Avaliação da produção de procedimentos da linha de cuidado do câncer do colo do útero no Sistema Único de Saúde do Brasil em 2015*

Ribeiro, Cláudio P.; Silva, Gulnar Azevedo e

doi:10.5123/s1679-49742018000100004

Cited by 24 publications

(27 citation statements)

References 11 publications

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“…This pattern is supposed to be maintained in Brazil due to the characteristics of the screening program (PNCC), which allows some women to perform more tests than recommended, while others never do them, especially low-educated,black women than living in regions with greater social vulnerability [18][19][20][52][53][54][55]. Another issue that deserves attention in the PNCC is the quality of the exams collected, as there is still a high proportion of unsatisfactory samples, sample rejection and lack of transformation zone (TZ) in the sample.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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Cervical cancer (CC) is a public health problem with a high disease burden and mortality in developing countries. In Brazil, areas with low human development index have the highest incidence rates of Brazil and upward temporal trend for this disease. The Northeast region has the second highest incidence of cervical cancer (20.47 new cases / 100,000 women). In this region, the mortality rates are similar to rates in countries that do not have a health system with a universal access screening program, as in Brazil. Thus, this study aimed to analyze the effects of age, period and birth cohorts on mortality from cervical cancer in the Northeast region of Brazil. Estimable functions predicted the effects of age, period and birth cohort. The average mortality rate was 10.35 deaths per 100,000 women during the period analyzed (1980-2014). The highest mortality rate per 100,000 women was observed in Maranhão (24.39 deaths), and the lowest mortality rate was observed in Bahia (11.24 deaths). According to the period effects, only the state of Rio Grande do Norte showed a reduction in mortality risk in the five years of the 2000s. There was a reduction in mortality risk for birth cohorts of women after the 1950s, except in Maranhão State, which showed an increasing trend in mortality risk for younger generations. We found that the high rates of cervical cancer mortality in the states of northeastern Brazil remain constant over time. Even after an increase in access to health services in the 2000s, associated with increased access to the cancer care network, which includes early detection (Pap Test), cervical cancer treatment and palliative care. However, it is important to note that the decreased risk of death and the mortality rates from CC among women born after the 1960s may be correlated with increased screening coverage, as well as increased access to health services for cancer treatment observed in younger women.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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“…Não obstante dos resultados encontrados no presente estudo, alguns pesquisadores analisaram a distribuição espacial dos indicadores pactuados para o câncer do colo do útero no Brasil e apontaram que, apesar de estruturados, os dados de morbimortalidade ainda se encontram acima das metas pactuadas em algumas regiões brasileiras, como o eixo sul-sudeste 3 Tal intervenção apresentou como meta prioritária o aumento, em no mínimo 30%, da realização do exame de Papanicolau na população de risco à época (35 a 49 anos). Além disso, as estratégias foram organizadas em função da territorialização, viabilizando a descentralização em municípios-polos, consolidando a oferta da rede de referência e contrarreferência para diagnóstico e tratamento de câncer de colo uterino, identificando as diferenças regionais e as desigualdades de acesso das ações preventivas 8 .…”

Section: Discussionunclassified

Panorama das neoplasias uterinas no período de 2007 a 2016 no estado de Alagoas – Brasil

Misael

Júnior

Silva

et al. 2019

Rev. Med. (São Paulo)

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IF, Santos LNG, Silva FBC, Ferreira AMM. Panorama das neoplasias uterinas no período de 2007 a 2016 no estado de Alagoas -Brasil / Overview of uterine neoplasms in the period 2007 to 2016 in the state of Alagoas -Brazil. Rev Med (São Paulo). 2019 nov.-dez.;98(6):396-402. RESUMO:Objetivo: Analisar a variação temporal das neoplasias uterinas na população feminina do estado de Alagoas. Método: Estudo quantitativo, transversal e retrospectivo. Os dados utilizados referem-se a internações e óbitos por neoplasias uterinas em Alagoas, no período de 2007 a 2016, disponíveis nos Sistemas de Informação de Saúde e analisados por estatística descritiva de frequências absoluta e relativa. Resultados: Em Alagoas, de 2007 a 2016, identificou-se 3.525 mulheres diagnosticadas com neoplasias de útero, com média anual de 352,5 casos novos (± 64,3), que foram responsáveis por 4.540 registros de internações hospitalares nas instituições assistenciais de saúde estadual, cuja média foi de 454 internações/ano (± 77,2), e 1.391 óbitos, com média de 139 óbitos anuais (± 13,99). Verificou-se que a população adulta apresentou maior número de óbitos, com 822 registros (57,97%). Notou-se também elevada prevalência no público idoso, com 594 óbitos (41,89%). Quanto à procedência, constatou-se que a 1ª e a 7ª microrregiões de saúde concentram 58,51% dos óbitos locais (830 registros). Conclusão: Em Alagoas, observa-se a necessidade de políticas pública de saúde da mulher efetivas, que aperfeiçoem o acesso precoce para o diagnóstico e o tratamento do câncer de colo uterino, visando à redução dos índices de morbimortalidade.Descritores: Neoplasias uterinas/epidemiologia; Neoplasias uterinas/diagnóstico; Saúde da mulher; Saúde pública; Indicadores de morbimortalidade; Brasil/epidemiologia. ABSTRACT:Objective: To analyze the temporal variation of uterine neoplasms in the female population of the State of Alagoas. Method: Quantitative, cross-sectional and retrospective study. The data used refer to admissions and deaths from uterine neoplasms in Alagoas, from 2007 to 2016, available in the Health Information Systems and analyzed by descriptive statistics of absolute and relative frequencies. Results: In Alagoas from 2007 to 2016, 3,525 women diagnosed with uterine neoplasms were identified, with an annual mean of 352.5 new cases (± 64.3), which were responsible for 4,540 records of hospital admissions in state health care institutions, with a mean of 454 admissions / year (± 77.2), and 1,391 deaths, with a mean of 139 annual deaths (± 13.99). It was verified that the adult population had a higher number of deaths, with 822 records (57.97%). There was also a high prevalence among the elderly population, with 594 deaths (41.89%). Regarding the provenance, it was verified that the 1st and 7th micro-regions of health concentrate 58.51% of the local deaths (830 records). Conclusion: In Alagoas, there is a need for effective public health policies, that improve early access for the diagnosis and treatment of cervical cancer, aiming at reducing morbidity and...

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“…The studies highlighted the difficulty to provide treatment to women with alterations in the screening exams and low-quality diagnostics. On the other hand, recent studies assessed the development of UCN care procedures and recorded deficit in the production of screening exams and biopsy, as well as a large number of colposcopy exams in most Brazilian regions, mainly in Northern and Northeastern Brazil [44] . These findings evidence the need of reinforcing the continuous education of cytotechnologists, as well as of health professionals responsible for screening the target population.…”

Section: Discussionmentioning

confidence: 99%

Policies and Programs for Cervical Cancer Prevention and Control in Public Health Services

Sperling¹,

Coser

2018

Int J Innov Educ Res

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Aim: analyzing and assessing the scientific evidences about Health Services Administration through the practice of cervical cancer prevention programs and policies. Methodology: integrative literature review carried out in September/October 2017. Electronic search for publications in databases such as PubMed, Portal Periódicos CAPES, BVS, EBSCO and SciELO. Results and Discussion: eighteen articles approaching the topic were selected and their analyses resulted in the following thematic axes: Organization of cervical cancer prevention and control policies/programs, Follow-up and monitoring of actions taken and Quality Management of Cytopathological exams for diagnostic and treatment. There were differences between programs in the country, either in their recommendations or in their effectiveness. Final considerations: investments must be done in order to qualify technical procedures and involved health professionals, as well as to support health education in the target population. Policies and Programs for

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Avaliação da produção de procedimentos da linha de cuidado do câncer do colo do útero no Sistema Único de Saúde do Brasil em 2015*

Abstract: there were deficits in cytopathologic exams and biopsies and excess of colposcopies and treatment of precursor lesions in Brazil.

Cited by 24 publications

References 11 publications

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

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

Panorama das neoplasias uterinas no período de 2007 a 2016 no estado de Alagoas – Brasil

Policies and Programs for Cervical Cancer Prevention and Control in Public Health Services

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