Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082016000300330 |
Resumo: | ABSTRACT Objective: To assess aspects related to cancer in indigenous population. Methods: This is a retrospective study developed in a public university hospital. We included patients with 18 or more years of age, diagnosed with solid tumors, and followed between 2005 and 2015. Clinical features were assessed by descriptive statistics, and survival was evaluated by Kaplan-Meier curves and multivariate Cox regression. Results: Fifty patients were included. The cancer incidence was 15.73 per 100,000. The mean age at diagnosis was 54 years and most patients were female (58%). Cancer of the cervix (28%) and prostate (16%) were the most common. The mean time between the onset of symptoms and the diagnosis was 9 months and from diagnosis to the treatment was 3.4 months. Disease diagnosed at stage IV (17%) had worse overall survival (HR: 11.4; p<0.05). The 5-year survival rate ranged from 88% for prostate cancer to 0% for lung cancer. All 5-year survival rates were lower as compared to other populations. Conclusion: The most prevalent cancer sites were cervix and prostate. Disease stage and primary site were prognostic factors. |
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Disparities in cancer epidemiology and care delivery among Brazilian indigenous populationsEpidemiologyPublic healthEthnicity and healthNeoplasmsHealth services accessibilityBrazilABSTRACT Objective: To assess aspects related to cancer in indigenous population. Methods: This is a retrospective study developed in a public university hospital. We included patients with 18 or more years of age, diagnosed with solid tumors, and followed between 2005 and 2015. Clinical features were assessed by descriptive statistics, and survival was evaluated by Kaplan-Meier curves and multivariate Cox regression. Results: Fifty patients were included. The cancer incidence was 15.73 per 100,000. The mean age at diagnosis was 54 years and most patients were female (58%). Cancer of the cervix (28%) and prostate (16%) were the most common. The mean time between the onset of symptoms and the diagnosis was 9 months and from diagnosis to the treatment was 3.4 months. Disease diagnosed at stage IV (17%) had worse overall survival (HR: 11.4; p<0.05). The 5-year survival rate ranged from 88% for prostate cancer to 0% for lung cancer. All 5-year survival rates were lower as compared to other populations. Conclusion: The most prevalent cancer sites were cervix and prostate. Disease stage and primary site were prognostic factors.Instituto Israelita de Ensino e Pesquisa Albert Einstein2016-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082016000300330einstein (São Paulo) v.14 n.3 2016reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/S1679-45082016AO3754info:eu-repo/semantics/openAccessAguiar Jr.,Pedro NazarethStock,Gustavo TrautmanLopes Jr.,Gilberto de LimaAlmeida,Michelle Samora deTadokoro,HakaruGutierres,Bárbara de SouzaRodrigues,Douglas Antônioeng2016-10-14T00:00:00Zoai:scielo:S1679-45082016000300330Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2016-10-14T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations |
title |
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations |
spellingShingle |
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations Aguiar Jr.,Pedro Nazareth Epidemiology Public health Ethnicity and health Neoplasms Health services accessibility Brazil |
title_short |
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations |
title_full |
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations |
title_fullStr |
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations |
title_full_unstemmed |
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations |
title_sort |
Disparities in cancer epidemiology and care delivery among Brazilian indigenous populations |
author |
Aguiar Jr.,Pedro Nazareth |
author_facet |
Aguiar Jr.,Pedro Nazareth Stock,Gustavo Trautman Lopes Jr.,Gilberto de Lima Almeida,Michelle Samora de Tadokoro,Hakaru Gutierres,Bárbara de Souza Rodrigues,Douglas Antônio |
author_role |
author |
author2 |
Stock,Gustavo Trautman Lopes Jr.,Gilberto de Lima Almeida,Michelle Samora de Tadokoro,Hakaru Gutierres,Bárbara de Souza Rodrigues,Douglas Antônio |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Aguiar Jr.,Pedro Nazareth Stock,Gustavo Trautman Lopes Jr.,Gilberto de Lima Almeida,Michelle Samora de Tadokoro,Hakaru Gutierres,Bárbara de Souza Rodrigues,Douglas Antônio |
dc.subject.por.fl_str_mv |
Epidemiology Public health Ethnicity and health Neoplasms Health services accessibility Brazil |
topic |
Epidemiology Public health Ethnicity and health Neoplasms Health services accessibility Brazil |
description |
ABSTRACT Objective: To assess aspects related to cancer in indigenous population. Methods: This is a retrospective study developed in a public university hospital. We included patients with 18 or more years of age, diagnosed with solid tumors, and followed between 2005 and 2015. Clinical features were assessed by descriptive statistics, and survival was evaluated by Kaplan-Meier curves and multivariate Cox regression. Results: Fifty patients were included. The cancer incidence was 15.73 per 100,000. The mean age at diagnosis was 54 years and most patients were female (58%). Cancer of the cervix (28%) and prostate (16%) were the most common. The mean time between the onset of symptoms and the diagnosis was 9 months and from diagnosis to the treatment was 3.4 months. Disease diagnosed at stage IV (17%) had worse overall survival (HR: 11.4; p<0.05). The 5-year survival rate ranged from 88% for prostate cancer to 0% for lung cancer. All 5-year survival rates were lower as compared to other populations. Conclusion: The most prevalent cancer sites were cervix and prostate. Disease stage and primary site were prognostic factors. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082016000300330 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082016000300330 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1679-45082016AO3754 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.14 n.3 2016 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
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Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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1752129908401766400 |