Waiting Time between Breast Cancer Diagnosis and Treatment in Brazilian Women: An Analysis of Cases from 1998 to 2012
Autor: | Isabel Cristina Esposito Sorpreso, Fernando Adami, Francisco Winter dos Santos Figueiredo, Naidhia Alves Soares Ferreira, Jean Henri Maselli Schoueri |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
socioeconomic status and cancer Referral Waiting Lists Health Toxicology and Mutagenesis lcsh:Medicine Breast Neoplasms Disease Article Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Breast cancer breast cancer Epidemiology medicine Humans 030212 general & internal medicine Registries Stage (cooking) Referral and Consultation business.industry Public health lcsh:R Public Health Environmental and Occupational Health Cancer Secondary data unified health system medicine.disease Socioeconomic Factors 030220 oncology & carcinogenesis Family medicine Female epidemiology education levels and cancer business Brazil public policies |
Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 11 International Journal of Environmental Research and Public Health, Vol 17, Iss 4030, p 4030 (2020) |
ISSN: | 1660-4601 |
DOI: | 10.3390/ijerph17114030 |
Popis: | Brazilian law requires that treatment for breast cancer begin within 60 days of diagnosis. This waiting time is an indicator of accessibility to health services. The aim of this study was to analyze which factors are associated with waiting times between diagnosis and treatment of breast cancer in women in Brazil between 1998 and 2012. Information from Brazilian women diagnosed with breast cancer between 1998 and 2012 was collected through the Hospital Registry of Cancer (HRC), developed by the National Cancer Institute (INCA). We performed a secondary data analysis, and found that the majority of women (81.3%) waited for &le 60 days to start treatment after being diagnosed. Those referred by the public health system, aged &ge 50 years, of nonwhite race, diagnosed at stage I or II, and with low levels of education waited longer for treatment to start. We observed that only 18.7% experienced a delay in starting treatment, which is a positive reflection of the quality of the care network for the diagnosis and treatment of breast cancer. We also observed inequalities in access to health services related to age, region of residence, stage of the disease, race, and origin of referral to the health service. |
Databáze: | OpenAIRE |
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