0381/2020 - Prevalência e fatores associados ao diagnóstico de câncer de mama em estágio avançado Prevalence and factors associated to advanced stage at diagnosis of breast cancer
Este estudo transversal investigou a prevalência e os fatores associados ao diagnóstico de câncer de mama em estágio avançado entre 18.890 mulheres assistidas em hospital especializado da capital do Rio de Janeiro, Brasil, entre os anos 1999 e 2016. Para tanto, utilizou regressão de Poisson com variância robusta para estimar razões de prevalência e respectivos intervalos de 95% de confiança. A prevalência global do diagnóstico de câncer de mama em estágio avançado foi de 43,67%. Apresentaram maiores prevalências de diagnóstico nesta condição mulheres com idade entre 20-39 e 40-49 anos, de raça/cor da pele preta e parda, que viviam sem companheiro(a), procedentes de outros municípios do estado do Rio de Janeiro, que tiveram o Sistema Único de Saúde como origem do encaminhamento e que foram diagnosticadas nos sexênios 1999-2004 e 2005-2010. Em contrapartida, mulheres com idade entre 60-69 e 70-99 anos, que cursaram algum nível de escolaridade, com histórico familiar de câncer e que chegaram ao hospital com diagnóstico e sem tratamento apresentaram menores prevalências de diagnóstico em estágio avançado. Estes resultados podem ser considerados no planejamento de ações de prevenção secundária a fim de antecipar o diagnóstico de câncer de mama dos grupos mais vulneráveis e, assim, colaborar para a redução da prevalência do diagnóstico em estágio avançado.
Palavras-chave:
Neoplasias da mama, Estadiamento de neoplasias, Institutos de câncer, Registros eletrônicos de saúde, Estudos transversais
Abstract:
This cross-sectional study investigated the prevalence and factors associated to advanced stage at diagnosis of breast cancer among 18,890 women assisted in a specialized hospital in the capital of Rio de Janeiro, Brazil, between the years 1999 and 2016. For this purpose, we used Poisson regression with robust variance to estimate prevalence ratios and respective 95% confidence intervals. The overall prevalence of the advanced stage at diagnosis of breast cancer was 43.67%. The highest prevalence of diagnosis in this condition was women aged between 20-39 and 40-49 years, among black and brown women, living without a partner, comingother cities of the state of Rio de Janeiro, who had the Unified Health System as the origin of the referral and were diagnosed in the 1999-2004 and 2005-2010 six-year periods. On the other hand, women aged 60-69 and 70-99 years, which presented some level of education, with a family history of cancer and who arrived at the hospital with diagnosis and without treatment had lower prevalence of the advanced stage at diagnosis of breast cancer. These results can be considered when planning secondary prevention actions in order to anticipate the diagnosis of breast cancer in the most vulnerable groups and, thus, collaborate to reduce the prevalence of the advanced stage at diagnosis of breast cancer.
Keywords:
Breast neoplasms, Neoplasm staging, Cancer care facilities, Electronic health records, Cross-sectional studies
Prevalence and factors associated to advanced stage at diagnosis of breast cancer
Resumo (abstract):
This cross-sectional study investigated the prevalence and factors associated to advanced stage at diagnosis of breast cancer among 18,890 women assisted in a specialized hospital in the capital of Rio de Janeiro, Brazil, between the years 1999 and 2016. For this purpose, we used Poisson regression with robust variance to estimate prevalence ratios and respective 95% confidence intervals. The overall prevalence of the advanced stage at diagnosis of breast cancer was 43.67%. The highest prevalence of diagnosis in this condition was women aged between 20-39 and 40-49 years, among black and brown women, living without a partner, comingother cities of the state of Rio de Janeiro, who had the Unified Health System as the origin of the referral and were diagnosed in the 1999-2004 and 2005-2010 six-year periods. On the other hand, women aged 60-69 and 70-99 years, which presented some level of education, with a family history of cancer and who arrived at the hospital with diagnosis and without treatment had lower prevalence of the advanced stage at diagnosis of breast cancer. These results can be considered when planning secondary prevention actions in order to anticipate the diagnosis of breast cancer in the most vulnerable groups and, thus, collaborate to reduce the prevalence of the advanced stage at diagnosis of breast cancer.
Palavras-chave (keywords):
Breast neoplasms, Neoplasm staging, Cancer care facilities, Electronic health records, Cross-sectional studies
dos Santos, T. B., Borges, A., Dantas, J., Meira, K.C, Souza, M. C., Guimarães, R.M, Jomar, Rafael. Prevalência e fatores associados ao diagnóstico de câncer de mama em estágio avançado. Cien Saude Colet [periódico na internet] (2020/Dez). [Citado em 20/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevalencia-e-fatores-associados-ao-diagnostico-de-cancer-de-mama-em-estagio-avancado/17863?id=17863&id=17863
