Retorno ao trabalho em pacientes com câncer de mama tratadas em um serviço oncológico do Sistema Único de Saúde (SUS)

Abstract

Background: Breast cancer is the most common cancer in women. While its incidence has been increasing, recurrence and mortality rates have been decreasing, mainly because of better treatment options. Because of that cancer can be regarded as a transient shock that does not prevent survivors resume normality in their lives including return to their workplace. In North America and Europe return to work (RTW) rates vary among breast cancer patients from 24-66% after 06 months and 53-82% after 36 months of diagnosis. Factors most associated with the decision to return to work are: age, chemotherapy, sequelae related to cancer therapy and support from the employer and coworkers. However, these findings vary among the different populations evaluated, suggesting that other factors and even variations in countries laws may interfere with the decision to return to work. So far there is a lack of data on RTW after breast cancer diagnosis in Latin America. Endpoints: To evaluate return to work rates on months 12 and 24 after breast cancer diagnosis, and check the correlation of some factors with the decision to return to work at 24 months. Methods: A prospective, observational study evaluating RTW rates in patients with breast cancer diagnosis, > 18 and <57 years old and a paid work for at least 03 months at the time of dianosis. Patients with inoperable or metastatic disease were excluded. On months 6, 12 and 24 they answered a telephone interview and the quality of life questionnaire (FACT-B). Results: Between july/2012 and september/2014, 125 patients were enrolled. Two of them died and two other could not be reached by telephone, and were excluded from the analysis. Mean age was 45,1 years (± 8,1). Most of them reported that they liked their job (94%) and received support from employer (73%), but only 29,1% reported having been offered work adjustment. Half of patients had stage II disease and 93% received chemotherapy as part of their treatment. Overall, 21,5%, 30,3% and 60,4% of patients returned to work 06, 12 and 24 months after breast cancer diagnosis, respectively. In the multivariate analysis, factors associated with positive RTW outcomes included higher income

Análise da sedimentologia como subsídio à avaliação da sensibilidade ambiental a óleo da Bacia Sedimentar de Pelotas-RS/SC, Brasil

“…Após o tratamento das amostras sedimentares em laboratório, os dados granulométricos obtidos foram digitalizados em planilhas Excel. As análises estatísticas foram efetuadas através do software de código livre R (LANDEIRO, 2011). Para as análises granulométricas foi utilizado o pacote Rysgran (GILBERT et al, 2014), o qual contém funções para a análise de amostras de tamanho de grão em escalas logarítmica (phi) e geométricas (micrômetros) com base em vários métodos, como FOLK e WARD (1957) e Métodos de Momentos (TANNER, 1995), entre outros.…”

O tratamento acabou, e agora? Investigações psicanalíticas dos processos psíquicos suscitados no paciente diante do término do tratamento oncológico

“…Um estudo brasileiro prospectivo, conduzido por uma oncologista (Landeiro, 2017), buscou avaliar taxas de retorno ao trabalho de mulheres que tiveram diagnóstico de câncer de mama e finalizaram seus tratamentos. A pesquisa concluiu que após 24 meses do término do tratamento oncológico, apenas 60,4% das mulheres participantes retornaram ao trabalho.…”