Distribution of mammograms and mammography offering in relation to the parametric care of the Public Health Care System in Pernambuco

Silva, Maria Tatiane Alves da; Júnior, Valdecir Barbosa da Silva; Mangueira, Jorgiana de Oliveira; Gurgel, Garibaldi Dantas; Leal, Eliane Maria Medeiros

doi:10.1590/1806-93042018000300009

Cited by 4 publications

(5 citation statements)

References 13 publications

(23 reference statements)

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“…Level of education is one of the aspects that hinder access to breast cancer screening: more years of education are associated with a greater chance of adherence to examinations (24)(25)(26)(27) . Individuals with a low level of education do not recognize the importance of the examination, and end up not performing it (18)(19)(20)30,32) . According to WHO studies, cancer has greater impact in low-income countries, where education is precarious, which is associated with low self-care, corroborating the collected data (2,34) .…”

Section: Inequality In Accessmentioning

confidence: 99%

“…Another problem is lack of equipment such as mammogram machines (20) . There is a discrepancy in distribution of technology for early diagnosis, and most of the time these tools are concentrated in certain regions of the country or of each state, mainly in more developed regions, which do not always have the highest prevalence of the disease (25)(26) .…”

Section: Inequality In Accessmentioning

confidence: 99%

“…Despite of the law, there is no instrument for law enforcement, and six studies highlight the importance of an effective information system, as the existing platform is not used by health units, which leads to unplanned care and lack of monitoring of actions taken (17)(18)(20)(21)26,29) . The lack of computerized monitoring also leads to lack of follow-up regarding time, and some individuals end up doing too many examinations (18,20,26) . Effective surveillance favors cost-effective health care (17,21) .…”

Section: Information System As Limiting Factormentioning

confidence: 99%

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Access of the patient to the cancer network under the “Sixty-Day Law”: Integrative Review

Lombardo

Popim

2020

Rev. Bras. Enferm.

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Objectives: to analyze Brazilian scientific production on patient access to the oncology network under the “Sixty-Day Law”. Methods: integrative review of the literature in the databases Lilacs, PubMed and Scielo. The descriptors used were: neoplasms, health services accessibility, early detection of cancer. Articles published from 2015 to March 2019 were included. Results: 17 articles were analyzed and four themes emerged: inequality in access; qualification of Primary Care professionals; time as a determinant factor; information system as limiting factor. Conclusions: the access to the oncology network is unequal and there are several barriers faced by the users. A continuing education of health professionals is necessary to implement preventive strategies. Treatment initiation is late, showing non-compliance with the law. The health care network is highly fragmented, there is lack of coordination between the services and, consequently, there is a lack of patient follow-up.

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Section: Inequality In Accessmentioning

confidence: 99%

Section: Inequality In Accessmentioning

confidence: 99%

Section: Information System As Limiting Factormentioning

confidence: 99%

See 1 more Smart Citation

Access of the patient to the cancer network under the “Sixty-Day Law”: Integrative Review

Lombardo

Popim

2020

Rev. Bras. Enferm.

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“…Additionally, we observed that half of the regions with the lowest population density had the lowest mammogram coverage. This may reflect the lack of providing and maintaining mammographic services in these areas or the difficulty of travelling considerable distances to undergo periodic examinations [ 33 ]. Interestingly, the regions with the highest population density did not have the highest coverage rates.…”

Section: Discussionmentioning

confidence: 99%

10-year opportunistic mammographic screening scenario in Brazil and its impact on breast cancer early detection: a nationwide population-based study

Cuoghi¹,

Soares²,

Santos³

et al. 2022

J Glob Health

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Background Mammographic screening has been used to reduce breast cancer mortality worldwide and remains the main modality for the early detection of this disease. Women from low- and middle-income countries still lack access to periodic mammograms and efficient health care. This cross-sectional study aimed to explore opportunistic mammographic coverage in Brazil, while considering the privately insured population and its association with early breast cancer (EBC) detection. Methods Data on population, gross domestic product (GDP), number of mammograms performed under the Sistema Único de Saúde (SUS) public health system or private system, and women diagnosed with early-stage breast cancer from 2010 to 2019 were retrieved from publicly available databases. Results A total of 39 555 636 mammograms with an average of 3 955 564 ± 395 704 mammograms were obtained per year from 2010 to 2019 in Brazil. Most examinations (58.6%) were performed in the target population (50-69 years old), while 32% were performed in women aged 40-49, and 9.4% were performed in women <40 years or >70 years of age. The 10-year mammogram coverage was 30.6% in the target population and 24.8% in the population aged 40-49 years, with significant variation across states and municipalities. The overall EBC detection rates in Brazil were 30.6% in populations aged 50-70 and 24.8% in those aged 40-50 years. We observed a positive correlation between coverage and EBC detection rate (r = 0.68; P = 0.0001 (50-70 years) and r = 0.75; P < 0.0001 (40-50 years)). According to the GDP, the municipalities with higher GDP per capita had higher mammogram coverage ( P < 0.0001). Conclusions The coverage of mammographic screening for women under the SUS is far below the international guidelines. Additionally, a significant number of mammograms have been performed in non-target populations. This scenario reflects the problematic screening programs in developing countries and reflects low rates of EBC diagnosis. As Brazil is a continental country with heterogeneous socioeconomic indicators, we observed significant variations in the number of mammograms performed by age groups when separated by states and municipalities. Even when considering supplemental health system coverage, municipalities with higher GDP per capita were associated with higher mammogram coverage.

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“…A indisponibilidade em muitas regiões de especialistas na área e equipamentos como mamógrafos para diagnóstico, são fatores que também podem estar associados a essas altas taxas de mortalidade, uma vez que causa impacto direto no diagnóstico e tratamento dos pacientes (Xavier et al, 2016;Silva et al, 2018). Na série histórica analisada neste estudo observou-se uma tendência de aumento percentual médio da taxa de mortalidade global concordante com diversas pesquisas (Kluthcovsky et al,2014;Couto et al, 2018;de Oliveira Barros et al, 2020).…”

Section: Discussionunclassified

Câncer de mama: Análise da tendência de mortalidade em mulheres no Estado do Pará-Brasil

Silva

Junior

Souza

et al. 2021

RSD

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Introdução: O câncer de mama é o segundo tipo de neoplasia mais prevalente em mulheres, com aumento do número de óbitos a cada ano, apesar de ter elevada taxa de cura quando diagnosticado e tratado precocemente. Para tentar diminuir a taxa de mortalidade o Ministério da Saúde lançou a portaria n°189/2014 que visa instituir os Serviços de Referência para Diagnóstico de Câncer de Mama, contando com profissionais especializados e serviços diagnósticos. No entanto, há dificuldade de oferta de todos os procedimentos, impactando no diagnóstico definitivo e consequente aumento da mortalidade. Objetivo: Avaliar a tendência de mortalidade de câncer de mama no Pará, entre os anos de 2010 e 2018, a partir dos dados do Instituto Nacional do Câncer (INCA). Metodologia: Trata-se de um estudo observacional, descritivo, retrospectivo e comparativo baseado nos dados disponíveis no INCA. Resultados: No período de 2010 a 2018, no Pará houve 17,8 óbitos/100 mil habitantes por câncer de mama, abaixo dos valores observados comparativamente no Brasil (27,7) e na região Norte (19,1). No entanto, em Belém, a mortalidade foi maior, com média de 30 óbitos/100 mil habitantes. No comparativo entre as regiões do Brasil, o coeficiente de mortalidade da região Norte está acima das demais, tendo estas as seguintes médias: Sudeste 17,62; Nordeste 11,16; Sul 17,62 e Centro Oeste 12,68. Conclusão: A taxa de mortalidade por câncer de mama da Região Norte está acima das taxas das demais regiões do Brasil, tendo destaque para a cidade de Belém-Pará, onde a média de mortalidade está acima da registrada em todo o país.

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Distribution of mammograms and mammography offering in relation to the parametric care of the Public Health Care System in Pernambuco

Cited by 4 publications

References 13 publications

Access of the patient to the cancer network under the “Sixty-Day Law”: Integrative Review

Access of the patient to the cancer network under the “Sixty-Day Law”: Integrative Review

10-year opportunistic mammographic screening scenario in Brazil and its impact on breast cancer early detection: a nationwide population-based study

Câncer de mama: Análise da tendência de mortalidade em mulheres no Estado do Pará-Brasil

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