<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492023000300051</article-id>
<article-id pub-id-type="doi">10.18004/anales/2023.056.03.51</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto económico de desbridamientos quirúrgicos y amputaciones de miembros inferiores en pacientes diabéticos]]></article-title>
<article-title xml:lang="en"><![CDATA[Economic impact of surgical debridements and lower limb amputations in diabetic patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colucci]]></surname>
<given-names><![CDATA[Alexandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giubi]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>56</volume>
<numero>3</numero>
<fpage>51</fpage>
<lpage>57</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492023000300051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492023000300051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492023000300051&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La diabetes mellitus tipo 2 (DM2) constituye un problema de salud pública.  Objetivos:  Determinar la frecuencia de los desbridamientos quirúrgicos y amputaciones de miembros inferiores en pacientes diabéticos tipo 2 y su impacto económico.  Materiales y métodos:  Se realizó un estudio Observacional descriptivo de corte transversal. Se estimaron los costos médicos directos tanto de desbridamientos quirúrgicos como de amputaciones de miembros inferiores en pacientes diabéticos en el Hospital de Clínicas San Lorenzo, durante el año 2019.  Resultados:  El total de desbridamientos quirúrgicos y amputaciones de miembros inferiores en el año 2019 representan el 1,9% (314/16.484) de los procedimientos quirúrgicos realizados en el Hospital de Clínicas. El monto total de gastos es de 1.804.185.116 (262.541 USD), de los cuales 172.514.000 (38.857 USD) constituyen gastos de bolsillo y 1.631.671.116 (237.437 USD) constituyen gastos erogados al Estado Paraguayo a través del Hospital de Clínicas de San Lorenzo.  Conclusión:  Las complicaciones de la diabetes imponen considerables costos tanto en el gasto de bolsillo, al sector de la salud como a la economía en general en el Paraguay, por lo que es necesario re evaluar el manejo de esta problemática teniendo en cuenta el gran impacto que tienen dichos procedimientos producen en la vida de los pacientes a nivel físico, emocional, familiar y social, así como la carga económica que conlleva el tratamiento para el Sistema de Salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Type 2 diabetes mellitus (T2DM) constitutes a public health problem.  Objectives:  Determine the frequency of surgical debridement and lower limb amputations in type 2 diabetic patients and their economic impact.  Materials and methods:  A descriptive cross-sectional observational study was carried out. The direct medical costs of both surgical debridement and lower limb amputations in diabetic patients at the Hospital de Clínicas, San Lorenzo were estimated during 2019.  Results:  The total of surgical debridement and lower limb amputations in 2019 represents the 1.9% (314/16,484) of surgical procedures performed at the Hospital de Clínicas. The total amount of expenses is 1,804,185,116 (262,541 USD), of which 172,514,000 (38,857 USD) constitute out-of-pocket expenses and 1,631,671,116 (237,437 USD) constitute expenses disbursed to the Paraguayan State through the Hospital de Clínicas de San Lorenzo.  Conclusion:  The complications of diabetes impose considerable costs both in out-of-pocket spending, on the health sector and on the economy in general in Paraguay, so it is necessary to re-evaluate the management of this problem taking into account the great impact that these procedures have on the lives of patients on a physical, emotional, family and social level, as well as the economic burden that the treatment entails for the Health System.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diabetes]]></kwd>
<kwd lng="es"><![CDATA[desbridamientos]]></kwd>
<kwd lng="es"><![CDATA[amputaciones]]></kwd>
<kwd lng="es"><![CDATA[costo.]]></kwd>
<kwd lng="en"><![CDATA[diabetes]]></kwd>
<kwd lng="en"><![CDATA[debridement]]></kwd>
<kwd lng="en"><![CDATA[amputations]]></kwd>
<kwd lng="en"><![CDATA[cost.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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