Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals

Detalhes bibliográficos
Autor(a) principal: Velloso Espósito, Samara
Data de Publicação: 2023
Outros Autores: de Oliveira Santos, Marceli, de Camargo Cancela, Marianna
Tipo de documento: Artigo
Idioma: por
eng
spa
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4243
Resumo: Introduction: Central Nervous System tumors are the most frequent group of solid tumors in the pediatric population. Children and adolescents with cancer should be treated in onco-pediatric-accredited hospitals, but actually this treatment does not occur in this type of unit in some cases. Objective: To describe the clinical-epidemiological profile and waiting times between diagnosis and treatment of pediatric patients with CNS cancer in accredited and non-accredited hospitals for childhood cancer. Method: Descriptive study of data extracted from the Integrador RHC on CNS tumors diagnosed between 2010 and 2017, in individuals aged 0 to 19 years. Sociodemographic and clinical variables were included to explore the differences in time between diagnosis and treatment. Results: 5,281 cases of CNS tumors were included. Males (54.8%) were more affected than females (45.2%). Children aged 0 to 4 years were the most prevalent (33.2%). Histology of the primary tumor (73.3%) was the main diagnostic exam. The time between diagnosis and treatment was longer in onco-pediatric non-accredited (29 days) than in accredited (17 days) hospitals. Black, Brown, Indigenous and Yellow individuals waited more since diagnosis to treatment (23 days). Conclusion: Differences of interval until treatment, skin color and onco-pediatric hospital accreditation were found. It is necessary to ensure equitable access to these patients within the brazilian Health System.
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spelling Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals Perfil Clínico-epidemiológico y Tiempos de Espera entre el Diagnóstico y el Tratamiento de Pacientes Infantiles con Cáncer del Sistema Nervioso Central Atendidos en Unidades Hospitalarias BrasileñasPerfil Clínico-epidemiológico e Tempos de Espera entre o Diagnóstico e o Tratamento dos Pacientes Infantojuvenis com Câncer do Sistema Nervoso Central Atendidos nas Unidades Hospitalares Brasileirasneoplasias do sistema nervoso centralserviço hospitalar de oncologiaepidemiologiapediatriatempo para o tratamentocentral nervous system neoplasmsoncology service, hospitalepidemiologypediatricstime-to-treatmentneoplasias del sistema nervioso centralservicio de oncología en hospitaepidemiologíapediatríatiempo de tratamientoIntroduction: Central Nervous System tumors are the most frequent group of solid tumors in the pediatric population. Children and adolescents with cancer should be treated in onco-pediatric-accredited hospitals, but actually this treatment does not occur in this type of unit in some cases. Objective: To describe the clinical-epidemiological profile and waiting times between diagnosis and treatment of pediatric patients with CNS cancer in accredited and non-accredited hospitals for childhood cancer. Method: Descriptive study of data extracted from the Integrador RHC on CNS tumors diagnosed between 2010 and 2017, in individuals aged 0 to 19 years. Sociodemographic and clinical variables were included to explore the differences in time between diagnosis and treatment. Results: 5,281 cases of CNS tumors were included. Males (54.8%) were more affected than females (45.2%). Children aged 0 to 4 years were the most prevalent (33.2%). Histology of the primary tumor (73.3%) was the main diagnostic exam. The time between diagnosis and treatment was longer in onco-pediatric non-accredited (29 days) than in accredited (17 days) hospitals. Black, Brown, Indigenous and Yellow individuals waited more since diagnosis to treatment (23 days). Conclusion: Differences of interval until treatment, skin color and onco-pediatric hospital accreditation were found. It is necessary to ensure equitable access to these patients within the brazilian Health System.Introducción: Los tumores del Sistema Nervioso Central son el grupo de tumores sólidos más frecuente en la población pediátrica. Los niños y adolescentes con cáncer deben ser tratados en unidades cualificadas en oncopediatría, pero en la práctica este tratamiento, en algunos casos, no se da en este tipo de unidades. Objetivo: Comparar el perfil clínico-epidemiológico y los tiempos de espera entre diagnóstico y tratamiento de pacientes pediátricos con cáncer del SNC en unidades habilitadas y no habilitadas para cáncer infantil. Método: Estudio descriptivo de datos extraídos del Integrador RHC sobre tumores del SNC diagnosticados entre 2010 y 2017, en individuos de 0 a 19 años. Se incluyeron variables sociodemográficas y clínicas para explorar las diferencias de tiempo entre el diagnóstico y el tratamiento. Resultados: Se incluyeron 5281 casos de tumores del SNC, los varones (54,8%) fueron más afectados que las mujeres (45,2%), los niños de 0 a 4 años fueron los más afectados (33,2%), el principal examen para el diagnóstico del tumor fue la histología del tumor primario (73,3%). El tiempo entre el diagnóstico y el tratamiento fue mayor en los hospitales no habilitados (29 días) que en los habilitados en oncopediatría (17 días). Los negros, pardos, indígenas y amarillos presentaron mayor tiempo hasta el tratamiento (23 días). Conclusión: Se encontraron diferencias en cuanto al color de piel, acreditación hospitalaria e intervalo hasta el tratamiento que deben ser discutidas para el avance del Sistema Único de Salud en la atención al paciente de oncología pediátrica. Se destaca la necesidad de garantizar el acceso equitativo dentro del Sistema de Salud brasileño a estos pacientes.Introdução: Tumores do sistema nervoso central (SNC) são o grupo mais frequente de tumores sólidos na população de crianças e adolescentes que devem ser tratados em unidades habilitadas em oncopediatria, o que, em alguns casos, não ocorre nesse tipo de unidade. Objetivo: Comparar o perfil clínico-epidemiológico dos pacientes infantojuvenis com câncer do SNC atendidos nas unidades hospitalares habilitadas em oncologia com as habilitadas em oncologia pediátrica, e analisar o tempo entre o diagnóstico e o tratamento do câncer do SNC, segundo as variáveis clínicas e sociodemográficas. Método: Estudo descritivo sobre tumores do SNC diagnosticados entre 2010 e 2017, em indivíduos de 0 a 19 anos, extraídos da base de dados do Integrador RHC. Variáveis sociodemográficas e clínicas foram incluídas para explorar as diferenças no tempo entre o diagnóstico e o tratamento. Resultados: Foram incluídos 5.281 casos de tumores do SNC. O sexo masculino (54,8%) foi mais frequente do que o sexo feminino (45,2%). A faixa etária de 0 a 4 anos foi a mais prevalente (33,2%). O principal exame para o diagnóstico do tumor foi a histologia do tumor primário (73,3%). O tempo entre o diagnóstico e o tratamento foi maior nos hospitais não habilitados (29 dias) do que nos habilitados em oncopediatria (17 dias). Pretos, pardos, indígenas e amarelos apresentaram maior tempo até o tratamento (23 dias). Conclusão: Encontraram-se diferenças quanto à cor da pele, acreditação para oncopediatria e intervalo do diagnóstico até o tratamento. Destaca-se a necessidade de garantir o acesso equitativo desses pacientes dentro do Sistema de Saúde brasileiro.INCA2023-12-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/424310.32635/2176-9745.RBC.2023v69n4.4243Revista Brasileira de Cancerologia; Vol. 69 No. 4 (2023): oct./nov./dec.; e-214243Revista Brasileira de Cancerologia; Vol. 69 Núm. 4 (2023): oct./nov./dic.; e-214243Revista Brasileira de Cancerologia; v. 69 n. 4 (2023): out./nov./dez.; e-2142432176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporengspahttps://rbc.inca.gov.br/index.php/revista/article/view/4243/3282https://rbc.inca.gov.br/index.php/revista/article/view/4243/3370https://rbc.inca.gov.br/index.php/revista/article/view/4243/3350https://rbc.inca.gov.br/index.php/revista/article/view/4243/3297Copyright (c) 2023 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessVelloso Espósito, Samarade Oliveira Santos, Marcelide Camargo Cancela, Marianna2024-03-05T01:21:03Zoai:rbc.inca.gov.br:article/4243Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2024-03-05T01:21:03Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals
Perfil Clínico-epidemiológico y Tiempos de Espera entre el Diagnóstico y el Tratamiento de Pacientes Infantiles con Cáncer del Sistema Nervioso Central Atendidos en Unidades Hospitalarias Brasileñas
Perfil Clínico-epidemiológico e Tempos de Espera entre o Diagnóstico e o Tratamento dos Pacientes Infantojuvenis com Câncer do Sistema Nervoso Central Atendidos nas Unidades Hospitalares Brasileiras
title Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals
spellingShingle Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals
Velloso Espósito, Samara
neoplasias do sistema nervoso central
serviço hospitalar de oncologia
epidemiologia
pediatria
tempo para o tratamento
central nervous system neoplasms
oncology service, hospital
epidemiology
pediatrics
time-to-treatment
neoplasias del sistema nervioso central
servicio de oncología en hospita
epidemiología
pediatría
tiempo de tratamiento
title_short Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals
title_full Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals
title_fullStr Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals
title_full_unstemmed Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals
title_sort Clinical-epidemiological Profile and Waiting Times between Diagnosis and Treatment of Child and Adolescent Patients with Central Nervous System Cancer Treated in Brazilian Hospitals
author Velloso Espósito, Samara
author_facet Velloso Espósito, Samara
de Oliveira Santos, Marceli
de Camargo Cancela, Marianna
author_role author
author2 de Oliveira Santos, Marceli
de Camargo Cancela, Marianna
author2_role author
author
dc.contributor.author.fl_str_mv Velloso Espósito, Samara
de Oliveira Santos, Marceli
de Camargo Cancela, Marianna
dc.subject.por.fl_str_mv neoplasias do sistema nervoso central
serviço hospitalar de oncologia
epidemiologia
pediatria
tempo para o tratamento
central nervous system neoplasms
oncology service, hospital
epidemiology
pediatrics
time-to-treatment
neoplasias del sistema nervioso central
servicio de oncología en hospita
epidemiología
pediatría
tiempo de tratamiento
topic neoplasias do sistema nervoso central
serviço hospitalar de oncologia
epidemiologia
pediatria
tempo para o tratamento
central nervous system neoplasms
oncology service, hospital
epidemiology
pediatrics
time-to-treatment
neoplasias del sistema nervioso central
servicio de oncología en hospita
epidemiología
pediatría
tiempo de tratamiento
description Introduction: Central Nervous System tumors are the most frequent group of solid tumors in the pediatric population. Children and adolescents with cancer should be treated in onco-pediatric-accredited hospitals, but actually this treatment does not occur in this type of unit in some cases. Objective: To describe the clinical-epidemiological profile and waiting times between diagnosis and treatment of pediatric patients with CNS cancer in accredited and non-accredited hospitals for childhood cancer. Method: Descriptive study of data extracted from the Integrador RHC on CNS tumors diagnosed between 2010 and 2017, in individuals aged 0 to 19 years. Sociodemographic and clinical variables were included to explore the differences in time between diagnosis and treatment. Results: 5,281 cases of CNS tumors were included. Males (54.8%) were more affected than females (45.2%). Children aged 0 to 4 years were the most prevalent (33.2%). Histology of the primary tumor (73.3%) was the main diagnostic exam. The time between diagnosis and treatment was longer in onco-pediatric non-accredited (29 days) than in accredited (17 days) hospitals. Black, Brown, Indigenous and Yellow individuals waited more since diagnosis to treatment (23 days). Conclusion: Differences of interval until treatment, skin color and onco-pediatric hospital accreditation were found. It is necessary to ensure equitable access to these patients within the brazilian Health System.
publishDate 2023
dc.date.none.fl_str_mv 2023-12-22
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/4243
10.32635/2176-9745.RBC.2023v69n4.4243
url https://rbc.inca.gov.br/index.php/revista/article/view/4243
identifier_str_mv 10.32635/2176-9745.RBC.2023v69n4.4243
dc.language.iso.fl_str_mv por
eng
spa
language por
eng
spa
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4243/3282
https://rbc.inca.gov.br/index.php/revista/article/view/4243/3370
https://rbc.inca.gov.br/index.php/revista/article/view/4243/3350
https://rbc.inca.gov.br/index.php/revista/article/view/4243/3297
dc.rights.driver.fl_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
text/html
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 69 No. 4 (2023): oct./nov./dec.; e-214243
Revista Brasileira de Cancerologia; Vol. 69 Núm. 4 (2023): oct./nov./dic.; e-214243
Revista Brasileira de Cancerologia; v. 69 n. 4 (2023): out./nov./dez.; e-214243
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
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