Standardized CIED implantation rates declined in Brazil's public health system over 12 years, notably for pacemakers and CRT-P devices, despite rising total volume.
What are the temporal trends of cardiac implantable electronic device (CIED) implantation rates in the Brazilian public health system?
Standardized CIED implantation rates in the Brazilian public health system have declined over 12 years, with divergent regional trends indicating a need for policies to ensure equitable access.
Despite increasing volume, standardized CIED implantation rates declined in SUS, especially for PM and CRT-P. Divergent regional trends highlight the need for targeted health policies to ensure equitable access to advanced CIED therapies.
Marcolino et al. (2026) studied this question. Standardized CIED implantation rates declined in Brazil's public health system over 12 years, notably for pacemakers and CRT-P devices, despite rising total volume.