0379/2020 - Atenção ao Câncer de Mama a partir da suspeita na Atenção Primária à saúde nos municípios de São Paulo e Campinas Breast cancer suspect in primary health care in the cities of São Paulo and Campinas
Buscou-se identificar fatores que interferem na suspeita do câncer de mama (CM) pela Atenção Primária a Saúde (APS) que impulsionam o encaminhamento para a Atenção Especializada (AE) nos municípios de São Paulo e Campinas. Entrevistaram-se 664 mulheres (353 paulistanas e 311 campineiras) diagnosticadas por CM, encaminhadas para AE pela APS. Utilizou-se a análise de regressão logística multinível para a identificação das associações entre a suspeita do CM pela APS, variáveis socioeconômicas e atenção ao câncer. Mostraram associação significativa: nível superior de escolaridade (RC=0,59; IC95%=0,35-0,98); pagamento de consulta médica para atendimento relacionado ao câncer (RC=0,59; IC95%=0,36-0,96), continuou atendimento na APS após início do tratamento na AE (RC=0,62; IC95%=0,41-0,95); mama examinada na APS antes do encaminhamento para a AE (RC=1,61; IC95%=1,10-2,34) e primeira mamografia solicitada na APS (RC=2,81; IC95%=1,95-4,00). A solicitação da mamografia e o ECM são ações que têm sido incorporadas na APS para a detecção precoce do CM nos municípios. Continuar o atendimento na APS e melhores condições socioeconômicas, como ter nível superior de escolaridade e capacidade de pagar por atendimento, reduzem a chance da suspeita.
Palavras-chave:
Neoplasias da mama, Detecção Precoce de Câncer, Atenção Primária à Saúde, Sistema Único de Saúde, Avaliação em Saúde.
Abstract:
We seek to identify factors that interfere the breast cancer’s (BC) suspect by Primary Health Care (PHC) that boost the referral for Specialized Care (SC) in the cities of São Paulo and Campinas. We interviewed 664 women (353São Paulo and 311Campinas) diagnosed with BC, referred for SCPHC. Multilevel logistic regression analysis was used to the identification of associations between suspected of BC by PHC and socioeconomic and cancer care variables. The following showed a significant association: higher education level (RC = 0.59; 95% CI = 0.35-0.98); medical consultation payment for cancer-related care (OR = 0.59; 95% CI = 0.36-0.96), continued attendance at PHC after beginning treatment at SC (RC = 0.62; 95% CI = 0.41-0.95); breast examined in PHC before referral to SC (RC = 1.61; 95% CI = 1.10-2.34) and first mammography requested in PHC (OR = 2.81; 95% CI = 1.95-4.00). The request for mammography and the clinical breast examination are actions that have been incorporated into the PHC for the early detection of BC in the cities. Continue the care at the PHC and better socioeconomic conditions, such as having a higher education level and capacity to pay for care, reduce the chance of suspect.
Keywords:
Breast Neoplasms, Early Detection of Cancer, Primary Health Care, Unified Health System, Health Evaluation.
Breast cancer suspect in primary health care in the cities of São Paulo and Campinas
Resumo (abstract):
We seek to identify factors that interfere the breast cancer’s (BC) suspect by Primary Health Care (PHC) that boost the referral for Specialized Care (SC) in the cities of São Paulo and Campinas. We interviewed 664 women (353São Paulo and 311Campinas) diagnosed with BC, referred for SCPHC. Multilevel logistic regression analysis was used to the identification of associations between suspected of BC by PHC and socioeconomic and cancer care variables. The following showed a significant association: higher education level (RC = 0.59; 95% CI = 0.35-0.98); medical consultation payment for cancer-related care (OR = 0.59; 95% CI = 0.36-0.96), continued attendance at PHC after beginning treatment at SC (RC = 0.62; 95% CI = 0.41-0.95); breast examined in PHC before referral to SC (RC = 1.61; 95% CI = 1.10-2.34) and first mammography requested in PHC (OR = 2.81; 95% CI = 1.95-4.00). The request for mammography and the clinical breast examination are actions that have been incorporated into the PHC for the early detection of BC in the cities. Continue the care at the PHC and better socioeconomic conditions, such as having a higher education level and capacity to pay for care, reduce the chance of suspect.
Palavras-chave (keywords):
Breast Neoplasms, Early Detection of Cancer, Primary Health Care, Unified Health System, Health Evaluation.
Castro, C.P, Sala, D. C. P., Costa Rosa, T.E, Tanaka, O Y. Atenção ao Câncer de Mama a partir da suspeita na Atenção Primária à saúde nos municípios de São Paulo e Campinas. Cien Saude Colet [periódico na internet] (2020/Dez). [Citado em 20/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/atencao-ao-cancer-de-mama-a-partir-da-suspeita-na-atencao-primaria-a-saude-nos-municipios-de-sao-paulo-e-campinas/17861?id=17861&id=17861
