Título :	Direct healthcare costs for people with cerebral palsy in the Brazilian unified health system between 2015 and 2019
Autor :	Freire, Emilie Batista Peixoto, Henry Maia Ayupe, Kênnea Martins Almeida Silva, Everton Nunes da Carregaro, Rodrigo Luiz Toledo, Aline Martins de
metadata.dc.identifier.orcid:	https://orcid.org/0000-0003-0355-9363 https://orcid.org/0000-0001-5982-8855 https://orcid.org/0000-0002-4410-8748 https://orcid.org/0000-0001-8747-4185 https://orcid.org/0000-0002-2382-0787 https://orcid.org/0000-0002-0041-0750
metadata.dc.contributor.affiliation:	Universidade de Brasília, Faculdade de Ceilândia, Programa de Pós-Graduação em Ciências da Reabilitação Universidade de Brasília, Faculdade de Ciências da Saúde, Núcleo em Medicina Tropical Universidade de Brasília, Faculdade de Ceilândia, School of Physical Therapy Universidade de Brasília, Faculdade de Ceilândia, Programa de Ciências e Tecnologias em Saúde Universidade de Brasília, Faculdade de Ceilândia, Programa de Pós-Graduação em Ciências da Reabilitação Vrije Universiteit Amsterdam, Department of Health Sciences Universidade de Brasília, Faculdade de Ceilândia, Programa de Pós-Graduação em Ciências da Reabilitação Vrije Universiteit Amsterdam, Department of Health Sciences
Assunto::	Paralisia cerebral Custos hospitalares Análise de custos Sistema Único de Saúde (Brasil)
Fecha de publicación :	13-ago-2025
Editorial :	Informa UK Limited, trading as Taylor & Francis Group
Citación :	FREIRE, Emilie Batista et al. Direct healthcare costs for people with cerebral palsy in the Brazilian unified health system between 2015 and 2019. Expert Review of Pharmacoeconomics & Outcomes Research, London, v. 25, n. 1, p. 81-89, 2025. DOI: https://doi.org/10.1080/14737167.2024.2390043. Disponível em: https://www.tandfonline.com/doi/full/10.1080/14737167.2024.2390043#abstract. Acesso em: 31 jul. 2025.
Abstract:	Background: Estimate the costs of inpatient and outpatient care for people with Cerebral Palsy (CP) in Brazil. Research design and methods: Health records of people with CP in the Hospital and Outpatient Information Systems of Brazil between 2015 and 2019 were analyzed. Variables analyzed were gender, age, ICD, Intensive Care Unit (ICU) use, total cost, and ICU cost. Costs were adjusted for inflation and converted to dollars. Linear regression analysis was performed to investigate the association between social and clinical variables and direct costs. Results: A total direct cost of approximately $166 million to the National Health System was identified, with $7.08 million/year and $26.1 million/year of inpatient and outpatient costs, respectively. The healthcare was primarily for children up to 14 years of age. The ICD ‘spastic quadriplegic CP’ received the most attendance. Rehabilitation was responsible for 75% of the outpatient care, with physiotherapy standing out. Increased age, use of ICU, and the types of CP are related to increased cost. Conclusions: Healthcare for people with CP produced expressive costs for the Brazilian public health system, mainly with outpatient procedures and rehabilitation, with children being the most attended. Estimating these costs assist in better resource allocation for more effective healthcare provision.
metadata.dc.description.unidade:	Faculdade de Ciências e Tecnologias em Saúde (FCTS) – Campus UnB Ceilândia Faculdade de Medicina (FM)
metadata.dc.description.ppg:	Programa de Pós-Graduação em Ciências da Reabilitação
Licença::	© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
DOI:	https://doi.org/10.1080/14737167.2024.2390043
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