Tendências temporais e fatores associados ao diagnóstico em estágio avançado de câncer do colo uterino: análise dos dados dos registros hospitalares de câncer no Brasil, 2000-2012*

Abstract

65.843 cases were analyzed; the median interval between diagnosis and treatment was 59 days; the percentage of advanced staging increased, annual percent change 1.10% (95%CI 0.80;1.50); women with higher education (compared to unlettered) had less odds of late stage diagnosis (OR=0.38; 95%CI 0.31;0.47); among indigenous (OR=2.38; 95%CI 1.06;5.33) and black women (OR=1.16; 95%CI 1.02;1.31), compared to white, and in the North region (OR=2.55; 95%CI 2.26;2.89), compared to the Southeast, the odds was higher; other factors positively related to advanced stage were 'age', 'histology', and marital status'. Conclusion Inequities affect the odds of late stage diagnosis of cervical cancer.

Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast

“…Moreover, at the end of the reproductive period, women have less frequent gynecological consultations, with the lowest coverage of preventive examinations in all Brazilian regions [14,[16][17], increasing the likelihood that older women will be diagnosed with advanced disease when compared to younger women. Corroborating this hypothesis, in Brazil, from 2000 to 2012, there was a progressive increase in the chance of advanced disease in the diagnosis with advancing age, the highest odds ratio was presented in women 70 years and older (OR = 2.24; 95% CI 1.87-2.69) when compared to those under 30 years old [45].…”

“…Women in group I (stages IA to IB) had a five-year survival of 92.3%, while women in group II (stages IIA to IVB) had a five-year survival of only 32.7% [58]. Women living in the Northeast were more likely to be diagnosed at an advanced stage than women living in the Southeast (OR = 1.32; 95% CI 1.25-1.40) [45].…”

“…In Brazil, from 2006 to 2012, only 29% of women with CC were diagnosed at the early stage of the disease (in situ or stage IA carcinoma). From 2000 to 2012, there was an increase of 1.10% per year in the proportion of women diagnosed at an advanced stage [45,59].…”

“…Southeast Brazil is a region with great socioeconomic development and the highest concentration of the Brazilian cancer care network [45], while the North and Northeast are the Brazilian regions with the smallest cancer care network and the largest deficits in radiotherapy devices [54] and chemotherapy, services widely used in the treatment of advanced cervical cancer [11,45,55,60].…”

Detecção Precoce E Prevenção Do Câncer De Colo Uterino: Saberes E Práticas Educativas

“…A evolução da doença é lenta, com fases bem definidas e a facilidade de detecção das alterações no colo do útero contribuem para o bom prognóstico em relação à doença (5) O Brasil é um dos pioneiros na introdução do Exame de Papanicolaou (EP), contudo ainda se nota uma baixa realização do exame (6)(7) . As evidências da falta de adesão ao EP são a pouca procura das mulheres pelos serviços de atenção primária associada à precariedade de informações recebidas sobre o CCU e da técnica utilizada, além dos sentimentos de medo, vergonha e constrangimento (6)(7)(8)(9)(10) .…”