Assessment of actions for breast cancer early detection in Brazil using process indicators: a descriptive study with Sismama data, 2010-2011.
| Autor: | Tomazelli JG; Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil., Migowski A; Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil., Ribeiro CM; Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil., Assis M; Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil., Abreu DM; Secretaria de Estado de Saúde do Rio de Janeiro, Coordenação de Apoio à Gestão da Vigilância da Saúde, Rio de Janeiro-RJ, Brasil. |
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| Jazyk: | English; Portuguese |
| Zdroj: | Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil [Epidemiol Serv Saude] 2017 Jan-Mar; Vol. 26 (1), pp. 61-70. Date of Electronic Publication: 2016 Nov 28. |
| DOI: | 10.5123/S1679-49742017000100007 |
| Abstrakt: | Objective: to assess actions for breast cancer early detection in the Brazilian National Health System using process indicators. Methods: this is a descriptive study with secondary data from the Breast Cancer Information System (Sismama), for the period from 2010 to 2011. Results: 5,759,503 mammograms and 44,892 histopathological tests were assessed; screening mammography was predominant (96.2%), with annual interval (44.6%) and 51.2% of the patients were in the recommended age group (50 to 69 years); mammogram report was emitted in 30 days in 61.7% of the cases; among the 17,343 malignant lesions confirmed in the histopathological tests, 66.4% were detected through clinical examination. Conclusion: screening actions and early diagnosis in disagreement with the Ministry of Health's recommendations may compromise its effectiveness and entail greater risk to women; it is necessary to improve professional's adherence to screening guidelines, as well as enhance the control and assessment of the health services. |
| Databáze: | MEDLINE |
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