Title |
Análise dos determinantes que influenciam o tempo para o início do tratamento de mulheres com câncer de mama no Brasil
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Published in |
Cadernos de Saúde Pública, June 2015
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DOI | 10.1590/0102-311x00048514 |
Pubmed ID | |
Authors |
Giselle Coutinho Medeiros, Anke Bergmann, Suzana Sales de Aguiar, Luiz Claudio Santos Thuler |
Abstract |
This study aimed to analyze the time elapsed between breast cancer diagnosis and initiation of treatment in woman treated from 2000 to 2011 in the Brazilian public health system and to identify factors associated with delayed onset of treatment. This retrospective cohort study included 137,593 women diagnosed in 239 hospitals in Brazil from 2000 to 2011. In 63.1% of cases the time between diagnosis and treatment was 60 days. Delayed treatment was associated with nonwhite skin color (OR = 1.18; 95%CI: 1.13-1.23), single marital status (OR = 1.05; 95%CI: 1.01-1.09), less than eight years of schooling (OR = 1.13; 95%CI: 1.08-1.18), early-stage disease (OR = 1.27; 95%CI: 1.22-1.32), treatment from 2006 to 2011 (OR = 1.54; 95%CI: 1.47-1.60), and patients in the public health system (OR = 1.19; 95%CI: 1.13-1.25). Stratified analysis showed variability of factors between regions of Brazil. The identification of factors associated with delayed initiation of breast cancer treatment can support the development of interventions targeted to specific population groups. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 1 | 1% |
Unknown | 93 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 20 | 21% |
Student > Master | 15 | 16% |
Student > Postgraduate | 9 | 10% |
Student > Doctoral Student | 6 | 6% |
Student > Ph. D. Student | 6 | 6% |
Other | 15 | 16% |
Unknown | 23 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 30 | 32% |
Nursing and Health Professions | 18 | 19% |
Pharmacology, Toxicology and Pharmaceutical Science | 5 | 5% |
Social Sciences | 5 | 5% |
Biochemistry, Genetics and Molecular Biology | 3 | 3% |
Other | 6 | 6% |
Unknown | 27 | 29% |