Condicionantes do diagnóstico tardio do câncer cervical na ótica das mulheres atendidas no Inca

Rangel, Gabriela; Lima, Luciana Dias de; Vargas, Eliane Portes

doi:10.1590/0103-110420161070261

Cited by 11 publications

(18 citation statements)

References 8 publications

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“…With regard to advanced-stage diagnosis, Nascimento and Silva 36 detected 78.9% of the women studied in the intermediate stages and 5% in the advanced stages of the disease, corroborating with the perspective that more advan-ced ages and social and racial inequalities are correlated with a higher CC risk and prevalence. The limited access to cervical cancer (CC) diagnosis services was related to organizational barriers and limited action by health professionals 33,37,38 . The biopsy examination that was cru-Chart 2.…”

Section: Care Line Milestonementioning

confidence: 99%

Fatores limitadores e facilitadores para o controle do câncer de colo de útero: uma revisão de literatura

Lopes

Ribeiro

2019

Ciênc. saúde coletiva

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Resumo Este artigo revisa os fatores limitadores e facilitadores do acesso aos serviços públicos de saúde no Brasil na área da atenção ao câncer de colo de útero (CCU). Nesta revisão, foram utilizadas a base de dados bibliográficos Medline (interface com Biblioteca Virtual de Saúde/BVS e PubMed) e os portais Lilacs e SciELO. Buscou-se publicações referentes ao período 2011-2016, a partir do uso de termos específicos das fontes consultadas, relativos a ‘neoplasias do colo do útero’ e ‘acesso aos serviços de saúde’. Foram inicialmente encontrados 704 artigos, mas, considerando os critérios adotados, foram selecionados 31 artigos, dos quais foram incluídos 19. Foram mencionados aspectos facilitadores do acesso como ampla cobertura do exame Papanicolaou e de biopsias equivalente ao número de preventivos alterados. Entretanto, aspectos limitadores de acesso como periodicidade inadequada do Papanicolau, dificuldades para agendamento de consultas e exames, alto índice de estadiamento avançado e atrasos no diagnóstico e no início de tratamento, também foram apresentados.

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Section: Care Line Milestonementioning

confidence: 99%

Fatores limitadores e facilitadores para o controle do câncer de colo de útero: uma revisão de literatura

Lopes

Ribeiro

2019

Ciênc. saúde coletiva

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“…12 Most women with cervical cancer have, according to epidemiological data of the literature, age between 40 and 50 years, marking the end of their reproductive life, nonwhite color, low level of both schooling and home occupation, evidencing that the high prevalence of the disease is associated with the population's life conditions, access to public health services, and quality of women's health care. 13 With the purpose of supporting the understanding of cervical cancer in Agreste Pernambucano (a region in Pernambuco, a Brazilian State), allowing for improvements in screening and prevention programs, this study aimed to evaluate the sociodemographic, clinical, histopathological, cytopathological and microbiological profile of women with cervical cancer uterus which were attended and underwent treatment at an oncology center, located in the city of Caruaru, Pernambuco.…”

Section: Introductionmentioning

confidence: 99%

Profile of women with cervical cancer attended for treatment in oncology center

Silva¹,

Silva²,

Peres

et al. 2018

Rev. Bras. Saude Mater. Infant.

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Objectives: to evaluate the sociodemographic, clinical, histopathological, cytopathological and microbiological profile of women with cervical cancer treated at Oncology Center in Pernambuco, located in the city of Caruaru-PE. Methods: a retrospective study was carried out to evaluate the medical records of women with cervical cancer treated for radiotherapy and/or chemotherapy between January 2014 and December 2016. For the analysis of variables, the absolute and relative frequencies were calculated. Results: there was a predominance of cases in the age range between 40 and 59 years (45.37%), non-white race/color (91.75%) and incomplete primary education (44.32%). Squamous carcinoma was present in 85.19% of the cases, with a moderately differentiated histological grade being the most common (53.41%). Most women underwent radiotherapy and associated chemotherapy (72.72%) and had 3 or more pregnancies before diagnosis (73.44%). Cytopathology has more frequently identified high-grade squamous intraepithelial lesion (HSIL) cases (45.83%) and cocci and/or bacilli (66.67%) were the most evident microorganisms. Conclusions: the results showed that the perimenopause age, low educational level, multiparity, cytopathologic result of HSIL and histopathological examination evidencing moderately differentiated squamous cell carcinoma were among the characteristics most related to cervical cancer in the population studied.

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“…Thus, when considering patients as protagonists facing SUS's limitations, we cannot affirm that the frailties of the services alone have motivated these women to seek different health services. However, as pointed out in other studies 22 , 28 ,we cannot rule out that limitations in the effectiveness of the care provided and solution of some services may have favored variations in clinical pathways. Those who included more than two health services were associated with a longer time to start therapy.…”

Section: Discussionmentioning

confidence: 73%

Clinical pathways of breast cancer patients treated in the Federal District, Brazil

et al. 2019

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OBJECTIVE: To identify the clinical pathways of women with breast cancer treated in public hospitals, and to analyze the factors that influence the time interval between the first appointment and the start of therapy. METHODS: A cross-sectional study was conducted with 600 women with breast cancer treated in nine public hospitals in the Brazilian Federal District. Patients were interviewed between September 2012 and September 2014. Simple and multiple logistic regression models were adjusted to evaluate the variables associated with the time interval studied. The most frequent pathway was the one that started in primary care with following care in the therapy service (28.9%). In the multiple adjustment, factors associated to a longer time interval between the first appointment and therapy were: lower family income (OR = 1.89; 95%CI 1.32–2.68), the first appointment in public services (OR = 1.78; 95%CI 1.20–2.64), care in more than two health services in the clinical pathway (OR = 1.71; 95%CI 1.19–2.44); and obtaining the anatomopathological analysis of the biopsy in public services instead of private health services (OR = 1.87; 95%CI 1.29–2.71). Independently, the implementation of specialist appointment scheduling, with care regulation, was associated with a shorter time interval between first appointment and therapy (OR = 0.33; 95%CI 0.16–0.65). CONCLUSIONS: We observed that multiple pathways were covered by women with breast cancer treated in public services of the Federal District. Socioeconomic iniquities and several aspectos of the pathways covered were associated with a longer time interval between the first appointment and the start of breast cancer therapy.

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Condicionantes do diagnóstico tardio do câncer cervical na ótica das mulheres atendidas no Inca

Cited by 11 publications

References 8 publications

Fatores limitadores e facilitadores para o controle do câncer de colo de útero: uma revisão de literatura

Fatores limitadores e facilitadores para o controle do câncer de colo de útero: uma revisão de literatura

Profile of women with cervical cancer attended for treatment in oncology center

Clinical pathways of breast cancer patients treated in the Federal District, Brazil

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