Childhood cancer and pediatric oncologic care in Brazil: access and equity

Detalhes bibliográficos
Autor(a) principal: Grabois, Marilia Fornaciari
Data de Publicação: 2011
Outros Autores: Oliveira, Evangelina X. G. de, Carvalho, Marilia Sá
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4509
Resumo: Cancer in children and adolescents is rare and highly curable if treatment is started early, yet it is still the main cause of death from disease in this age group. The aim of this study is to discuss access to health services for cancer patients under 19 years of age in Brazil, mapping deaths and treatment modalities in the Brazilian Unified National Health System (SUS). Data from 2000 to 2007 were analyzed according to health regions. Maps of cancer mortality rates and cancer care indicators - hospitalizations, chemotherapy, and radiotherapy financed by the national health system - revealed inequality in access, based on the small number of procedures for children in poorer regions of the country. Even with the usual concentration of specialized services in more heavily populated areas, access begins with clinical suspicion in primary care, followed by referral to more complex levels, where the diagnosis is made and treatment begins. Training pediatricians in clinical suspicion of childhood cancer and definition of more streamlined patient flows could improve the situation, thereby increasing the odds of cure.
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spelling Childhood cancer and pediatric oncologic care in Brazil: access and equityEarly DiagnosisNeoplasmsChildHealth Services AccessibilityEquityCancer in children and adolescents is rare and highly curable if treatment is started early, yet it is still the main cause of death from disease in this age group. The aim of this study is to discuss access to health services for cancer patients under 19 years of age in Brazil, mapping deaths and treatment modalities in the Brazilian Unified National Health System (SUS). Data from 2000 to 2007 were analyzed according to health regions. Maps of cancer mortality rates and cancer care indicators - hospitalizations, chemotherapy, and radiotherapy financed by the national health system - revealed inequality in access, based on the small number of procedures for children in poorer regions of the country. Even with the usual concentration of specialized services in more heavily populated areas, access begins with clinical suspicion in primary care, followed by referral to more complex levels, where the diagnosis is made and treatment begins. Training pediatricians in clinical suspicion of childhood cancer and definition of more streamlined patient flows could improve the situation, thereby increasing the odds of cure.O câncer em crianças e adolescentes é raro e altamente curável se o tratamento for iniciado precocemente, no entanto representa a principal causa de óbito por doença nesse grupo. O objetivo deste estudo é discutir o acesso aos serviços de saúde de menores de 18 anos de idade com câncer no Brasil, a partir do mapeamento de óbitos e modalidades de tratamento no Sistema Único de Saúde (SUS). Os dados do período de 2000-2007 foram analisados por regional de saúde. Os mapas das taxas de mortalidade por câncer e indicadores de assistência - internações, quimioterapias e radioterapias - mostraram desigualdade no acesso pelo pequeno volume de tratamentos para residentes nas regiões mais carentes do país. Mesmo com a usual concentração de serviços especializados onde é maior a população, o acesso começa com a suspeita clínica na assistência básica seguido pelo encaminhamento para níveis mais complexos onde se estabelece o diagnóstico e se inicia o tratamento. Treinamento de pediatras para a suspeita clínica e definição de fluxos rápidos podem mudar esse quadro, aumentando a chance de cura.Reports in Public HealthCadernos de Saúde Pública2011-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4509Reports in Public Health; Vol. 27 No. 9 (2011): SeptemberCadernos de Saúde Pública; v. 27 n. 9 (2011): Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4509/9191https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4509/9192Grabois, Marilia FornaciariOliveira, Evangelina X. G. deCarvalho, Marilia Sáinfo:eu-repo/semantics/openAccess2024-03-06T15:28:14Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/4509Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:05:12.098425Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Childhood cancer and pediatric oncologic care in Brazil: access and equity
title Childhood cancer and pediatric oncologic care in Brazil: access and equity
spellingShingle Childhood cancer and pediatric oncologic care in Brazil: access and equity
Grabois, Marilia Fornaciari
Early Diagnosis
Neoplasms
Child
Health Services Accessibility
Equity
title_short Childhood cancer and pediatric oncologic care in Brazil: access and equity
title_full Childhood cancer and pediatric oncologic care in Brazil: access and equity
title_fullStr Childhood cancer and pediatric oncologic care in Brazil: access and equity
title_full_unstemmed Childhood cancer and pediatric oncologic care in Brazil: access and equity
title_sort Childhood cancer and pediatric oncologic care in Brazil: access and equity
author Grabois, Marilia Fornaciari
author_facet Grabois, Marilia Fornaciari
Oliveira, Evangelina X. G. de
Carvalho, Marilia Sá
author_role author
author2 Oliveira, Evangelina X. G. de
Carvalho, Marilia Sá
author2_role author
author
dc.contributor.author.fl_str_mv Grabois, Marilia Fornaciari
Oliveira, Evangelina X. G. de
Carvalho, Marilia Sá
dc.subject.por.fl_str_mv Early Diagnosis
Neoplasms
Child
Health Services Accessibility
Equity
topic Early Diagnosis
Neoplasms
Child
Health Services Accessibility
Equity
description Cancer in children and adolescents is rare and highly curable if treatment is started early, yet it is still the main cause of death from disease in this age group. The aim of this study is to discuss access to health services for cancer patients under 19 years of age in Brazil, mapping deaths and treatment modalities in the Brazilian Unified National Health System (SUS). Data from 2000 to 2007 were analyzed according to health regions. Maps of cancer mortality rates and cancer care indicators - hospitalizations, chemotherapy, and radiotherapy financed by the national health system - revealed inequality in access, based on the small number of procedures for children in poorer regions of the country. Even with the usual concentration of specialized services in more heavily populated areas, access begins with clinical suspicion in primary care, followed by referral to more complex levels, where the diagnosis is made and treatment begins. Training pediatricians in clinical suspicion of childhood cancer and definition of more streamlined patient flows could improve the situation, thereby increasing the odds of cure.
publishDate 2011
dc.date.none.fl_str_mv 2011-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4509
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4509
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4509/9191
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4509/9192
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 27 No. 9 (2011): September
Cadernos de Saúde Pública; v. 27 n. 9 (2011): Setembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
_version_ 1798943368986755072

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