henrique Beltrame Arruda, Fernanda Silva Oliveira, Érika Bárbara Abreu Fonseca Thomaz, Eniuce Menezes de Souza, Oscar Kenji Nihei and Luciano de Andrade
The Annals of Family Medicine March 2024, 22 (2) 140-148; DOI: https://doi.org/10.1370/afm.3083
Samile Bonfim
1Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
MHS
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  • For correspondence: samileenf@gmail.com
Miyoko Massago
1Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
MSc
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Amanda de Carvalho Dutra
1Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
MHS
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Matheus Henrique Beltrame Arruda
2Department of Medicine, State University of Maringá, Maringá, Paraná, Brazil
MD
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Fernanda Silva Oliveira
1Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
MHS
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Érika Bárbara Abreu Fonseca Thomaz
3Department of Public Health, Federal University of Maranhão, São Luís, Maranhão, Brazil
PhD
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Eniuce Menezes de Souza
4Center for Exact Sciences, State University of Maringá, Maringá, Paraná, Brazil
PhD
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Oscar Kenji Nihei
5Center for Education, Linguistics and Health, Western Paraná State University, Foz do Iguaçu, Paraná, Brazil
PhD
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Luciano de Andrade
1Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
PhD
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  • Figure 1.
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    Figure 1.

    Temporal trends in hospitalizations for cardiovascular diseases preventable by primary health care, per 10,000 inhabitants in Paraná State, Brazil, 2014-2019.

  • Figure 2.
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    Figure 2.

    Bivariate map showing relation between standardized hospitalization ratio and population size in Paraná State, Brazil, 2014-2019.

    SHR = standardized hospitalization ratio.

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    Figure 3.

    Posterior mean and 95% credible interval for temporal risk of hospitalization for cardiovascular diseases preventable by primary health care in Paraná State, Brazil, 2014-2019.

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    Figure 4.

    Risk estimates (posterior means) and posterior exceedance probability of hospitalization for cardiovascular diseases preventable by primary health care in Paraná State, Brazil, 2014-2019.

    PEP = posterior exceedance probabilities.

  • Figure 5.
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    Figure 5.

    Estimates of temporal trends in inequality in the risk of hospitalization for cardiovascular diseases preventable by primary health care in Paraná State, Brazil, 2014-2019.

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    Table 1.

    Data Sources, Variables, Disease Codes, and Calculation Methods Used for Data Synthesis

    Data SourceVariableICD-10 and ICPC-2 CodesCalculationFinal VariableDescription
    SIH-SUS DATASUSHospitalizationICD-10: I10, I11, I20, I50, I63-I67, I69, J81, G45, G46, E10.0-E10.9, E11.0-E11.9, E12.0-E12.9, E13.0-E13.9, E14.0-E14.9No. of hospitalizations of people aged 50-69 years/POPADJUST × 10,000Hospitalization rateHospitalization rate
    DATASUSNo. of doctors
    No. of nurses
    No. of nutritionists
    No. of psychologists
    n/a
    n/a
    n/a
    n/a
    (Doctors + nurses + nutritionists + psychologists)/POPTOTAL × 1,000Health care professionalsRatio of No. of higher education health care personnel working in primary health care to 1,000 people
    EGESTOR-SISABIndividual care for hypertensionICPC-2: K86; K87; W81. ICD-10: I10, I11, I11.0, I11.9, I12, I12.0, I12.9, I13, I13.0-I13.2, I13.9, I15, I15.0-I15.2, I15.8, I15.9, I27.0, I27.2, O10, O10.0-O10.4, O10.9(Individual care for hypertension + individual care for diabetes + individual care for smoking cessation + individual care for obesity)/POPAD-JUST × 1,000AttendanceRatio of No. of individual appointments related to CVD factors with higher education health care personnel working in primary health care to 1,000 people aged 50-69 years
    Individual care for diabetesICPC-2: T89, T90, W85. ICD-10: E10, E10.0-E10.9, E11, E11.0-E11.9, E12, E12.0-E12.9, E13, E13.0-E13.9, E14, E14.0-E14.9, O24, O24.0, O24.9, P70.2
    Individual care for smoking cessationICPC-2: P17. ICD-10: F17, F17.0-F17.9, Z71.6, Z72.0
    Individual care for obesityICPC-2: T82. ICD-10: E66, E66.0-E66.2, E66.8, E66.9
    EGESTOR-SISABFHS coveragen/aNo. of people covered by the FHS service/POPTOTAL × 1,000CoverageRatio of No. of people covered by FHS teams to 1,000 people
    EGESTOR-SISABPhysical activity groupn/a(Physical activity group + nutritional guidance group + smoking cessation group + self-care group)/POPTOTAL × 1,000Group activityRatio of No. of health education group activities to 1,000 people
    Nutritional guidance groupn/a
    Smoking cessation groupn/a
    Self-care groupn/a
    IPARDESSocial development indexn/an/aSocial Development IndexSocial Development Index based on income, employment, health, and education
    • CVD = cardiovascular disease; DATASUS = Information Technology Department of the United Health System of Brazil; EGESTOR-SISAB = Information and Management of Primary Care - Health Information System for Primary Care; FHS = Family Health Strategy; ICD-10 = International Classification of Diseases, 10th revision; ICPC-2 = International Classification of Primary Care, 2nd edition; n/a = not applicable; IPARDES = Paraná Institute of Economic and Social Developement; POPADJUST = population adjusted to the 50-69 years age group; POPTOTAL = total population; SIH-SUS DATASUS = Hospital Information System of the Information Technology Department of the United Health System of Brazil.

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The Annals of Family Medicine: 22 (2)
The Annals of Family Medicine: 22 (2)
Vol. 22, Issue 2
March/April 2024
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Hospitalizations for Cardiovascular Diseases Sensitive to Primary Health Care in Paraná State, Brazil: A Bayesian Spatiotemporal Model
Samile Bonfim, Miyoko Massago, Amanda de Carvalho Dutra, Matheus Henrique Beltrame Arruda, Fernanda Silva Oliveira, Érika Bárbara Abreu Fonseca Thomaz, Eniuce Menezes de Souza, Oscar Kenji Nihei, Luciano de Andrade
The Annals of Family Medicine Mar 2024, 22 (2) 140-148; DOI: 10.1370/afm.3083

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Hospitalizations for Cardiovascular Diseases Sensitive to Primary Health Care in Paraná State, Brazil: A Bayesian Spatiotemporal Model
Samile Bonfim, Miyoko Massago, Amanda de Carvalho Dutra, Matheus Henrique Beltrame Arruda, Fernanda Silva Oliveira, Érika Bárbara Abreu Fonseca Thomaz, Eniuce Menezes de Souza, Oscar Kenji Nihei, Luciano de Andrade
The Annals of Family Medicine Mar 2024, 22 (2) 140-148; DOI: 10.1370/afm.3083
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