Assistencia ao cancer entre criancas e adolescentes: mapeamento dos fluxos origem-destino no Brasil

Oliveira, Evangelina Xavier Gouveia de; Carvalho, Marília Sá

doi:10.1590/s0034-8910.2013047004305

Cited by 34 publications

(53 citation statements)

References 22 publications

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“…Under this perspective, the lack of an inclusive list of antineoplastic medicines and the high cost of oncological drugs are challenges that need to be overcome in order to guarantee the integrity of care. Problems to access cancer treatment have been reported and result in delays in therapy initiation and in defined health consequences [30][31][32] . Observing the data set, it seems to be a mismatch among the available instruments for the analysis of lawsuits.…”

Section: Medicines Included In the List Of Essential Medicines Of Thementioning

confidence: 99%

Demandas judiciais por medicamentos antineoplásicos: a ponta de um iceberg?

Vidal

Moraes

Retto

et al. 2017

Ciênc. saúde coletiva

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Section: Medicines Included In the List Of Essential Medicines Of Thementioning

confidence: 99%

Demandas judiciais por medicamentos antineoplásicos: a ponta de um iceberg?

Vidal

Moraes

Retto

et al. 2017

Ciênc. saúde coletiva

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“…The dentist is also responsible for handling infections, bleeding prevention, and discomfort relief for better nutritional condition, thus improving the quality of life of patients with such morbidities and significantly reducing complications caused by oral inflammatory processes 3,9,14 .…”

Section: Introductionmentioning

confidence: 99%

“…The presence of the dentist in the oncological team is vital for reducing the morbidity of these lesions. Longitudinal and full-time monitoring of the pediatric patient is necessary because of the risk of recurrence of some complications, even after ending the antineoplastic treatment 10,14 .…”

Section: Introductionmentioning

confidence: 99%

“…Such acute complications because of the antineoplastic treatment may have a high impact on quality of life, oral health, and general health of patients, leading to the interruption of oncological treatment and consequently increasing the risk of disease persistence; 13,14 they also increase the difficulty in maintaining oral hygiene and accepting dental treatment 3,4,6 . The adoption of a sugar-rich and extremely cariogenic diet is quite common among pediatric patients, due to hyposalivation and loss of or decreased taste.…”

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confidence: 99%

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Complicações bucais em crianças e adolescentes hospitalizadas durante o tratamento antineoplasico

Welter

Cericato

Paranhos

et al. 2019

J. Hum. Growth Dev.

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Introduction: Normal cells are also affected during antineoplastic treatment, including oral mucosa cells, which potentially causes oral complications.Objective: This study aimed to assess the prevalence of the main oral complications and the oral hygiene index in children and adolescents aged 5 to 12 years, who received chemotherapy and/or radiotherapy. Methods:It is an observational prevalence study performed in a hospital in Southern Brazil. Data were collected from 21 hospitalized patients with a self-application questionnaire for the responsible persons of children and with an intraoral clinical examination. The indicators used were DMFT (decayed, missing, and filled teeth) for dental caries, SOHI (simplified oral hygiene index) for oral hygiene, and the presence of mucositis, xerostomia, and candidiasis.Results: Most of the sample was male (57.1%) with average age of 8 years (sd 2.92), diagnosed with leukemia (47.6%). All patients received chemotherapy as treatment of choice and 38.1% received radiotherapy as part of the treatment. The results showed the presence of 61.9% of mucositis in patients and 28.6% of xerostomia. No patient presented candidiasis during clinical examination. As for dental caries, 66.7% of patients showed a DMFT from 4 to 16, which is considered high, and 38.1% of patients showed the presence of bacterial plaque and dental calculus. Conclusion:It is concluded that the main oral complications in children during antineoplastic treatment were mucositis and xerostomia. It was observed a high rate of dental caries as a consequence of an inadequated oral hygiene. Open acess What is the purpose of this study?The present study aimed to evaluate the prevalence of the main oral complications and the oral hygiene index in children and adolescents aged 5 to 12 years submitted to chemotherapy and / or radiotherapy in order to demonstrate the importance of the dental surgeon as a member of pediatric multidisciplinary oncological team. What researchers did and found?Oral clinical examination was carried out in patients undergoing cancer treatment. It was reported that the main oral complications in children and adolescents during the antineoplastic treatment were mucositis and xerostomia. Regarding oral health conditions, children and adolescents have a high caries rate, often associated with brushing difficulties due to oral complications of treatment. What do these findings mean?Due to the presence of oral problems related to the treatment of cancer, the presence of the dentist in the oncological team is vital for reducing the morbidity of these lesions. Longitudinal and full-time monitoring of the pediatric patient is necessary because of the risk of recurrence of some complications, even after ending the antineoplastic treatment.

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“…Foi constatado também que os residentes das regiões Norte e Nordeste tiveram menor acesso à quimioterapia e radioterapia quando comparados com as regiões Sudeste, Sul e Centro-Oeste(59). Estudo brasileiro que mapeou o acesso mostrou que a maioria dos procedimentos terapêuticos da oncologia pediátrica, como a quimioterapia, ocorreu nas principais metrópoles, dentre as citadas, São Paulo, e mostrou déficit de acesso ao tratamento de câncer de crianças e adolescentes residentes na maioria das regionais Norte e Nordeste(60).Desta forma, comparando a outras localidades brasileiras, São Paulo e região Sudeste aparecem como lugares onde há mais acesso aos serviços de saúde. Porém, a realidade dentro de São Paulo é desigual.…”

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Epidemiologia das Leucemias Infantis de 1997 a 2013, São Paulo, Brasil

Silva¹

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AgradecimentosAo longo desta jornada, fui agraciada por pessoas que me ajudaram, me apoiaram, incentivaram, que me abriram portas de diversas formas. A todas estas pessoas, externo meu reconhecimento e gratidão.Primeiramente, ao meu Deus, que me fortaleceu, que me inspirou, que me manteve de pé, me deu esperança a todo o momento. Meus pais, que sempre me apoiaram, me sustentaram em oração. Nada disto seria possível sem toda essa base a qual eles me proporcionaram. À minha orientadora, Drª Maria do Rosário Dias de Oliveira Latorre. Abriu-me portas, acreditou em mim quando nem eu mesma acreditava. Seus ensinamentos não foram apenas para a construção de uma tese, mas foram ensinamentos de vida. A todos do RCBP-SP, que sempre me esclareciam dúvidas, me ajudaram na elaboração dos bancos de dados, me deram sugestões e fizeram críticas construtivas que contribuíram no meu aprendizado deste mundo novo que descobri. A vivência de vocês foi muito importante. Aos amigos Luana e Max por me acolherem, compartilhar de suas experiências, e por poder contar com vocês em horas difíceis. Aos amigos que fiz em São Paulo, que não descreverei por nome, pois corro o risco de não fazer menção a altura. Mas, cada um sabe das coisas que passamos, e que, sem o apoio mútuo, nossa vida teria sido mais difícil e bem menos alegre. A todos os meus familiares e amigos, sempre compreendendo minha ausência e por toda paciência. À todos estes, o meu muito obrigada! gestão dos serviços de saúde, a dar suporte a pesquisas futuras, sobre etiologia da doença.Abstract Introduction: Leukemia is the most common type of cancer in children 0-14 years old. Studies show that, in several countries around the world, incidence rates are increasing, or remain stable, and that, on the other hand, mortality rates are decreasing. In developed countries, leukemia is considered a curable disease, with survival rates above 80%. Objectives: To describe the epidemiology of childhood leukemia in the city of São Paulo from 1997 to 2013, analyzing trends in incidence and mortality, and survival rates, according to sex, age group, type of leukemia and administrative region. Methods: Crude and adjusted rates of incidence and mortality were calculated according to sex and age. Polynomial regression models were estimated and the Annual Percentual Change (APC) of the incidence and mortality rates were calculated. It was estimated the non-parametric Kaplan-Meier limit product estimator and the logrank test was used to compare the survival curves. The Cox proportional hazards model was constructed to estimate the hazard ratios of each study variable. Results: A total of 2028 new cases and 660 deaths by leukemias were recorded in children aged 0 to 14 years, in the city of São Paulo, during the period studied. The incidence rate was 49.8 cases per 1 million children and the mortality rate was 15.7 deaths per 1 million children, which most frequent being the acute lymphoid leukemia subtype among males in the age group of 0 to 4 years old, living in the Southeast region of the city ...

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Assistencia ao cancer entre criancas e adolescentes: mapeamento dos fluxos origem-destino no Brasil

Cited by 34 publications

References 22 publications

Demandas judiciais por medicamentos antineoplásicos: a ponta de um iceberg?

Demandas judiciais por medicamentos antineoplásicos: a ponta de um iceberg?

Complicações bucais em crianças e adolescentes hospitalizadas durante o tratamento antineoplasico

Epidemiologia das Leucemias Infantis de 1997 a 2013, São Paulo, Brasil

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