Economic Burden of Stroke in Brazil: Policy Implications and the Value of Telesurgery | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Economic Burden of Stroke in Brazil: Policy Implications and the Value of Telesurgery Dalia Dohler, Ryan Madder, Vipul Patel, Jacques Kpodonu This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8586525/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Neurological stroke is the second leading cause of mortality in Brazil, where approximately 46% of patients never receive appropriate intervention. Telesurgery has the potential to expand access to treatment by enabling remotely assisted surgical procedures; however, its economic feasibility within Brazil’s public health system (SUS) remains unclear. We developed a socio-economic cost model to estimate the national burden of stroke in Brazil and to evaluate the impact of introducing remote treatment access. The model incorporated direct medical costs, productivity losses, disability severity using the modified Rankin Scale (mRS) as well as different implementation scenarios. The current stroke burden is approximately $ 191 billion. With telesurgery implemented, the burden was reduced by $ 170 million under the lowest adoption scenario and by $ 11.7 billion under the highest adoption scenario. Telesurgery could improve access to stroke care and reduce long-term disability while being economically advantageous, suggesting an economically sustainable strategy for Brazil's public healthcare system. telesurgery remote robotic surgery stroke treatment care accessibility digital health infrastructure Brazil Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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