Impacto do serviço de patologia na prevalência do câncer de colo uterino em saúde pública

Content Provider	Semantic Scholar
Author	Scheidt, Mariana Benedet Richter, Elisabeth Grubba Silva, Jean Carl Scheidt, Joana Benedet Poletto, Franciane Obara, Hélio Rodrigo De Oliveira
Copyright Year	2010
Abstract	Objetivo: Avaliar a prevalencia do carcinoma invasor e ?in situ? de colo uterino pre e pos a implantacao do servico de patologia cervical na saude publica de Joinville. Metodos: Estudo transversal descritivo retrospectivo.Foram estudados todos os resultados histopatologicos positivos para câncer de colo de utero invasor e ?in situ?, obtidos atraves da busca nos dois laboratorios de analise patologica que servem a saude publica de Joinville, SC. O periodo do estudo contemplou 22 anos, e foi diferenciadoem dois tempos. O primeiro foi de janeiro de 1985 a dezembro de 1995, e o segundo de janeiro de 1996 a dezembro de 2006, sendo o marco do segundo periodo a implantacao do ambulatorio de patologia do colo deutero em janeiro de 1996 no servico publico de Joinville, SC. Os calculos estatisticos foram realizados no programa SPSS. Para se testar a homogeneidade dos grupos em relacao as proporcoes foi utilizado o teste qui-quadrado. Resultados: Foram estudados 788 laudos de histopatologicos positivos para carcinoma ?in situ? e invasor de colo uterino. Observou-se que a prevalencia media de carcinoma ?in situ? entre 1985 e 1995 foi de 42 casos por 100.00 habitantes e entre 1996 e 2006, 85 por 100.000 habitantes. Com relacao ao carcinoma invasor, a prevalencia media foi 192 casos por 100.000 habitantes no primeiro periodo e no segundo periodo, 182 casos por 100.000 habitantes.Conclusoes: Conclui-se que houve diminuicao das formas avancadas e aumento das formas precursoras de câncer de colo uterino apos a implantacao de servico de referencia. Objective: To evaluate the prevalence of ?in situ? and invasive carcinoma before and after the deployment of cervical pathology department in the public health in Joinville. Methods: This was a retrospective descriptive crosssectional study. All histopathological positive results for cervix carcinoma, invasive and ?in situ? were studied obtained by two laboratories in search of pathological analysis that serve the public health in Joinville, SC. The period of the study included 22 years, and was differentiated into two phases. The first was from January 1985 to December 1995, and the second from January 1996 to December 2006, being the mark of the second period the deployment of departament?s cervical pathology in January 1996 in the public service of Joinville, SC . The statistical calculations were performed in SPSS. To test the homogeneity of the groups for proportions was used chi-square. Results: We studied 788 reports of histopathological positive for cervix carcinoma in situ and invasive. In examining the two periods, it was observed that theaverage prevalence of carcinoma ?in situ? between 1985 and 1995 was 42 cases per 100.00 inhabitants and between 1996 and 2006, 85 per 100,000 inhabitants. With respect to invasive carcinoma, the average prevalence was 192 cases per 100,000 inhabitants in the first periodand second period, 182 cases per 100,000 inhabitants. Conclusions: We conclude that there was a decrease in advanced forms and ways of increasing in precursor cervical cancer after the deployment of service reference.
File Format	PDF HTM / HTML
Volume Number	39
Alternate Webpage(s)	http://www.acm.org.br/revista/pdf/artigos/797.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article