Estudo dos tempos entre o diagnóstico e tratamento do câncer de mama em uma instituição de referência no Espírito Santo
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Data
2016-09-12
Autores
Simião, Luana de Jesus
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Universidade Federal do Espírito Santo
Resumo
Introduction: The time intervals related to the treatment of breast cancer are essential to the therapeutic success of patients. Objectives: To analyze the time between the diagnosis and the beginning of treatment for patients diagnosed with breast cancer between the years of 2010-2011 and 2013-2014, to know the sociodemographic and clinical profile, linking them to Law nº12732, in order to identify the risk factors that contributed to the delay in treatment. There were two longitudinal analytical studies of primary and secondary data covering 1016 cases of women who were diagnosed with breast cancer and treated at the Santa Rita de Cássia Hospital, in Vitoria, Espírito Santo state. Methods: The results were analyzed by using calculations of frequency and mean, median, and standard deviation. The crude odds ratios were calculated and adjusted by using the Logistic Regression Model for the variables with statistical significance, considering the significance level of 0.10. Results: The median between diagnosis and treatment corresponded to 44 days, and that between the first consultation and treatment corresponded to 50 days. After the law went into effect an increase was identified in the quantitiveness of white women (26%); of those who were originally sent by the Brazilian public health system (SUS) (81%); of patients who did not present diagnosis and treatment (71%); patients who received treatment originating from their diagnosis in a period not exceeding 60 days (74%); from the account of family history (53%) and a decrease in metastasis (18%). As risk factors, those items identified include age, years of education, Law nº12732 and earlier diagnosis and treatment. In the years 2010 to 2011, 38% of women started treatment within 60 days. In 2013 to 2014 this figure became 62%.Patients diagnosed in 2010 and 2011 (OR = 1.74, CI = 1.30 to 2.33) and those who entered the hospital with a diagnosis and no treatment (OR = 1.89, CI = 1.40 to 2.54) initiated therapy for a period longer than 61 days. Conclusion: The institution that was researched has performed its activities in line with those that are recommended by the legal provisions; however, it is necessary that there be careful analysis of risk factors, aiming to adopt strategies that provide cancer care that is in keeping with the principles of SUS.
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Breast cancer , Risk factors , Late diagnosis , Time for treatment , Health services , Access to health services , Neoplasias de mama , Fatores de risco , Diagnóstico tardio , Tempo para o tratamento