Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017

Detalhes bibliográficos
Autor(a) principal: Claro, Itamar Bento
Data de Publicação: 2021
Outros Autores: Araújo Junior , Mario Lucio Cordeiro, Migowski, Arn, Tomazelli , Jeane Glaucia
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1299
Resumo: Introduction: Cervical cancer is still an important public health problem in Brazil and worldwide. The quality of screening and diagnostic confirmation tests are essential for cancer control actions to achieve an effective impact on mortality. Objective: The aim of this study was to analyze the information registered in the description field of the motives for the unsatisfactoriness of the histopathological exams of the cervix. Method: Descriptive study using data of the Cancer Information System (SISCAN) of women who underwent histopathological examination of the cervix in the Unified Health System (SUS) in the period from 2014 to 2017. 1,236 histopathological examinations of the cervix were analyzed. The reasons for unsatisfactoriness specified in the description field were analyzed and reclassified and, when relevant, were reassigned to the existing fields for satisfactory exams. Results: 262 exams (21.2%) were incorrectly classified as ‘unsatisfactory’, in which 11.25% were reclassified as a benign lesion, 5.91% as a high-grade lesion, 1.46% as carcinoma, 0.24% as adenocarcinoma and 0.24% as adenocarcinoma in situ. Conclusion: The study showed a significant percentage of errors in reports classified as unsatisfactory in SUS, pointing out the need to train professionals who issue histopathological reports in order to avoid diagnostic errors.
id INCA-1_0ef6ead3132fffa33a5aa5085606b302
oai_identifier_str oai:rbc.inca.gov.br:article/1299
network_acronym_str INCA-1
network_name_str Revista Brasileira de Cancerologia (Online)
repository_id_str
spelling Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017Análisis de las Causas de los Exámenes Histopatológicos Cervicales Insatisfactorios en el Sistema Único de Salud, Brasil, 2014 a 2017Análise dos Motivos de Insatisfatoriedade dos Exames Histopatológicos do Colo do Útero no Sistema Único de Saúde, Brasil, 2014 a 2017Neoplasias do Colo do ÚteroSistema Único de SaúdeTeste de PapanicolaouProgramas de RastreamentoPatologia ClínicaUterine Cervical NeoplasmsUnified Health SystemTeste de PapanicolaouMass ScreeningPathology, ClinicalNeoplasias del Cuello UterinoSistema Único de SaludPrueba de PapanicolaouTamizaje MasivoPatología ClínicaIntroduction: Cervical cancer is still an important public health problem in Brazil and worldwide. The quality of screening and diagnostic confirmation tests are essential for cancer control actions to achieve an effective impact on mortality. Objective: The aim of this study was to analyze the information registered in the description field of the motives for the unsatisfactoriness of the histopathological exams of the cervix. Method: Descriptive study using data of the Cancer Information System (SISCAN) of women who underwent histopathological examination of the cervix in the Unified Health System (SUS) in the period from 2014 to 2017. 1,236 histopathological examinations of the cervix were analyzed. The reasons for unsatisfactoriness specified in the description field were analyzed and reclassified and, when relevant, were reassigned to the existing fields for satisfactory exams. Results: 262 exams (21.2%) were incorrectly classified as ‘unsatisfactory’, in which 11.25% were reclassified as a benign lesion, 5.91% as a high-grade lesion, 1.46% as carcinoma, 0.24% as adenocarcinoma and 0.24% as adenocarcinoma in situ. Conclusion: The study showed a significant percentage of errors in reports classified as unsatisfactory in SUS, pointing out the need to train professionals who issue histopathological reports in order to avoid diagnostic errors.Introducción: El cáncer de cuello uterino sigue siendo un importante problema de salud pública en Brasil y en todo el mundo. La calidad de las pruebas de cribado y las de confirmación diagnóstica son fundamentales para que las acciones de control del cáncer logren un impacto efectivo en la mortalidad. Objetivo: El objetivo de este estudio fue analizar la información registrada en el campo descriptivo de las razones de la insatisfacción de los exámenes histopatológicos del cuello uterino. Método: Estudio descriptivo que utilizó datos del Sistema de Información del Cáncer (SISCAN) de mujeres a las que se les realizó examen histopatológico cervicouterino en el Sistema Único de Salud (SUS) de 2014 a 2017. Se analizaron 1.236 exámenes histopatológicos cervicouterino. útero. Los motivos de insatisfacción especificados en el campo descriptivo se analizaron y reclasificaron y, cuando fue relevante, se redistribuyeron en los campos existentes de satisfacción con el examen. Resultados: 262 exámenes (21,2%) se clasificaron incorrectamente como ‘insatisfactorios’, en los que el 11,25% se reclasificó como lesión benigna, el 5,91% como lesión de alto grado, el 1,46% como carcinoma, 0,24 % como adenocarcinoma y 0,24% como adenocarcinoma in situ. Conclusión: El estudio mostró un porcentaje significativo de errores en informes calificados como insatisfactorios en el SUS, señalando la necesidad de formar profesionales que emitan informes histopatológicos para evitar errores diagnósticos.Introdução: O câncer do colo do útero é ainda um importante problema de saúde pública no Brasil e no mundo. A qualidade dos exames de rastreio e de confirmação diagnóstica são fundamentais para que as ações de controle do câncer alcancem efetivo impacto sobre a mortalidade. Objetivo: Analisar as informações registradas no campo descritivo dos motivos da insatisfatoriedade dos exames histopatológicos do colo do útero. Método: Estudo descritivo com dados do Sistema de Informação do Câncer (SISCAN) de mulheres que realizaram exame histopatológico do colo do útero no Sistema Único de Saúde (SUS) no período de 2014 a 2017. Foram analisados 1.236 exames histopatológicos do colo do útero. Os motivos de insatisfatoriedade especificados no campo descritivo foram analisados, reclassificados e, quando pertinente, foram redistribuídos nos campos existentes para exames satisfatórios. Resultados: Foram classificados incorretamente como ‘insatisfatório’ 262 exames (21,2%), dos quais, 11,25% foram reclassificados como lesão de caráter benigno, 5,91% como lesão de alto grau, 1,46% como carcinoma, 0,24% como adenocarcinoma e 0,24% como adenocarcinoma in situ. Conclusão: O estudo demonstrou um percentual expressivo de erros nos laudos classificados como insatisfatórios no SUS, apontando a necessidade de capacitar profissionais que emitem laudo histopatológico de forma a evitar erros diagnósticos.INCA2021-06-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/129910.32635/2176-9745.RBC.2021v67n3.1299Revista Brasileira de Cancerologia; Vol. 67 No. 3 (2021): July/Aug./Sept.; e-081299Revista Brasileira de Cancerologia; Vol. 67 Núm. 3 (2021): jul./ago./sept.; e-081299Revista Brasileira de Cancerologia; v. 67 n. 3 (2021): jul./ago./set.; e-0812992176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/1299/1347https://rbc.inca.gov.br/index.php/revista/article/view/1299/1528Copyright (c) 2021 Revista Brasileira de Cancerologiainfo:eu-repo/semantics/openAccessClaro, Itamar Bento Araújo Junior , Mario Lucio Cordeiro Migowski, ArnTomazelli , Jeane Glaucia 2021-11-29T18:25:16Zoai:rbc.inca.gov.br:article/1299Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T18:25:16Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017
Análisis de las Causas de los Exámenes Histopatológicos Cervicales Insatisfactorios en el Sistema Único de Salud, Brasil, 2014 a 2017
Análise dos Motivos de Insatisfatoriedade dos Exames Histopatológicos do Colo do Útero no Sistema Único de Saúde, Brasil, 2014 a 2017
title Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017
spellingShingle Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017
Claro, Itamar Bento
Neoplasias do Colo do Útero
Sistema Único de Saúde
Teste de Papanicolaou
Programas de Rastreamento
Patologia Clínica
Uterine Cervical Neoplasms
Unified Health System
Teste de Papanicolaou
Mass Screening
Pathology, Clinical
Neoplasias del Cuello Uterino
Sistema Único de Salud
Prueba de Papanicolaou
Tamizaje Masivo
Patología Clínica
title_short Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017
title_full Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017
title_fullStr Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017
title_full_unstemmed Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017
title_sort Analysis of The Reasons for Unsatisfactory Cervical Histopathological Exams in the Unified Health System, Brazil, 2014 to 2017
author Claro, Itamar Bento
author_facet Claro, Itamar Bento
Araújo Junior , Mario Lucio Cordeiro
Migowski, Arn
Tomazelli , Jeane Glaucia
author_role author
author2 Araújo Junior , Mario Lucio Cordeiro
Migowski, Arn
Tomazelli , Jeane Glaucia
author2_role author
author
author
dc.contributor.author.fl_str_mv Claro, Itamar Bento
Araújo Junior , Mario Lucio Cordeiro
Migowski, Arn
Tomazelli , Jeane Glaucia
dc.subject.por.fl_str_mv Neoplasias do Colo do Útero
Sistema Único de Saúde
Teste de Papanicolaou
Programas de Rastreamento
Patologia Clínica
Uterine Cervical Neoplasms
Unified Health System
Teste de Papanicolaou
Mass Screening
Pathology, Clinical
Neoplasias del Cuello Uterino
Sistema Único de Salud
Prueba de Papanicolaou
Tamizaje Masivo
Patología Clínica
topic Neoplasias do Colo do Útero
Sistema Único de Saúde
Teste de Papanicolaou
Programas de Rastreamento
Patologia Clínica
Uterine Cervical Neoplasms
Unified Health System
Teste de Papanicolaou
Mass Screening
Pathology, Clinical
Neoplasias del Cuello Uterino
Sistema Único de Salud
Prueba de Papanicolaou
Tamizaje Masivo
Patología Clínica
description Introduction: Cervical cancer is still an important public health problem in Brazil and worldwide. The quality of screening and diagnostic confirmation tests are essential for cancer control actions to achieve an effective impact on mortality. Objective: The aim of this study was to analyze the information registered in the description field of the motives for the unsatisfactoriness of the histopathological exams of the cervix. Method: Descriptive study using data of the Cancer Information System (SISCAN) of women who underwent histopathological examination of the cervix in the Unified Health System (SUS) in the period from 2014 to 2017. 1,236 histopathological examinations of the cervix were analyzed. The reasons for unsatisfactoriness specified in the description field were analyzed and reclassified and, when relevant, were reassigned to the existing fields for satisfactory exams. Results: 262 exams (21.2%) were incorrectly classified as ‘unsatisfactory’, in which 11.25% were reclassified as a benign lesion, 5.91% as a high-grade lesion, 1.46% as carcinoma, 0.24% as adenocarcinoma and 0.24% as adenocarcinoma in situ. Conclusion: The study showed a significant percentage of errors in reports classified as unsatisfactory in SUS, pointing out the need to train professionals who issue histopathological reports in order to avoid diagnostic errors.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-18
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1299
10.32635/2176-9745.RBC.2021v67n3.1299
url https://rbc.inca.gov.br/index.php/revista/article/view/1299
identifier_str_mv 10.32635/2176-9745.RBC.2021v67n3.1299
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1299/1347
https://rbc.inca.gov.br/index.php/revista/article/view/1299/1528
dc.rights.driver.fl_str_mv Copyright (c) 2021 Revista Brasileira de Cancerologia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Revista Brasileira de Cancerologia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 67 No. 3 (2021): July/Aug./Sept.; e-081299
Revista Brasileira de Cancerologia; Vol. 67 Núm. 3 (2021): jul./ago./sept.; e-081299
Revista Brasileira de Cancerologia; v. 67 n. 3 (2021): jul./ago./set.; e-081299
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
_version_ 1797042246278709248

Registros relacionados