0115/2015 - Patient delays and system delays of breast cancer treatment in developed and developing countries O atraso de paciente e atraso de sistema no tratamento do câncer de mama nos países desenvolvidos e em desenvolvimento
• Ângela Gabrielly Freitas - Freitas, Ângela Gabrielly - Universidade Estadual da Paraíba (UEPB), Programa de pós-graduação em Saúde Publica - <mathiasweller@uepb.edu.br> +
Coautor(es):
• Mathias Weller - Weller, Mathias - Universidade Estadual da Paraíba (UEPB), Programa de pós-graduação em Saúde Publica - <mathiasweller@uepb.edu.br>
Área Temática:
Avaliação de Serviços de Saúde
Resumo:
O atraso no tratamento de câncer de mama foi associado com o aumento do palco da doença e a diminuição da sobrevida do paciente. O objetivo desta revisão integrativa foi a analise dos principais fatores causais e dos tipos de atraso. Sendo estes comparados entre estudos de países em desenvolvimento e desenvolvidos. Dos 53 estudos selecionados, 24 eram de países em desenvolvimento e 29 de países desenvolvidos, respectivamente. Não atribuição dos sintomas ao câncer, o medo e a menor escolaridade foram às causas mais citadas do atraso de paciente ao tratamento. Seguro menos abrangente, idade e testes diagnósticos falsos negativos, foram às causas mais comuns identificadas do atraso do sistema. O efeito de vários fatores como o fator idade, dependeu principalmente do contexto social e cultural. Alguns fatores causaram tanto, atraso relacionado ao paciente quanto atraso de sistema. Os estudos dos países em desenvolvimento identificaram mais fatores causais do atraso relacionado ao paciente, focando mais forte neste referido fator ou na combinação de ambos, atraso relacionado ao paciente e atraso de sistema. Enquanto estudos de países desenvolvidos enfocaram com maior frequência aspectos do atraso de sistema durante o tratamento e a orientação de pacientes no sistema de saúde.
Palavras-chave:
Câncer de mama
atraso
tratamento
países em desenvolvimento
países desenvolvidos
Abstract:
Breast cancer care delays have been associated with increased stage of disease and decreased patient survival. The aim of this integrative review was to analyse the main causal factors and types of patient and system delays. Objectives and underlying causal factors of delays were compared among studies conducted in developing and developed countries. Of 53 studies selected, 24 were carried out in developing countries and 29 in developed countries, respectively. Non-attribution of symptoms to cancer, fear of disease and treatment and low educational level were the most frequent causes of patient delay. Poor insurance status, older or younger age and false negative diagnostic tests were the three most common causal factors of system delay. Effects of factors such as age were not decisive themselves, but depended mainly on the social and cultural context. Some factors caused both patient delay and system delay. Studies conducted in developing countries identified more causal factors of patient delay and had a stronger focus on patient delay or the combination of both patient delay and system delay. Studies conducted in developed countries had a stronger focus on aspects of system delay during treatment and navigation of breast cancer patients through the health care system.
Keywords:
Breast cancer
delay
treatment
developing countries
developed countries
O atraso de paciente e atraso de sistema no tratamento do câncer de mama nos países desenvolvidos e em desenvolvimento
Resumo (abstract):
Breast cancer care delays have been associated with increased stage of disease and decreased patient survival. The aim of this integrative review was to analyse the main causal factors and types of patient and system delays. Objectives and underlying causal factors of delays were compared among studies conducted in developing and developed countries. Of 53 studies selected, 24 were carried out in developing countries and 29 in developed countries, respectively. Non-attribution of symptoms to cancer, fear of disease and treatment and low educational level were the most frequent causes of patient delay. Poor insurance status, older or younger age and false negative diagnostic tests were the three most common causal factors of system delay. Effects of factors such as age were not decisive themselves, but depended mainly on the social and cultural context. Some factors caused both patient delay and system delay. Studies conducted in developing countries identified more causal factors of patient delay and had a stronger focus on patient delay or the combination of both patient delay and system delay. Studies conducted in developed countries had a stronger focus on aspects of system delay during treatment and navigation of breast cancer patients through the health care system.
Palavras-chave (keywords):
Breast cancer
delay
treatment
developing countries
developed countries
Freitas, Ângela Gabrielly, Weller, Mathias. Patient delays and system delays of breast cancer treatment in developed and developing countries. Cien Saude Colet [periódico na internet] (2015/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/patient-delays-and-system-delays-of-breast-cancer-treatment-in-developed-and-developing-countries/15183?id=15183
