Abstract:In Brazil, many cases of breast and cervical cancers are only diagnosed in advanced stages. Information on prevention of cancer in women is increasingly available. However, prevention or early treatment alternatives are often not practiced. This study investigated the issues hindering the practice of prevention against cancer in women. A qualitative method was employed in this exploratory and descriptive study. The sample included thirty-three randomly selected women undergoing treatment. The survey data was c… Show more
“…6 In Brazil, a high number of studies performed in the South, Southeast and Centre-West regions of the country have addressed causal factors of TTI. [11][12][13][14][15][16][17][18][19][20][21][22] Some other studies have been performed in the Northeast region. [23][24][25] Few studies have compared the TTI of breast cancer between public and private health services.…”
Background: The diagnosis of breast cancer requires a complicated series of diagnostic exams. The present study addressed the delay of patients who used publicly and privately financed diagnostic services. Non-governmental organizations (NGOs) donated diagnostic mammograms and biopsies.Design and Methods: Data from 304 patients were obtained from two Brazilian referral centres. In one referral centre (FAP), diagnostic mammography, clinic-histopathological exam and immunohistochemistry were outsourced, whereas in the other centre (HNL), these services were integrated. Cox regression, Kaplan-Meier analysis and non-parametric tests were used to compare variables and time intervals.Results: If diagnostic mammography was financed privately and covered by private health insurance, the likelihood of a delay of >90 days between the first medical visit and the initiation of treatment decreased 2.15-fold (95%CI: 1.06- 4.36; p=0.033) and 4.44-fold (95%CI: 1.58-12.46; p=0.004), respectively. If the clinic-histopathological exam was outsourced (FAP) and publicly or privately financed, the median time between diagnostic mammography and the diagnostic result was 53 and 65 days in the integrated (HNL) and outsourced public system, compared to 29 days in the outsourced private system (p<0.050). The median time between the first medical visit and the diagnostic results of patients who were supported by NGOs, who financed their diagnostic services privately, and who used exclusively public diagnostic services was, respectively, 28.0, 48.5 and 77.5 days (p<0.050).Conclusion: Patients who used privately financed health services had shorter delays. Compared to outsourcing, the integration of the publicly financed clinic-histopathological exam diminished the delay. The support of patients by NGOs accelerated patient flow.
“…6 In Brazil, a high number of studies performed in the South, Southeast and Centre-West regions of the country have addressed causal factors of TTI. [11][12][13][14][15][16][17][18][19][20][21][22] Some other studies have been performed in the Northeast region. [23][24][25] Few studies have compared the TTI of breast cancer between public and private health services.…”
Background: The diagnosis of breast cancer requires a complicated series of diagnostic exams. The present study addressed the delay of patients who used publicly and privately financed diagnostic services. Non-governmental organizations (NGOs) donated diagnostic mammograms and biopsies.Design and Methods: Data from 304 patients were obtained from two Brazilian referral centres. In one referral centre (FAP), diagnostic mammography, clinic-histopathological exam and immunohistochemistry were outsourced, whereas in the other centre (HNL), these services were integrated. Cox regression, Kaplan-Meier analysis and non-parametric tests were used to compare variables and time intervals.Results: If diagnostic mammography was financed privately and covered by private health insurance, the likelihood of a delay of >90 days between the first medical visit and the initiation of treatment decreased 2.15-fold (95%CI: 1.06- 4.36; p=0.033) and 4.44-fold (95%CI: 1.58-12.46; p=0.004), respectively. If the clinic-histopathological exam was outsourced (FAP) and publicly or privately financed, the median time between diagnostic mammography and the diagnostic result was 53 and 65 days in the integrated (HNL) and outsourced public system, compared to 29 days in the outsourced private system (p<0.050). The median time between the first medical visit and the diagnostic results of patients who were supported by NGOs, who financed their diagnostic services privately, and who used exclusively public diagnostic services was, respectively, 28.0, 48.5 and 77.5 days (p<0.050).Conclusion: Patients who used privately financed health services had shorter delays. Compared to outsourcing, the integration of the publicly financed clinic-histopathological exam diminished the delay. The support of patients by NGOs accelerated patient flow.
“…Most Brazilian studies of SD were performed in the southern, south-eastern and central-western regions of the country (Trufelli et al, 2007;Souza et al, 2008;Trufelli et al, 2008;Rezende et al, 2009;Lourenço, 2010;Soares et al, 2012;Barros et al, 2013;Oshiro et al, 2014;Guerra et al, 2015;Souza et al, 2015;Trufelli et al, 2015;Lopes et al, 2017). By contrast, only a few studies of SD focused on populations in the Brazilian northeastern region that is experiencing increasing disease incidence (Cavalcanti et al, 2012;Paiva et al, 2015;Ferreira et al, 2017).…”
Background: System delay (SD) is a leading cause of advanced stage of disease and poor prognosis among Brazilian breast cancer patients. Methods: Cox regression and Kaplan-Meier analysis were used to identify variables that contributed to SD among 128 breast cancer patients. Time intervals between first medical consultation and treatment initiation were compared among patients of two referral centres: Patients of a referral centre with outsourced (FAP), respectively, integrated (HNL) diagnostic services. Results: Women who used a specialized private clinic at the beginning of patient flow had an 2.32 fold increased chance (95% CI: 1.17-4.60; p = 0.016) of hospital admission within 90 days after first medical consultation, compared to women who used a public health care provider (HCP). Of 73 and 34 patients of the FAP hospital and the HNL, respectively, 10 (13.7%) and 11 (32.5%) used one HCP prior to hospital admission (p = 0.000). The median time between first medical consultation and treatment initiation was 150 days. The median time between first medical consultation and hospital admission was 136.0 and 52.0 days for patients of the FAP hospital, respectively the HNL (p < 0.050). The median time between first medical consultation and diagnostic mammography was 36.5 and 23.0 days for patients from the FAP hospital and the HNL (p < 0.050). Conclusions: Usage of public diagnostic services was associated with increased SD, whereas the usage of private diagnostic services diminished it. The usage of a lower number of HCPs accelerated patient flow.
“…A atenção farmacêutica baseia-se em educação em saúde, orientação, assistência, dispensação de fármacos, além do acompanhamento farmacoterapêutico 18 .…”
Section: O Cuidado Farmacêutico Na Quimioterapia Antineoplásicaunclassified
Esta revisão teve como objetivo destacar a importância do profissional farmacêutico nos cuidados clínicos de um paciente oncológico, visando a sua melhoria de qualidade de vida e maior efetividade da farmacoterapia no tratamento do câncer. E descrever resumidamente sobre as principais drogas utilizadas no tratamento dos diversos tipos de câncer. Foi realizada uma revisão bibliográfica nas principais plataformas de bases, durante os meses de janeiro e fevereiro de 2019. Dos resultados obtidos foram selecionados 32 artigos, duas teses de doutorado, 2 dissertações de mestrado e três trabalhos de conclusão de curso. Podemos concluir que o farmacêutico atuante da área de oncologia, deve ser um profissional comprometido em cuidar de paciente debilitados, fragilizados fisicamente e psicologicamente, também deve saber orientar tanto os pacientes quanto seus familiares, utilizando palavras sensatas e de conforto, portanto é um profissional indispensável na equipe multidisciplinar da oncologia.
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