Author:

• Giselle Firmino Torres de Sousa - Sousa, G.F.T - <giselleftorres@gmail.com>
ORCID: https://orcid.org/0000-0002-5940-2595

Co-author(s):

• Angelo Giuseppe Roncalli C. Oliveira - Oliveira, A.G.R.C - <roncalli@terra.com.br>
ORCID: https://orcid.org/0000-0001-5311-697X

Abstract:

This study analyzed the delay of the primary surgical treatment of patients with cleft lip and palate in Brazil performed under the Brazilian Health System (SUS), and the effect of the sociodemographic context and municipal socioeconomic indicators on the access to this treatment (2009-2013). It was used datathe Decentralized Hospital Information System related on all hospital authorizations forms paid for primary lip and/or palate surgeries and socioeconomic data (2010). The ages recommended by the American Cleft Palate-Craniofacial Association (12 months for lip surgeries and 18 months for palatal surgeries) were used as parameters. The prevalence of delay of lip primary surgeries was 66.4% and of the palatal surgeries was 71.2%. The North and Northeast regions had the worst percentages of delay. Non-whites had a greater prevalence of delay in cleft palate surgeries with RP = 1.27 (1.21-1.33) and those in cleft lip surgeries with RP = 1.40 (1.30-1.50). The multilevel analysis identified influence of self-reported skin color and Human Development Index (HDI) on the delay of primary surgery of lip, and of HDI and Gini index on the delay of the palate surgery. The importance of social determination on the access to primary surgeries of cleft lip and palate was evident.

Keywords:

Cleft lip, Cleft palate, Surgery, Epidemiologic Factors, Health Services.

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