0152/2015 - Study of the time between the diagnosis and the beginning of treatment of breast cancer in the elderly done at a hospital in São Paulo – Brazil
Estudo do tempo entre o diagnóstico e início do tratamento do câncer de mama em idosas de um hospital de referência em São Paulo – Brasil
Author:
• Camila Brandão Souza - Souza, Camila Brandão - São Paulo, São Paulo - Universidade Federal de São Paulo, Escola Paulista de Enfermagem - <ufesmila_enfer@yahoo.com.br>Co-author(s):
• Suzete Maria Fustinoni - Fustinoni, S.M - Universidade Federal de São Paulo, Escola Paulista de Enfermagem - <smfustinoni@unifesp.br>• Maria Helena Amorim - Amorim, Maria Helena - Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Atenção à Saúde Coletiva - <mhcamorim@yahoo.com.br>
• Eliana Zandonade - Zandonade,E. - Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Atenção à Saúde Coletiva - <elianazandonade@uol.com.br>
ORCID: https://orcid.org/0000-0001-5160-3280
• Jéssica Carvalho Matos - Matos, Jéssica Carvalho - Universidade Federal de São Paulo, Escola Paulista de Enfermagem - <jessicamaringa@yahoo.com.br >
• Janine Schirmer - Schirmer, Janine - Universidade Federal de São Paulo, Escola Paulista de Enfermagem - <schirmer.janine@unifesp.br>
Thematic Area:
Políticas em SaúdeAbstract:
ABSTRACTThe purpose was to analyze the time between the diagnoses and the beginning of the treatment and to understand the sociodemographic and clinical profile of women in their 60’s or more that were diagnosed with breast cancer between 2001 and 2006 at Hospital Pérola Byington, São Paulo. It is a descriptive study, with secondary data and samples from 1299 cases. Sociodemographic, clinical and time variables were collected. Two groups of women using the time variable were formed, the time between diagnoses and the beginning of the treatment “up to 60 days” and “more than 60 days”. The average time between diagnoses and the beginning of the treatment was 74.7 days (DP = 212.6) and the average time of 45 days. Elderly woman with no diagnoses and no prior treatment took less time to start the treatment (p = 0.001), as well as women with cancer staging in the initial stage, in situ and I (p=0.001). Time was significant for the reappearance (p=0,004) and metastasis (p=0,038) conclusion. Diagnoses and treatment established certified elderly woman less time to the beginning of appropriate assistance. To improve structuring and operation of health services constitute a vital factor for serving health cases effectively, an important challenge for the Sistema Único de Saúde (Public Health System).