[Breast cancer screening: modeling improvement of access using mobile mammography unitsSeguimiento del cáncer de mama: modelo de mejora del acceso con el uso de mamógrafos móviles].

Autor:	da Cunha GN; Faculdade de Tecnologia do Estado do Rio de Janeiro Faculdade de Tecnologia do Estado do Rio de Janeiro PetrópolisRJ Brasil Faculdade de Tecnologia do Estado do Rio de Janeiro, Petrópolis (RJ), Brasil., Vianna CMM; Instituto de Medicina Social Instituto de Medicina Social Universidade do Estado do Rio de Janeiro (UERJ) Rio de JaneiroRJ Brasil Universidade do Estado do Rio de Janeiro (UERJ), Instituto de Medicina Social, Rio de Janeiro (RJ), Brasil., Mosegui GBG; Instituto de Saúde Coletiva Instituto de Saúde Coletiva Universidade Federal Fluminense (UFF) Rio de JaneiroRJ Brasil Universidade Federal Fluminense (UFF), Instituto de Saúde Coletiva, Rio de Janeiro (RJ), Brasil., da Silva MPR; Instituto de Medicina Social Instituto de Medicina Social Universidade do Estado do Rio de Janeiro (UERJ) Rio de JaneiroRJ Brasil Universidade do Estado do Rio de Janeiro (UERJ), Instituto de Medicina Social, Rio de Janeiro (RJ), Brasil., Jardim FN; Instituto de Medicina Social Instituto de Medicina Social Universidade do Estado do Rio de Janeiro (UERJ) Rio de JaneiroRJ Brasil Universidade do Estado do Rio de Janeiro (UERJ), Instituto de Medicina Social, Rio de Janeiro (RJ), Brasil.
Jazyk:	portugalština
Zdroj:	Revista panamericana de salud publica = Pan American journal of public health [Rev Panam Salud Publica] 2019 Feb 06; Vol. 43, pp. e19. Date of Electronic Publication: 2019 Feb 06 (Print Publication: 2019).
DOI:	10.26633/RPSP.2019.19
Abstrakt:	Objective: To investigate the impact of combined use of fixed and mobile mammography units to rationalize the management of breast cancer screening programs and increase population coverage. Methods: An observational study was performed using agents-based modeling. The model was used to simulate breast cancer screening coverage in a specific region in the state of Rio de Janeiro ( região serrana ) where 22 fixed mammography units are installed. The number and distribution of fixed and mobile units, as well as the required number of daily exams, were estimated considering a population coverage of 100% and 60% in the region for the 2015-2016 biennium. Results: For the two-year period, a 60% population coverage could be reached with eight mammography units (five fixed and three mobile). Considering a scenario in which 100% of the eligible population would undergo screening, 11 units would be required (seven fixed and four mobile units). The actual coverage in the region for the 2015-2016 biennium was 36.4%, with 22 mammography units performing four exams daily. Conclusions: The present simulation showed that it would be possible to reduce by half the number of mammography units in the region, ensuring 100% coverage. Adding more mobile units would facilitate access by the population from cities without installed mammography units and from rural areas. Competing Interests: Declaração As opiniões expressas no manuscrito são de responsabilidade exclusiva dos autores e não refletem necessariamente a opinião ou política da RPSP/PAJPH ou da Organização Pan-Americana da Saúde (OPAS).
Databáze:	MEDLINE
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