Dados do Trabalho

Título

INCIDENCE OF ADVANCED-STAGE CANCER ELIGIBLE FOR SCREENING IN A PUBLIC HOSPITAL: A RETROSPECTIVE COHORT

Introdução

Cancer is currently the second cause of mortality worldwide. Among the most prevalent are breast, cervical and colorectal cancer, which population screening is indicated and available by the Unified Health System (SUS). This study evaluates the rate of screening performed for breast, cervical and colorectal cancer, among patients assisted in a public hospital in Porto Alegre.

Objetivo

The primary goal of the study is the evaluation of incidence of cancer with screening indicated and available by Unified Health System (SUS), which are diagnosed at an advanced stage, and to assess the rate of screening of these cancers, as well. The secondary goal is to identify whether the treatment started within 60 days, in accordance to the Law 12.732 of 2013.

Método

A retrospective cohort that accessed the computerized system for Diagnosis Monitoring of Neoplasms of a public hospital in Porto Alegre (RS). In electronic medical records, anatomopathological exams from the year 2017 that represented breast, uterine cervix and colorectal tumors were evaluated. Patients met inclusion criteria if they had diagnosis of breast, cervical or colorectal cancer and 18 years old or more. Anatomopathological exams that corresponded to recurrence and patients who lost follow-up were excluded.

Resultado

Among the 551 patients included, 207 (37.5%) had been screened. Advanced neoplasm was identified in 221 (40.1%) patients. Corresponded to 23.9% the proportion of patients that were diagnosed during hospitalization, 41.6% of these had advanced disease, compared to 12.1% in the group that had an outpatient diagnosis. Among the patients who underwent mammography, 79.7% had localized disease. Among the patients evaluated, 78.4% started treatment within 60 days, in accordance with Law 12.732 of 2013.

Conclusão

About a quarter of patients were diagnosed during hospitalization, which results in costs and morbidity. There was a lower incidence of advanced disease in patients who underwent screening. Mammography was the most performed exam, and breast cancer represented the lowest percentage of advanced disease. Most patients started treatment within 60 days. Screening, as indicated worldwide and by the Ministry of Health, still below recommendation.

Palavras-chave

Screening; Cancer; Public Health