{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:17:38Z","timestamp":1787030258088,"version":"build-2736575974"},"reference-count":10,"publisher":"Sociedade Brasileira de Cardiologia","issue":"6","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  A distribui\u00e7\u00e3o espacial de pacientes segundo caracter\u00edsticas cl\u00ednicas, utilizando t\u00e9cnicas de geoprocessamento, permite identificar aglomerados de doen\u00e7as em uma popula\u00e7\u00e3o estudada. Essa abordagem contribui para o desenvolvimento de interven\u00e7\u00f5es direcionadas a grupos espec\u00edficos de risco.  Objetivos  Investigar aglomerados geogr\u00e1ficos de doen\u00e7as de interesse entre pacientes atendidos em um hospital p\u00fablico terci\u00e1rio e caracterizar sua distribui\u00e7\u00e3o espacial na regi\u00e3o metropolitana de S\u00e3o Paulo.  M\u00e9todos  Com base nos resultados de um estudo pr\u00e9vio, foram definidos dois grupos de doen\u00e7as: um representando as principais doen\u00e7as identificadas na primeira consulta hospitalar e outro representando as principais causas b\u00e1sicas de morte. Uma descri\u00e7\u00e3o detalhada \u00e9 apresentada no material suplementar online. A densidade das doen\u00e7as foi calculada dividindo-se a frequ\u00eancia de casos em cada grupo de doen\u00e7as pela popula\u00e7\u00e3o de cada cidade\/distrito e multiplicando-se o resultado por 100.000 para melhorar a visualiza\u00e7\u00e3o dos dados. Posteriormente, os dados espaciais foram analisados e mapeados para ilustrar os padr\u00f5es espaciais e as rela\u00e7\u00f5es identificadas no estudo.  Resultados  Osasco e Tabo\u00e3o da Serra apresentaram a maior densidade de causas b\u00e1sicas de morte relacionadas a doen\u00e7as do sistema circulat\u00f3rio. Al\u00e9m disso, 12 cidades\/distritos localizados nas fronteiras da \u00e1rea de estudo n\u00e3o apresentaram registro de doen\u00e7as neopl\u00e1sicas.  Conclus\u00f5es  Vargem Grande Paulista apresentou a maior densidade de casos de neoplasias como causas b\u00e1sicas de morte e comorbidades. Destaca-se que Embu das Artes, munic\u00edpio reconhecido por suas extensas \u00e1reas verdes, apresentou a maior densidade de doen\u00e7as do sistema respirat\u00f3rio.<\/jats:p>","DOI":"10.36660\/abc.20260178","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T16:29:51Z","timestamp":1784910591000},"source":"Crossref","is-referenced-by-count":2,"title":["Distribui\u00e7\u00e3o Espacial de Pacientes na Regi\u00e3o Metropolitana de S\u00e3o Paulo Atendidos em um Hospital P\u00fablico Terci\u00e1rio de Refer\u00eancia Cardiovascular Segundo Doen\u00e7as dos Sistemas Circulat\u00f3rio, Respirat\u00f3rio, End\u00f3crino e Neopl\u00e1sico"],"prefix":"10.36660","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2107-6074","authenticated-orcid":false,"given":"Carlos","family":"Lederman","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Lopes de","family":"Moraes","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Carlos Pedroso de","family":"Lima","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia Pereira","family":"Barroso","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilian Cristina Correia","family":"Morais","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Sistema Estadual de An\u00e1lise de Dados - Proje\u00e7\u00f5es Populacionais,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magaly de Losso","family":"Perdig\u00e3o","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Sistema Estadual de An\u00e1lise de Dados - Proje\u00e7\u00f5es Populacionais,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa Maria Vieira de","family":"Freitas","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Sistema Estadual de An\u00e1lise de Dados - Proje\u00e7\u00f5es Populacionais,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-8154","authenticated-orcid":false,"given":"Monica La Porte","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Sistema Estadual de An\u00e1lise de Dados - Proje\u00e7\u00f5es Populacionais,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette Cunha","family":"Waldvogel","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Sistema Estadual de An\u00e1lise de Dados - 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