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Retardo do tratamento de mulheres com câncer do colo do útero
| Content Provider | Semantic Scholar |
|---|---|
| Author | Santana, Perla M. |
| Copyright Year | 2016 |
| Abstract | INTRODUCTION: Cervical cancer is a disease that presents a high potential of cure when is diagnosed and treated early. However, their morbidity and mortality worldwide is still high, becoming a major public health problem. The late diagnosis of this tumor and the delay in the start of treatment are factors that compromise the survival of affected women. Thus, the decisive for the delay in specialized care and early treatment need to be better understood for effective assistance to these women. OBJECTIVE: To describe the demographic, socioeconomic , clinical and the access to health care characteristcs of women with cervical cancer and to investigate the association of these characteristics with the delay for specialized care and treatment initiation. METHODOLOGY: This is a cohort study where were included women with cervical cancer treated at Hospital Aristides Maltez, from 2011 to 2014. We collected demographic, socioeconomic , clinical and the access to health care data of patients described through the median and interquartile range for continuous variables, and absolute and relative frequencies for categorical variables. Data were obtained on the time between the onset of symptoms and the first visit to the hospital, as well as the time between the first visit to the hospital and the start of treatment. The association between exposure and outcome variables were analyzed initially using the Wilcoxon test or chi-square test. The variables that were associated with a 20% significance level were included in the linear regression or logistic models to investigate independently associated with a 5% significance level. RESULTS: Were included 897 patients , predominantly brown women, married, residents of the interior of Bahia, with a median age of 50 years and with low socioeconomic status. These women present advanced stage disease, which required more than one type of treatment, and the most common radiotherapy and chemotherapy interventions. The median time between the onset of symptoms and the first visit to the hospital was 6 (IQR: 3- 12) months. In multivariate analyzes demographic, socioeconomic and access to health care characteristics were not associated with the elapsed time for the first visit. The median time between the first visit at the hospital and the start of treatment was 91 (IQR: 63- 127) days. It was observed that less educated, more advanced stage of the disease and radiotherapy or chemotherapy as principal treatment were factors associated with the delay in the treatment of the disease. CONCLUSIONS: For the most of the women there was a delay in access to the first specialized care and early treatment of cervical cancer. The time to onset of treatment was associated with some socioeconomic and clinical characteristics. Improvement measures are necessary to the network of specialized care services in the diagnosis and treatment of this neoplasy and, additionally, improvement to the assistance provided by the Family Health Strategy and the quality of the screening programs, as well as health education. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.arca.fiocruz.br/bitstream/icict/18010/2/Perla%20Machado%20Santana.%20Retardo%20do%20tratamento...2016.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
