Objective:To describe the flow and costs associated with the diagnosis and treatment of patients with breast cancer who come from the public healthcare system and were treated at Hospital Israelita Albert Einstein.Methods:Between August 2009, and December 2011, 51 patients referred by the Unified Public Healthcare System (SUS) had access to Hospital Israelita Albert Einstein for diagnostic radiology, medical oncology, radiotherapy, and oncologic/ breast reconstruction surgery. The data were collected retrospectively from the hospital records, patient charts, pharmacy records, and from the hospital billing system.Results:The total sum spent for diagnosis and treatment of these 51 patients was US$ 1,457,500.00. This value encompassed expenses with a total of 85 hospitalizations, 2,875 outpatient visits, 16 emergency room visits, and all expenses associated with these stays at the hospital. The expenditure for treatment of each patient submitted to biopsy, breast conserving surgery, adjuvant chemotherapy without trastuzumab (a regime with taxane followed by anthracycline), radiotherapy, and 5 years of tamoxifen was approximately US$ 25,500.00.Conclusion:Strategies for cost-reduction of treatment in the private setting are necessary to enable future large-scale public-private partnerships in oncology.
The study suggested that the Hospital Cancer Registry database is an instrument capable of generating important information about cancer, and that through this information, epidemiological studies can be carried out and the processes of management and care can be improved.
RESUMOObjetivos: avaliar a qualidade de vida das pessoas que apresentaram náuseas e vômitos induzidos por antineoplásicos e correlacionar a qualidade de vida com o potencial emetogênico do protocolo quimioterápico e com o dimensionamento do esquema antiemético. Método: estudo descritivo, quantitativo, realizado em um ambulatório de onco-hematologia de um hospital do município de São Paulo. Foi utilizado o questionário SF-36 para avaliar a qualidade de vida dos indivíduos e um questionário de caracterização da população. Resultados: a maior parte dos participantes do sexo feminino (70%), com idade entre 60 a 69 anos (33%), apresentava câncer ginecológico (30%) e realizava tratamento com protocolo de moderado potencial emetogênico (70%). Discussão: constatou-se comprometimento em todos os domínios de qualidade de vida avaliados. Não houve diferença significativa quando comparados os potenciais emetogênicos e os dimensionamentos antieméticos. Conclusão: os domínios de qualidade de vida mais afetados nesses indivíduos foram a limitação física e a vitalidade.
The validation of the Pretransplantion Assesment of Mortality risk score in our patients confirmed that this system is an important tool to be used in transplantation units, being easy to apply and fully reproducible.
Background: Oral care is a fundamental procedure for the success of the hematopoietic stem cell transplantation, particularly regarding the control of oral infectious diseases. Information about oral care protocols and the inclusion of dental professionals in transplantation medical staff is poorly known. Objective: The aim of this study was to carry out a survey about the protocols of Brazilian dental professionals with regard to oral care of HSCT patients. Methods: A questionnaire was mailed to 36 Brazilian transplant centers with questions about basic oral care protocols, the indication of specific mouthwashes, antibiotic therapy regimens, laser therapy, and treatment of oral mucositis and graft-versus-host disease. All the respondent centers (n = 12) have dentists as members of the HSCT medical staff. Results: The majority indicate non-alcoholic chlorhexidine (n = 9; 75.0%) and sodium bicarbonate (n = 5; 41.7%) as routine mouthwashes. Laser therapy was frequently indicated (n= 9; 75.0%), mainly in the prevention of oral mucositis and in oral pain control. In the post-transplant period, antibiotic therapy was only indicated for invasive dental treatments (n= 8; 66.7%). Several treatments for graft-versus-host disease were mentioned without a trend towards establishing a standard protocol. Conclusion: Basic oral care constitutes regular assessment in the routine treatment of hematopoietic stem cell transplantation patients in Brazilian centers.
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