Leme, TCBC-RJ ² RESUMO: Objetivo: Avaliar se existe diferença no estadiamento de doentes submetidos à ressecção intestinal por câncer colorretal no sistema previdenciário e na clínica privada. Método: Foram estudados de forma retrospectiva 41 doentes (16 homens e 25 mulheres) com idade média de 59,4 anos operados no sistema previdenciário (SP) e 33 doentes (18 homens e 15 mulheres) com idade média de 60,8 anos operados na clínica privada (CP). Foram avaliados o estadiamento TNM, a frequência de operações de urgência, de operações paliativas e do uso de colostomia. Resultados: Não se observou diferença entre o estadiamento dos dois grupos. A frequência de operações de urgência foi 26,8% no SP e 12,1% na CP (p=0,100). As operações paliativas ( 19,5% SP x 6,1% CP) e o uso de colostomia ( 26,8 SP X 15,2 CP) foram maiores no sistema previdenciário porém os valores não foram estatisticamente significantes, valores de p=0,087 e p=0,352 respectivamente. Conclusão: Não há diferença significante entre o estadiamento TNM de doentes operados no sistema previdenciário e privado (Rev. Col. Bras. Cir. 2007; 34(3): 166-169).Descritores: Neoplasias colorretais; Fatores socioeconômicos; Estadiamento de neoplasias; Sistemas de saúde. ABSTRACT Background:To examine whether there is any difference in staging between patients operated on for colorectal cancer in public or private hospital. Methods: This study included 41 patients (16 men and 25 women, mean age of 59.4 years old) who underwent colorectal resection for adenocarcinoma in public hospital (PU) and 33 patients (18 men and 15 women, mean age 60.8 years old) operated in private hospital (PR). They were evaluated regarding the TNM stage, mode of presentation (elective or emergency), type of resection (curative or palliative) and the use of colostomy. Results: There was no significant difference in the staging among the two groups. Emergency presentation were 26.8% in the PU group and 12.1% in the PR group (p=0.100). Palliative resection (19.5% PU x 6.1% PR) and the use of colostomy (26.8% PU X 15.2% PR) were more frequently in the patients operated in public hospital but differences were not significant, p=0.087 and p=0.352 respectively. Conclusion: These findings demonstrate that there was no significant difference in staging between patients operated on for colorectal cancer in public or private hospital.
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