This study aimed to investigate the association between mortality of breast cancer women and the social-demographic and clinical characteristics. During the mortality study of 1,086 women diagnosed with breast cancer and treated from 2000 to 2005 at a cancer hospital in the city of Vitória, Espírito Santo, medical records and tumor registration cards were controlled. The Mortality Information System and the Reclink program were used to identify 280 deaths. Patients were classified under death and non-death, and variables percentages were calculated. For variables that showed statistical significance, considering the level of 0.10, the crude and adjusted odds ratio (OR) were calculated by logistic regression model. There was a correlation between mortality and the following variables: women coming from the Unified Health System (p = 0.014; OR = 2.38), negative c-erb B-2 tumor marker (p = 0.027; OR = 2.03), advanced (III and IV) staging (p = 0.001; OR = 6.89 and OR = 17.13, respectively), presence of metastasis (p = 0.001; OR = 18.23) and recurrence (p = 0.010; OR = 3.53). Mortality associated with staging underlines the necessity of warning the population about the benefits of early diagnosis of the disease of cancer.
IntroductionCancer has proven to be an increasing occurrence and presents high mortality rates, constituting a public health problem 1 . It has been estimated that, in 2008, 7.6 billion deaths were caused by the disease 2 . In Brazil, approximately 518,510 new cases of cancer have been estimated for 2012 and, in 2008, the disease was the second leading cause of death in the country 3,4 . For 2012, of the 260,640 new female cancer cases, it is expected that 53,000 correspond to breast cancer. This makes breast cancer the second most common body location of the disease (the first one being non-melanoma skin tumors) 4 . In southeastern Brazil, authors highlight trends of increased mortality in metropolitan areas 5,6 . In a study conducted in the state of Espírito Santo, in which data from the Mortality Information System from 1980 to 2007 was analyzed, a trend of increased mortality due to breast cancer was identified in all age groups from 30 years on 7 . Along with the INCA (Brazilian Cancer Institute) estimates for the year 2012 -in which the state capital, Vitória, proved to be the eighth Brazilian capital with the highest gross incidence rate of breast cancer (71.28 per 100 thousand inhabitants) -this information indicates the need for studies that characterize the prevalence of the disease 4 . Data related to mortality are of utmost importance, as they allow the description of the disease's magnitude and impact. In addition, study of this data is important to identify gaps in patient access to health services and to indicate improvements in their treatment. Therefore, this study was aimed at the investigation of the association between mortality among women diagnosed with breast cancer between 2000 and 2005, who received treatment at Santa Rita de Cássia Hospital, and its sociodemographi...