Time to diagnosis and treatment for breast cancer in public and private health services

Abstract

Objective: To analyze the time to diagnosis and treatment for breast cancer and the associated factors, according to the type of care (public vs. private). Methodology: Retrospective cohort study with 477 women diagnosed with breast cancer between 2014 and 2016. Data were collected in an oncology service in a municipality in Minas Gerais, in the 2018-2019 period. Analyzes were performed using the Kaplan-Meier method and Cox's proportional regression model. Results: The median time to diagnosis was 70 days, being shorter for women who discovered the disease through screening tests and who were diagnosed in early stages of the disease. The median time for treatment was 32 days, which was shorter for women assisted by private health service, with a high level of education and who were diagnosed in early stages. Conclusions: Private care and facilitators of access to breast cancer care were associated with shorter waiting times.

Ethnic disparities in breast cancer patterns in Brazil: examining findings from population-based registries

“…Another study in the city of Juiz de Fora in Brazil showed statistical differences in BC incidence between White and Black women. Most women treated in the private healthcare system were White and experienced shorter waiting times between diagnosis and treatment onset, averaging 52 days compared to 82 days in the public healthcare system [27]. These ndings may contribute to the increasing BC mortality rate and the higher mortality rates among Black women compared to White women in Brazil.…”

Operadora De Plano De Saúde Privado: Programa De Navegação E Linha De Cuidado De Atenção À Mama

“…Para que o fluxo do paciente ocorra, é importante a interação dos serviços de diagnóstico (diagnóstico por imagem e laboratórios) com a equipe assistencial, por meio da comunicação de resultados críticos. As estratégias de diagnóstico precoce estão baseadas em três frentes: a população bem-informada, profissionais qualificados e o sistema de saúde eficiente -mas é importante o alinhamento dos fluxos assistenciais para garantir o acesso aos exames diagnósticos [19][20] .…”

Motivos e fatores relacionados à não adesão ao rastreamento do câncer de mama e do colo uterino na atenção primária à saúde em São José do Rio Preto – SP após pandemia de COVID-19

“…Estudos têm mostrado que o atraso no diagnóstico e tratamento do câncer de mama resultam em impactos negativos na sobrevida e prognóstico das pacientes 5 . No Brasil, o tempo para o diagnóstico do câncer de mama foi superior ao preconizado pelo Ministério da Saúde, contudo, o tempo para o tratamento encontra-se dentro dos parâmetros 6 . Pela diretriz para a detecção precoce do câncer de mama no Brasil, recomenda-se a realização bianual da mamografia entre 50 e 69 anos para a população de risco habitual 7 .…”