Introduction: Due to the high incidence and mortality rates that cancer has, the World Health Organization (WHO) defines it as a public health problem and points out that there are approximately 10 million people affected by cancer, the estimate for the year 2020 will be 16 million of sick individuals.One of the most frequent neoplasms in the world, Prostate Cancer (CaP) (1.1 million), occupies 4th place, being behind only lung cancer (1.8 million), breast (1.7 million), and intestine (1.4 million). In the year 2012, approximately 1,112,000 new global cases of CaP were registered, with about 307,000 deaths. Objective: To analyze the epidemiological profile of mortality from prostate cancer and the access of patients to health among Brazilian regions. Methods: Ecological study based on secondary data from between the years 2000 and 2015. Mortality, hospitalization, and population were collected at the DATASUS. The variables were related to the epidemiological profile of CaP among Brazilian regions, stratified by the number of hospitalizations, of deaths, admission fee, mortality rate, and age group (40 to 79 years). The study looks at a time trend and gains access to health and mortality using regression models. Results: The northern showed a greater decrease in cases from 40-59 years (β: -1,800; -0.46). Southeast, with a small reduction only between 40 and 44 years old (β: -0.345 and p: 0.665). Northeast, South, and Center-West regions did not express a drop in the hospitalization rate, with the greatest growth between 65 and 69 years old (β: 7,862; 11,346; and p> 0.05). The Midwest had the greatest increase between 55 and 59 years (β: 3,660, p: 0.098), followed by 65 to 69 years (β: 3,491, p: 0.314). Mortality rates indicated a reduction in the Southeast (β: - 0.440) and South (β: -0.361). Conclusion: This study found an association with various environmental and economic cultures in each Brazilian region, being an important resource for the development of health services and their access to the population.
Financiamento: Não se aplica. Conflito de interesse: Os autores declararam não haver conflitos de interesse que precisam ser informados. Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado.
We aimed, through an ecological survey of cervical cancer outcomes in Brazil, to analyze the influence of socioeconomic and care indicators of social vulnerability. The study sample (2010–2015) is composed of women diagnosed with cervical cancer, in different regions of the country. Data were collected from the Department of Health, in addition to searching the social vulnerability database of the Institute of Applied Economic Research. The incidence of age-standardized hospital admission declined over the years of the study in almost all regions but only one region showed a significant decline in indices of social vulnerability. In two other regions, one important indicator (human capital) significantly decreased. There was a positive correlation between vulnerability indices and age-standardized hospital admissions in most of the country. Decreasing vulnerability by easy access to cancer screening and early treatment improves cervical cancer outcomes.
Cervical cancer is the second most common form of cancer in the world among women, and it is estimated to be the third most frequent cancer in Brazil, as well as the fourth leading cause of death from cancer. There is a difference in cervical cancer mortality rates among different administrative regions in Brazil along with an inadequate distribution of cancer centers in certain Brazilian regions. Herein, we analyze the trends in hospital admission and mortality rates for CC between 2000 and 2012. This population-based ecological study evaluated the temporal trend in cervical cancer between the years 2000 and 2012, stratifying by Brazilian administrative regions. The North and Northeast regions had no reduction in mortality in all age groups studied (25 to 64 years); when analyzing hospitalization rates, only the age group of 50 to 64 years from the North Region did not present a reduction. During the years studied, in the South Region, the age group ranging from 50 to 54 years had the greatest reduction in mortality rates (β = −0.59, p = 0.001, r2 = 0.63), and the group ranging from 45 to 49 years had the greatest reduction in hospital admission rates (β = −8.87, p = 0.025, r2 = 0.37). Between the years 2000 and 2012, the greatest reduction in the incidence of UCC was in the South Region (β = −1.43, p = 0.236, r2 = 0.12) followed by the Central-West (β = −1, p <0.001, r2 = 0.84), the Southeast (β = −0.95, p <0.001, r2 = 0.88), the Northeast (β = −0.67, p = 0.080, r2 = 0.25), and, finally, by the North (β = −0.42, p = 0.157, r2 = 0.17). There was a greater reduction in mortality rates and global hospitalization rates for CC in Brazil than in the United States during the same period with exceptions only in Brazil’s North and Northeast regions.
Introduction: Central nervous system (CNS) neoplasms are the most common solid tumors within the pediatric population, being an important cause of death and functional losses in this age group. Although studies show that there is good evolution and adaptation of pediatric survivors in adulthood, the interaction of these individuals with social inclusion factors still worries the medical environment. Objective: To analyze the temporal trend of mortality, hospitalization and social vulnerability of children with CNS Neoplasia and correlate with social indicators. Methods: An ecological study carried out in November 2018, through the analysis of secondary data on mortality, hospital admission, social vulnerability index and social indicators of Brazil, collected in DATASUS, and the Atlas of Social Vulnerability available at the Institute of Economic Research in the period from 2010 to 2015. Results: The improvement of social variables in all Brazilian regions; There was an increase in hospitalizations for Nervous System neoplasms for the 5 to 9-year-old male in the Northeast region; To the North, in the age group 0 to 4 years the hospitalization rates were positively correlated with the IVS, negatively with the HDI and positively with the Gini index; It was possible to identify a negative correlation between the IVS and the total number of hospitalizations for the Northeast in the female sex; Regarding mortality, there was a positive correlation between total mortality and IVS in the Midwest for the male population. Conclusion: It was concluded that there was a correlation between the various social indexes (HDI, IVS and Gini index) and the
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