Custo-efetividade de um programa de rastreamento organizado de câncer de mama no Sul do Brasil

Ribeiro, Rodrigo Antonini; Caleffi, Maira; Polanczyk, Carísi Anne

doi:10.1590/0102-311x00005213

Cited by 13 publications

(13 citation statements)

References 24 publications

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“…According to Silva and Hortale 21 , the organized monitoring programs could correct inequalities if the four main components (technical, economic, social, and ethical) were ensured. It is worth emphasizing that costs with preventive actions are smaller than with disease treatment 26 . Its direct and indirect costs are associated with breast stage during diagnosis moment.…”

Section: Discussionmentioning

confidence: 99%

Exame clínico das mamas e mamografia: desigualdades nas regiões Sul e Nordeste do Brasil

Borges

Wehrmeister

Gomes

et al. 2016

Rev. bras. epidemiol.

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ABSTRACT:Objective: To evaluate the prevalence and associated factors of doing clinical breast examinations (CBE) and mammogram (MMG) in the Southern and Northeast Brazilian regions, focusing on some social inequalities. Methods: This is a cross-sectional study using data from the 2008 National Household Sampling Survey (PNAD). We evaluated the prevalence of CBE during the last year and of the MMG in the last two years, which were analyzed based on demographic (age, skin color, and marital status) and socioeconomic (income and schooling) variables. Gross and adjusted prevalence ratios were obtained using Poisson regression models. All analyses were stratified by region. Results: The sample comprised 27,718 women aged 40 to 69 years. Less than a half of the women followed the recommendation of annual CBE performance in both the regions. The MMG prevalence during the last two years was 58.6 and 45.5% for the Southern and Northeast regions, respectively. More than a quarter of the women had never had a MMG (26.5% in the Southern and 40.6% in the Northeast regions). Not having performed both examinations was almost two times higher in the Northeast region (29.7%) when compared with the Southern (15.9%). The risk for not having performed both examinations was greater among nonwhite women, aged 60 to 69 years, with lower schooling level and family income. Conclusion: Important inequalities were seen between the Southern and Northeast regions for CBE and MMG. Health public policies should prioritize the most vulnerable groups to reduce these inequalities.

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Section: Discussionmentioning

confidence: 99%

Exame clínico das mamas e mamografia: desigualdades nas regiões Sul e Nordeste do Brasil

Borges

Wehrmeister

Gomes

et al. 2016

Rev. bras. epidemiol.

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“…In Brazil, since 2004, there is a policy of mammography screening tests every two years or more for women from 50 to 69 years of age. However, there is no program for an effective screening process (12) .…”

Section: Discussionmentioning

confidence: 99%

“…This can be explained by the fact that these regions have few professionals trained to conduct the exam and little access to the equipment needed (4) . Additionally, women in more developed regions are more likely to undergo mammographies, also counting on a greater diagnostic capability and better quality information, which is the case of the regions Southeast and South (11)(12)(13)(14)(15) .…”

Section: Discussionmentioning

confidence: 99%

Avaliação do acesso em mamografias no Brasil e indicadores socioeconômicos: um estudo espacial

Bezerra

Melo

Barbosa

et al. 2018

Rev. Gaúcha Enferm.

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Resumo OBJETIVO Avaliar a correlação entre a cobertura do exame mamografia em mulheres de 50 a 69 anos e os indicadores socioeconômicos Índice de Desenvolvimento Humano (IDH) e Índice de Gini. MÉTODOS Estudo epidemiológico, retrospectivo e ecológico realizado no Brasil com dados secundários. A amostra é composta por 5565 municípios do Brasil. Como variável dependente: a Razão de exames de mamografia de rastreamento realizados em mulheres de 50 a 69 anos, de 2008 a 2015, e como variáveis independentes: o Índice de desenvolvimento humano (IDH) e Índice de Gini. Foi realizada a análise descritiva, análise espacial univariada e bivariada. RESULTADOS Norte, Nordeste e Centro-Oeste são regiões que se mostram mais propícias para o câncer de mama, devido ao baixo acesso para mamografias. CONCLUSÃO O IDH e o índice de Gini, determinantes de desigualdades, influenciam diretamente na cobertura de exames de mamografia no Brasil, destacando a importância de avaliação das políticas públicas.

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“…Their treatment in specialized public hospital was estimated in R$28,901 in 2006 for patients with a history of smoking, cost significantly higher than the cost per patient that quit smoking in the Smoking Cessation Program 15 , c . Another strategy of cancer prevention, the screening of breast cancer in women, considered a priority in recent years, had cumulative cost estimated at R$1,008 for the usual care in SUS, near the cost per patient that quit smoking 17 . The value transferred by the Ministry of Health to the municipality of Goiania in 2010 for conduction of mammograms for screening, R$1.34 million n , excels in three times the total cost of the Smoking Cessation Program.…”

Section: Discussionmentioning

confidence: 99%

Costs of the Smoking Cessation Program in Brazil

et al. 2016

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OBJECTIVE To assess the costs of the Smoking Cessation Program in the Brazilian Unified Health System and estimate the cost of its full implementation in a Brazilian municipality.METHODS The intensive behavioral therapy and treatment for smoking cessation includes consultations, cognitive-behavioral group therapy sessions, and use of medicines. The costs of care and management of the program were estimated using micro-costing methods. The full implementation of the program in the municipality of Goiania, Goias was set as its expansion to meet the demand of all smokers motivated to quit in the municipality that would seek care at Brazilian Unified Health System. We considered direct medical and non-medical costs: human resources, medicines, consumables, general expenses, transport, travels, events, and capital costs. We included costs of federal, state, and municipal levels. The perspective of the analysis was that from the Brazilian Unified Health System. Sensitivity analysis was performed by varying parameters concerning the amount of activities and resources used. Data sources included a sample of primary care health units, municipal and state secretariats of health, and the Brazilian Ministry of Health. The costs were estimated in Brazilian Real (R$) for the year of 2010.RESULTS The cost of the program in Goiania was R$429,079, with 78.0% regarding behavioral therapy and treatment of smoking. The cost per patient was R$534, and, per quitter, R$1,435. The full implementation of the program in the municipality of Goiania would generate a cost of R$20.28 million to attend 35,323 smokers.CONCLUSIONS The Smoking Cessation Program has good performance in terms of cost per patient that quit smoking. In view of the burden of smoking in Brazil, the treatment for smoking cessation must be considered as a priority in allocating health resources.

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Custo-efetividade de um programa de rastreamento organizado de câncer de mama no Sul do Brasil

Cited by 13 publications

References 24 publications

Exame clínico das mamas e mamografia: desigualdades nas regiões Sul e Nordeste do Brasil

Exame clínico das mamas e mamografia: desigualdades nas regiões Sul e Nordeste do Brasil

Avaliação do acesso em mamografias no Brasil e indicadores socioeconômicos: um estudo espacial

Costs of the Smoking Cessation Program in Brazil

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