Dados do Trabalho

Título

NEOPLASMS AS THE MAIN BASIC CAUSE OF MORTALITY AND POTENTIAL YEARS OF LIFE LOST AMONG PHYSICIANS OF ESPIRITO SANTO FROM 2006 TO 2015

Introdução

Evidences demonstrate the high and early mortality of physicians in relation to the general population. In addition to problems related to the working hours, an important factor is the self-confidence between the doctors in relation to their own health and the adoption of self-medication not supported by diagnosed teststings when ill. Thus, the diagnosis of neoplasms can be delayed and occur in advanced stages.

Objetivo

Describe the deaths and the potential years of life lost (PYLL) due to neoplasms, from 2006 to 2015, among physicians residing in Espírito Santo (ES).

Método

Descriptive study of secondary data from the Mortality Information System. After selecting records with occupation corresponding to a physician according to the Brazilian Classification of Occupations, the variables were studied by frequency distribution. The mean age at death was calculated. For each death, the remaining years of life from the age at death to the age limit of 70 years were considered for calculating the PYLL.

Resultado

In a total of 138 deaths, the main causes were neoplasms (54 deaths, 39.1%). In males, 46 deaths due to neoplasms, 7 from the prostate (15.2%); 6 from the bronchi and lungs (13%); 4 from the colon and 4 from the kidney except for the pelvis (8.7% each); 3 from the stomach, 3 from the liver and intrahepatic bile ducts, 3 from the pancreas (6.5% each); 2 from the esophagus, 2 from multiple myeloma and plasma cells, 2 from the brain (4.3% each), plus 1 death for each of the following: small intestine, rectum, other parts and unspecified parts of the pathways biliary, thymus, bladder, other locations and ill-defined locations, follicular (nodular) non-Hodgkin's lymphoma, diffuse non-Hodgkin's lymphoma, myeloid leukemia, other cell leukemias of specified type (2.17% each). Among the female physicians (8 deaths) there were neoplasms: 3 of the bronchi and lungs (37.5%); 2 breast (25%); 1 from other digestive organs and ill-defined location in the digestive tract, 1 from malignant melanoma and 1 from the ovary (12.5% each). Mean age at death was 60.2 years. PYLL were 294 years (N=30).

Conclusão

During the study period, the mean age at death from cancer among physicians residing in ES was 3.29 years lower than the same mean age in the general population, calculated based on the number of deaths from cancer in ES, by age group, informed by INCA. Physicians should seek periodic examinations, in addition to regular follow-ups in medical appointments.

Palavras-chave

Mortality; Neoplasms; Physicians; Potential Years of Life Lost.

Área

Oncologia - Políticas Públicas, Acesso, Farmacoeconomia e Gestão em Saúde