Overall survival of gastrointestinal cancer patients in a countryside city of Minas Gerais

Abstract

Introduction: Gastrointestinal cancers survival studies are important in evaluating efficacy of treatments and probable prognostic. Objective: To correlate clinical and socio-epidemiological variables with the survival of patients diagnosed with cancer of the gastrointestinal tract in a hospital in a countryside city of Minas Gerais. Methods: Retrospective, cross-sectional, clinical study carried out through the analysis of 426 medical records of patients diagnosed with gastrointestinal tract cancer from 2010 to 2014. Patients were selected by checking Hospital Cancer Records. The conditional probability of survival was calculated using the Kaplan-Meier method. Results: Most patients were male (62.29%), 70 to 95 years (29.39%), fair-skinned (65.80%),low education level (54.39%), from the Unified Health System (78.29%) with no history of tobacco (44.59%) or alcoholic consumption (60.00%). The most affected site was the large intestine (35.14%), and the predominant stage was stage III (53.28%). The overall survival was 16.5%. Conclusion: Variables relevant to survival were cancer site, educational level, history of tabagism, origin of cancer, clinical staging and basis for diagnosis. Esophagus cancer presented the lowest survival time, with a median of 248 days.

Care transitions among oncological patients: from hospital to community

“…The profile of the cancer patient identified in our research is in agreement with findings from other Brazilian studies, with a predominance of males, white people, with low education, over 50 years of age and stage III cancer diagnosis ( 20 , 21 ) . Also, we identified a higher prevalence of patients with neoplasms of the digestive system (64%).…”

“…Malignant neoplasms of the digestive tract occur frequently in the population and are practically incurable once spread throughout the body, since the late development of symptoms is a hallmark of this type of cancer. This is reflected in diagnoses in more advanced stages ( 21 ) , thus requiring hospitalization for treatment. Still, the sociodemographic variables did not present statistically significant association with the CTM-15 score, converging with a study carried out in Israel with cancer patients, which also found no significant difference between groups ( 7 ) .…”

Care Transitions From Hospital to Community Among Oncological Patients

“…The pro le of the cancer patient identi ed in our research corroborates ndings from other Brazilian studies, with a predominance of males, white people, with low education, over 50 years of age and stage III cancer diagnosis [24,25]. Also, we identi ed a higher prevalence of patients with neoplasms of the digestive system (64%).…”

“…Malignant neoplasms of the digestive tract occur frequently in the population and are practically incurable once spread throughout the body, since the late development of symptoms is a hallmark of this type of cancer. This is re ected in diagnoses in more advanced stages [25] and requires hospitalization for treatment. Still, the sociodemographic variables did not present statistically signi cant association with the CTM-15 score, converging with a study carried out in Israel with cancer patients, which also found no signi cant difference between groups [9].…”