Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro.
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UERJ |
Texto Completo: | http://www.bdtd.uerj.br/handle/1/3991 |
Resumo: | In Brazil, since 2004, the Ministry of Health recommends the screening of breast cancer and for women who present results with probably benign lesions it is recommended to perform a radiological control after six months of the result. This study aims to evaluate adherence to these recommendations by analyzing the follow-up of women screened for breast cancer with lesions likely to be benign in the last quarter of 2011 of Rio de Janeiro state for at least two years, comparing the characteristics of these women and were identified later in the databases consulted with those not identified, estimating the median time between the date of the initial mammography release and the performance of the control exam and investigating the factors associated with this time. As data sources, the Breast Cancer Information System (SISMAMA) and the Mortality Information System (SIM) were used. A relationship methodology was applied between the databases of Rio de Janeiro state and, from the traced women with a probable benign lesion, the follow-up was evaluated. The sociodemographic, clinical, radiological and care characteristics of the women identified in the SISMAMA and the SIM were calculated and those who underwent the radiological control during the study period. Clinical and radiological characteristics related to control mammography were also evaluated. The Kaplan-Meier method and the Log-rank test were used to compare the Cox variables' strata and proportional hazards model in order to evaluate factors associated with the repetition of the test. The reference cohort was constructed with 1261 women. A total of 498 women were identified and 482 women underwent radiological control. The median time between the release of the first exam and the achievement of control was 12 months. The intervals related to the request, achievement and release of control from the release of the first result were greater than 9 months for more than half of the women. In the comparison of the strata of the variables, only the municipality of residence and the age group presented statistically significant differences. Age equal to or less than 70 years, living outside the capital and presenting risk for breast cancer were associated with a shorter time to control. The median time related to the repetition of the exam was considered high, double that recommended by the Ministry of Health. The findings of this study suggest the need for improvements in the registration of information, access to early detection actions and the qualification of professionals for the success of the breast cancer control actions. |
id |
UERJ_2ff6e4e411ed9eb81602dd1cd8e91001 |
---|---|
oai_identifier_str |
oai:www.bdtd.uerj.br:1/3991 |
network_acronym_str |
UERJ |
network_name_str |
Biblioteca Digital de Teses e Dissertações da UERJ |
repository_id_str |
2903 |
spelling |
Silva, Gulnar Azevedo ehttp://lattes.cnpq.br/5225298757437978Girianelli, Vania Reishttp://lattes.cnpq.br/9668577457049803Caetano, Rosângelahttp://lattes.cnpq.br/0888484011330781Monteiro, Gina Torres Regohttp://lattes.cnpq.br/8603191390762627Tomazelli, Jeane Glauciahttp://lattes.cnpq.br/5522657516027469http://lattes.cnpq.br/0922889884745473Santos, Juliana Agra2020-07-05T16:01:30Z2020-01-062018-06-26SANTOS, Juliana Agra. Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro.. 2018. 76 f. Dissertação (Mestrado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2018.http://www.bdtd.uerj.br/handle/1/3991In Brazil, since 2004, the Ministry of Health recommends the screening of breast cancer and for women who present results with probably benign lesions it is recommended to perform a radiological control after six months of the result. This study aims to evaluate adherence to these recommendations by analyzing the follow-up of women screened for breast cancer with lesions likely to be benign in the last quarter of 2011 of Rio de Janeiro state for at least two years, comparing the characteristics of these women and were identified later in the databases consulted with those not identified, estimating the median time between the date of the initial mammography release and the performance of the control exam and investigating the factors associated with this time. As data sources, the Breast Cancer Information System (SISMAMA) and the Mortality Information System (SIM) were used. A relationship methodology was applied between the databases of Rio de Janeiro state and, from the traced women with a probable benign lesion, the follow-up was evaluated. The sociodemographic, clinical, radiological and care characteristics of the women identified in the SISMAMA and the SIM were calculated and those who underwent the radiological control during the study period. Clinical and radiological characteristics related to control mammography were also evaluated. The Kaplan-Meier method and the Log-rank test were used to compare the Cox variables' strata and proportional hazards model in order to evaluate factors associated with the repetition of the test. The reference cohort was constructed with 1261 women. A total of 498 women were identified and 482 women underwent radiological control. The median time between the release of the first exam and the achievement of control was 12 months. The intervals related to the request, achievement and release of control from the release of the first result were greater than 9 months for more than half of the women. In the comparison of the strata of the variables, only the municipality of residence and the age group presented statistically significant differences. Age equal to or less than 70 years, living outside the capital and presenting risk for breast cancer were associated with a shorter time to control. The median time related to the repetition of the exam was considered high, double that recommended by the Ministry of Health. The findings of this study suggest the need for improvements in the registration of information, access to early detection actions and the qualification of professionals for the success of the breast cancer control actions.No Brasil, desde 2004, o Ministério da Saúde preconiza o rastreamento do câncer de mama e, para as mulheres que apresentam resultado com lesões provavelmente benignas, é recomendada a realização de um controle radiológico após seis meses do resultado. Esta pesquisa tem por objetivo avaliar a adesão a estas recomendações analisando o seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no último trimestre de 2011 no estado do Rio de Janeiro por pelo menos dois anos, comparando as características destas mulheres e que foram identificadas posteriormente nas bases de dados consultadas com aquelas não identificadas, estimando o tempo mediano entre a data de liberação da mamografia inicial e a realização do exame de controle e investigando os fatores associados à esse tempo. Como fontes de dados foram utilizados o Sistema de Informação do Câncer de Mama (SISMAMA) e o Sistema de Informação de Mortalidade (SIM). Foi aplicada uma metodologia de relacionamento entre as bases de dados do estado do Rio de Janeiro e, a partir das mulheres rastreadas com lesão provavelmente benigna, foi avaliado o seguimento. Foi calculada a distribuição das características sociodemográficas, clínicas, radiológicas e assistenciais das mulheres identificadas no SISMAMA e no SIM e das que realizaram o controle radiológico no período estudado. Também foram avaliadas as características clínicas e radiológicas relacionadas à mamografia de controle. Foram utilizados o método Kaplan-Meier e o teste Log-rank para comparar os estratos das variáveis e o modelo de riscos proporcionais de Cox a fim de avaliar fatores associados à repetição do exame. A coorte de referência foi construída com 1261 mulheres. Foram identificadas nos sistemas 498 mulheres e destas, 482 realizaram o controle radiológico. O tempo mediano entre a liberação do primeiro exame e a realização do controle foi de 12 meses. Os intervalos relacionados à solicitação, realização e liberação do controle a partir da liberação do primeiro resultado foram maiores que 9 meses para mais da metade das mulheres. Na comparação dos estratos das variáveis, apenas o município de residência e a faixa etária apresentaram diferenças estatisticamente significativas. Idade igual ou menor que 70 anos, residir fora da capital e apresentar risco para o câncer de mama foram associadas a um menor tempo para a realização do controle. O tempo mediano relacionado à repetição do exame foi considerado alto, o dobro do recomendado pelo Ministério da Saúde. Os achados deste estudo sugerem necessidade de melhorias no registro das informações, no acesso às ações de detecção precoce e na qualificação dos profissionais para o sucesso das ações de controle do câncer de mama.Submitted by Boris Flegr (boris@uerj.br) on 2020-07-05T16:01:30Z No. of bitstreams: 1 Juliana Agra - 16 12 19.pdf: 949284 bytes, checksum: cbf49f1461b0e2957793ee4fefe127b7 (MD5)Made available in DSpace on 2020-07-05T16:01:30Z (GMT). No. of bitstreams: 1 Juliana Agra - 16 12 19.pdf: 949284 bytes, checksum: cbf49f1461b0e2957793ee4fefe127b7 (MD5) Previous issue date: 2018-06-26application/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em Saúde ColetivaUERJBRCentro Biomédico::Instituto de Medicina SocialBreast cancerData relationshipMammographyEarly detectionScreeningCâncer de mamaRelacionamento de dadosMamografiaDetecção precoceRastreamentoCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVASeguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro.Follow-up of women screened for breast cancer with probably benign lesions in Rio de Janeiro state.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALJuliana Agra - 16 12 19.pdfapplication/pdf949284http://www.bdtd.uerj.br/bitstream/1/3991/1/Juliana+Agra+-+16+12+19.pdfcbf49f1461b0e2957793ee4fefe127b7MD511/39912024-02-26 20:29:32.218oai:www.bdtd.uerj.br:1/3991Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032024-02-26T23:29:32Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false |
dc.title.por.fl_str_mv |
Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro. |
dc.title.alternative.eng.fl_str_mv |
Follow-up of women screened for breast cancer with probably benign lesions in Rio de Janeiro state. |
title |
Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro. |
spellingShingle |
Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro. Santos, Juliana Agra Breast cancer Data relationship Mammography Early detection Screening Câncer de mama Relacionamento de dados Mamografia Detecção precoce Rastreamento CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro. |
title_full |
Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro. |
title_fullStr |
Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro. |
title_full_unstemmed |
Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro. |
title_sort |
Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro. |
author |
Santos, Juliana Agra |
author_facet |
Santos, Juliana Agra |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Silva, Gulnar Azevedo e |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5225298757437978 |
dc.contributor.advisor-co1.fl_str_mv |
Girianelli, Vania Reis |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/9668577457049803 |
dc.contributor.referee1.fl_str_mv |
Caetano, Rosângela |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/0888484011330781 |
dc.contributor.referee2.fl_str_mv |
Monteiro, Gina Torres Rego |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/8603191390762627 |
dc.contributor.referee3.fl_str_mv |
Tomazelli, Jeane Glaucia |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/5522657516027469 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0922889884745473 |
dc.contributor.author.fl_str_mv |
Santos, Juliana Agra |
contributor_str_mv |
Silva, Gulnar Azevedo e Girianelli, Vania Reis Caetano, Rosângela Monteiro, Gina Torres Rego Tomazelli, Jeane Glaucia |
dc.subject.eng.fl_str_mv |
Breast cancer Data relationship Mammography Early detection Screening |
topic |
Breast cancer Data relationship Mammography Early detection Screening Câncer de mama Relacionamento de dados Mamografia Detecção precoce Rastreamento CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.por.fl_str_mv |
Câncer de mama Relacionamento de dados Mamografia Detecção precoce Rastreamento |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
In Brazil, since 2004, the Ministry of Health recommends the screening of breast cancer and for women who present results with probably benign lesions it is recommended to perform a radiological control after six months of the result. This study aims to evaluate adherence to these recommendations by analyzing the follow-up of women screened for breast cancer with lesions likely to be benign in the last quarter of 2011 of Rio de Janeiro state for at least two years, comparing the characteristics of these women and were identified later in the databases consulted with those not identified, estimating the median time between the date of the initial mammography release and the performance of the control exam and investigating the factors associated with this time. As data sources, the Breast Cancer Information System (SISMAMA) and the Mortality Information System (SIM) were used. A relationship methodology was applied between the databases of Rio de Janeiro state and, from the traced women with a probable benign lesion, the follow-up was evaluated. The sociodemographic, clinical, radiological and care characteristics of the women identified in the SISMAMA and the SIM were calculated and those who underwent the radiological control during the study period. Clinical and radiological characteristics related to control mammography were also evaluated. The Kaplan-Meier method and the Log-rank test were used to compare the Cox variables' strata and proportional hazards model in order to evaluate factors associated with the repetition of the test. The reference cohort was constructed with 1261 women. A total of 498 women were identified and 482 women underwent radiological control. The median time between the release of the first exam and the achievement of control was 12 months. The intervals related to the request, achievement and release of control from the release of the first result were greater than 9 months for more than half of the women. In the comparison of the strata of the variables, only the municipality of residence and the age group presented statistically significant differences. Age equal to or less than 70 years, living outside the capital and presenting risk for breast cancer were associated with a shorter time to control. The median time related to the repetition of the exam was considered high, double that recommended by the Ministry of Health. The findings of this study suggest the need for improvements in the registration of information, access to early detection actions and the qualification of professionals for the success of the breast cancer control actions. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-06-26 |
dc.date.accessioned.fl_str_mv |
2020-07-05T16:01:30Z |
dc.date.available.fl_str_mv |
2020-01-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SANTOS, Juliana Agra. Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro.. 2018. 76 f. Dissertação (Mestrado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2018. |
dc.identifier.uri.fl_str_mv |
http://www.bdtd.uerj.br/handle/1/3991 |
identifier_str_mv |
SANTOS, Juliana Agra. Seguimento de mulheres rastreadas para o câncer de mama com lesões provavelmente benignas no estado do Rio de Janeiro.. 2018. 76 f. Dissertação (Mestrado em Ciências Humanas e Saúde; Epidemiologia; Política, Planejamento e Administração em Saúde; Administra) - Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2018. |
url |
http://www.bdtd.uerj.br/handle/1/3991 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade do Estado do Rio de Janeiro |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Saúde Coletiva |
dc.publisher.initials.fl_str_mv |
UERJ |
dc.publisher.country.fl_str_mv |
BR |
dc.publisher.department.fl_str_mv |
Centro Biomédico::Instituto de Medicina Social |
publisher.none.fl_str_mv |
Universidade do Estado do Rio de Janeiro |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UERJ instname:Universidade do Estado do Rio de Janeiro (UERJ) instacron:UERJ |
instname_str |
Universidade do Estado do Rio de Janeiro (UERJ) |
instacron_str |
UERJ |
institution |
UERJ |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UERJ |
collection |
Biblioteca Digital de Teses e Dissertações da UERJ |
bitstream.url.fl_str_mv |
http://www.bdtd.uerj.br/bitstream/1/3991/1/Juliana+Agra+-+16+12+19.pdf |
bitstream.checksum.fl_str_mv |
cbf49f1461b0e2957793ee4fefe127b7 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ) |
repository.mail.fl_str_mv |
bdtd.suporte@uerj.br |
_version_ |
1792352258028994560 |