Qualidade do sistema de informação do câncer do colo do útero no estado do Rio de Janeiro

Abstract

OBJECTIVE:To evaluate quality of a cervical cancer data system. METHODS:Descriptive study on the completeness, validity, and sensitivity of data of the Cervical Cancer Data System (SISCOLO) in the State of Rio de Janeiro, Southeastern Brazil, based on the follow-up of a cohort of women, carried out between 2002 and 2006. The cohort consisted of 2,024 women living in communities served by the Family Health Program in the cities of Duque de Caxias and Nova Iguaçu. Two databases from the Siscolo, including cytopathology and confi rmatory testing (colposcopy and histopathology) were compared to data from a reference database and medical records. The BlandAltman plot was used to analyze continuous variables. The linkage between databases was analyzed using the RecLink software program. RESULTS:The completeness of the data system was considered excellent with respect to the fi elds "mother's name" and "street address;" good for "district of residence" and poor for "zip code" and "individual taxpayer number". In regard to validity, sensitivity of the fi eld "date of collection" was 100% and 70.3% for confi rmatory and cytopathology tests, respectively, while sensitivity of the fi eld "test results" was 100% for both tests. The sensitivity of the system to identifying cytopathology tests was 77.4% (95% CI: 75.0;80.0) whereas for confi rmatory tests was 4.0% (95% CI: 0.0;21.3).CONCLUSIONS: Data quality of SISCOLO was considered good, particularly for the fi elds related to cytopathology testing. The use of colposcopy and histopathology data was inadequate due to small number of cases registered in the System.

Human Papillomavirus in Brazilian women with and without cervical lesions

“…They had been visited by trained health care professionals and invited to participate in studies for evaluating the efficacy of different methods for detecting cervical lesions [31], and the Hybrid Capture II (HCII) assay for early detection of cervical cancer [32], and also the quality of records on cervical cancer in Brazil [33]. Socio-demographic, cytological data and endocervical samples of these women, collected between December 2001 and July 2002, were used in the present study.…”

Pap smears: Frequency of Gardnerella vaginalis, Candida spp., Trichomonas vaginalis and pill use or copper intrauterine device use

“…This lack of information is an obstacle to epidemiological studies aimed at using data from the Information System Cancer of the cervix (SISCOLO). Even with this difficulty, the data stored in this system represent an important resource for epidemiological studies, allowing the reduction of costs and time spent on research [24].…”

Estratégias usadas no relacionamento entre Sistemas de Informações em Saúde para seguimento das mulheres com mamografias suspeitas no Sistema Único de Saúde

“…There are two official information systems within SUS that keep record of early cancer screening tests: Cervical Cancer Control Information System (SISCOLO) and Breast Cancer Control Information System (SISMAMA) 25 . Most studies that applied data linkage technique used the "cytology" and "anatomopathological" modules of the SISCOLO database 20,23,26,27 . Some specific studies using both SISCOLO and SISMAMA data have been conducted using the RecLink ®20 software along with programming resources of other statistical software packages 26,27 .…”