Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)

Detalhes bibliográficos
Autor(a) principal: Lemos, Nayara Alves de Freitas
Data de Publicação: 2015
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFG
dARK ID: ark:/38995/0013000005vr3
Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/5006
Resumo: Objective: To analyze the temporal evolution of DCIS in residents of Goiânia during the period 1994-2010. Methods: It used the database of the Population Based Cancer Registries of Goiania (RCBPGo), cases coded as carcinoma in situ of the breast in females, at (ONCOSIS) program in Goiânia, between 1994 and 2010. It was later made individual search of histopathological reports of DCIS. We sought to identify the temporal evolution of standardized and crude incidence of DCIS. The incidence rates, crude, as standard, set by the global population Doll, were calculated by age groups to 10 years from 30 years, and was estimated to MPMA using Poisson Regression to these age groups. They calculated the disease-free survival and overall survival at 60 and 120 months, using the Kaplan-Meier method. The data on DCIS deaths were obtained from the Mortality Data System (SIM), the medical record information and the electoral higher court (TSE). Results: In the initial database were recorded 376 cases of DCIS. In reviewing the reports, 114 cases were excluded because it is not dealt with DCIS. Of the 282 cases of DCIS in the period studied, there were four cases in 1994 and 21 in 2010. The crude rate of annual incidence of DCIS was 1.33/100,000 in 1994, and of 4.21/100,000 in 2010. The adjusted incidence for the world population Doll was 0.58/100,000 in 1994, and of 1.85/100,000 in 2010. The average annual percentual change (AAPC) of the crude incidence rate for the period was 11.93% per year (95 9-15% CI; P <0.01) and standardized incidence rate of 11.94% per year (95% CI 9-15; p <0.01). There were 17 cases of local recurrence, 16 invasive ductal carcinomas and only one case of in situ recurrence. Three cases evolved with distant metastases. The cumulative rate of local recurrence was 3,9% at 60 months and 10% to 120 months. Overall survival was 96,5% and 91,9% at 60 and 120 months, respectively. The cancer-specific survival was 99,5% at 60 months and 98,4% at 120 months. Abstract xvii Conclusions: The study showed that there are a large number of cases that need to be recoded by changing the initial bank. Thus, we suggest that the highest injury potential aggressiveness is described first, standardized reports and the training of collectors, so there are no unknown information to transcribe the DCIS for RCBP the chips. There was an increasting incidence of DCIS rate in Goiânia, possibly related to mammographic screening. Despite the small number of local recurrences when appeared they arose mostly with invasion. Still, it was confirmed in the studied group high overall survival rate after 10 years of treatment.
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spelling Freitas Júnior, Ruffo dehttp://lattes.cnpq.br/7343840830786566Oliveira, José Carlos deFreitas Júnior, Ruffo deRodrigues, Fábio Francisco OliveiraPaulinelli, Régis Resendehttp://lattes.cnpq.br/5074078922336323Lemos, Nayara Alves de Freitas2015-12-04T17:21:49Z2015-07-17LEMOS, N. A. F. Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010). 2015. 95 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015.http://repositorio.bc.ufg.br/tede/handle/tede/5006ark:/38995/0013000005vr3Objective: To analyze the temporal evolution of DCIS in residents of Goiânia during the period 1994-2010. Methods: It used the database of the Population Based Cancer Registries of Goiania (RCBPGo), cases coded as carcinoma in situ of the breast in females, at (ONCOSIS) program in Goiânia, between 1994 and 2010. It was later made individual search of histopathological reports of DCIS. We sought to identify the temporal evolution of standardized and crude incidence of DCIS. The incidence rates, crude, as standard, set by the global population Doll, were calculated by age groups to 10 years from 30 years, and was estimated to MPMA using Poisson Regression to these age groups. They calculated the disease-free survival and overall survival at 60 and 120 months, using the Kaplan-Meier method. The data on DCIS deaths were obtained from the Mortality Data System (SIM), the medical record information and the electoral higher court (TSE). Results: In the initial database were recorded 376 cases of DCIS. In reviewing the reports, 114 cases were excluded because it is not dealt with DCIS. Of the 282 cases of DCIS in the period studied, there were four cases in 1994 and 21 in 2010. The crude rate of annual incidence of DCIS was 1.33/100,000 in 1994, and of 4.21/100,000 in 2010. The adjusted incidence for the world population Doll was 0.58/100,000 in 1994, and of 1.85/100,000 in 2010. The average annual percentual change (AAPC) of the crude incidence rate for the period was 11.93% per year (95 9-15% CI; P <0.01) and standardized incidence rate of 11.94% per year (95% CI 9-15; p <0.01). There were 17 cases of local recurrence, 16 invasive ductal carcinomas and only one case of in situ recurrence. Three cases evolved with distant metastases. The cumulative rate of local recurrence was 3,9% at 60 months and 10% to 120 months. Overall survival was 96,5% and 91,9% at 60 and 120 months, respectively. The cancer-specific survival was 99,5% at 60 months and 98,4% at 120 months. Abstract xvii Conclusions: The study showed that there are a large number of cases that need to be recoded by changing the initial bank. Thus, we suggest that the highest injury potential aggressiveness is described first, standardized reports and the training of collectors, so there are no unknown information to transcribe the DCIS for RCBP the chips. There was an increasting incidence of DCIS rate in Goiânia, possibly related to mammographic screening. Despite the small number of local recurrences when appeared they arose mostly with invasion. Still, it was confirmed in the studied group high overall survival rate after 10 years of treatment.Objetivo: Analisar a evolução temporal do carcinoma ductal in situ em moradores de Goiânia durante o período de 1994 a 2010. Métodos: Trata-se de um estudo descritivo retrospectivo de série temporal dos casos de carcinoma ductal in situ, no sexo feminino, em Goiânia, registrados no banco de dados do Registro de Câncer de Base Populacional dessa cidade no período entre 1994 a 2010. Posteriormente, realizou-se busca individual dos laudos histopatológicos de carcinoma ductal in situ para identificar a evolução temporal do carcinoma ductal in situ. As taxas de incidências, tanto bruta, quanto padronizada, ajustada pela população padrão, foram calculadas por grupos etários a cada 10 anos, a partir de 30 anos, e calculou-se a mudança percentual da média anual utilizando-se a regressão de Poisson. Para a análise de sobrevida global foi realizada busca ativa das pacientes no Sistema de Informações em Mortalidade, nas informações do prontuário médico e no Tribunal Superior Eleitoral. Foram calculadas a sobrevida livre de doença e a sobrevida global em 60 e 120 meses, pelo método de Kaplan-Meier. Resultados: No banco de dados inicial foram registrados 376 casos de CDIS. Na revisão dos laudos, foram excluídos 114 casos, pois não faziam parte dos critérios de inclusão. Dos 262 casos em Goiânia no período estudado, houve quatro casos em 1994 e 21 em 2010. A taxa bruta de incidência anual de CDIS foi 1,33/100.000 em 1994, e de 4,21/100.000 em 2010. Já a incidência ajustada para a população padrão foi de 0,58/100.000 em 1994, e de 1,85/100.000 em 2010. A mudança percentual da média anual da taxa de incidência bruta para o período foi de 11,93% ao ano (95% IC 9-15; p<0,01) e da taxa de incidência padronizada de 11,94% ao ano (95% IC 9 - 15; p<0,01). Houve 1 7 casos de recidiva local, sendo 1 6 carcinomas ductal invasores e apenas um caso de recidiva in situ. Três casos evoluíram com metástases à distância. A taxa cumulativa de recidiva local foi de 3,9% aos 60 meses e de 10% aos 120 meses. A sobrevida global Resumo xv foi de 96,5% e de 91,9% aos 60 e 120 meses, respectivamente. A sobrevida câncer-específica foi de 99,5% aos 60 meses e de 98,4% aos 120 meses. Conclusões: o trabalho mostrou um grande número de casos que precisam ser recodificados, alterando o banco inicial. A sugestão é que os laudos histopatológicos descrevam primeiramente a lesão de mais alto potencial de agressividade. É necessária uma padronização dos laudos, e a partir daí, o treinamento dos coletadores, para que não haja informações desconhecidas ao transcrever o CDIS para as fichas do RCBPGo. Foi constatado o aumento da taxa de incidência do CDIS na cidade de Goiânia, possivelmente relacionado à melhora do rastreamento mamográfico. E apesar do pequeno número de recidivas locais, quando apareciam, surgiam na sua grande maioria com invasão. Ainda assim, confirmou-se no grupo estudado alta taxa de sobrevida global após 10 anos do tratamento.Submitted by Erika Demachki (erikademachki@gmail.com) on 2015-12-04T17:19:49Z No. of bitstreams: 2 Dissertação - Nayara Alves de Freitas Lemos - 2015.pdf: 1558373 bytes, checksum: f3d20ea70bfd08864a3c3eaae4b69cad (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2015-12-04T17:21:49Z (GMT) No. of bitstreams: 2 Dissertação - Nayara Alves de Freitas Lemos - 2015.pdf: 1558373 bytes, checksum: f3d20ea70bfd08864a3c3eaae4b69cad (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-12-04T17:21:49Z (GMT). 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dc.title.por.fl_str_mv Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)
title Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)
spellingShingle Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)
Lemos, Nayara Alves de Freitas
Carcinoma ductal in situ
Epidemiologia
Câncer de mama
Incidência
Ductal carcinoma in situ
Epidemiology
Breast Cancer
Incidence
CIENCIAS DA SAUDE
title_short Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)
title_full Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)
title_fullStr Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)
title_full_unstemmed Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)
title_sort Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010)
author Lemos, Nayara Alves de Freitas
author_facet Lemos, Nayara Alves de Freitas
author_role author
dc.contributor.advisor1.fl_str_mv Freitas Júnior, Ruffo de
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/7343840830786566
dc.contributor.advisor-co1.fl_str_mv Oliveira, José Carlos de
dc.contributor.referee1.fl_str_mv Freitas Júnior, Ruffo de
dc.contributor.referee2.fl_str_mv Rodrigues, Fábio Francisco Oliveira
dc.contributor.referee3.fl_str_mv Paulinelli, Régis Resende
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/5074078922336323
dc.contributor.author.fl_str_mv Lemos, Nayara Alves de Freitas
contributor_str_mv Freitas Júnior, Ruffo de
Oliveira, José Carlos de
Freitas Júnior, Ruffo de
Rodrigues, Fábio Francisco Oliveira
Paulinelli, Régis Resende
dc.subject.por.fl_str_mv Carcinoma ductal in situ
Epidemiologia
Câncer de mama
Incidência
topic Carcinoma ductal in situ
Epidemiologia
Câncer de mama
Incidência
Ductal carcinoma in situ
Epidemiology
Breast Cancer
Incidence
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv Ductal carcinoma in situ
Epidemiology
Breast Cancer
Incidence
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Objective: To analyze the temporal evolution of DCIS in residents of Goiânia during the period 1994-2010. Methods: It used the database of the Population Based Cancer Registries of Goiania (RCBPGo), cases coded as carcinoma in situ of the breast in females, at (ONCOSIS) program in Goiânia, between 1994 and 2010. It was later made individual search of histopathological reports of DCIS. We sought to identify the temporal evolution of standardized and crude incidence of DCIS. The incidence rates, crude, as standard, set by the global population Doll, were calculated by age groups to 10 years from 30 years, and was estimated to MPMA using Poisson Regression to these age groups. They calculated the disease-free survival and overall survival at 60 and 120 months, using the Kaplan-Meier method. The data on DCIS deaths were obtained from the Mortality Data System (SIM), the medical record information and the electoral higher court (TSE). Results: In the initial database were recorded 376 cases of DCIS. In reviewing the reports, 114 cases were excluded because it is not dealt with DCIS. Of the 282 cases of DCIS in the period studied, there were four cases in 1994 and 21 in 2010. The crude rate of annual incidence of DCIS was 1.33/100,000 in 1994, and of 4.21/100,000 in 2010. The adjusted incidence for the world population Doll was 0.58/100,000 in 1994, and of 1.85/100,000 in 2010. The average annual percentual change (AAPC) of the crude incidence rate for the period was 11.93% per year (95 9-15% CI; P <0.01) and standardized incidence rate of 11.94% per year (95% CI 9-15; p <0.01). There were 17 cases of local recurrence, 16 invasive ductal carcinomas and only one case of in situ recurrence. Three cases evolved with distant metastases. The cumulative rate of local recurrence was 3,9% at 60 months and 10% to 120 months. Overall survival was 96,5% and 91,9% at 60 and 120 months, respectively. The cancer-specific survival was 99,5% at 60 months and 98,4% at 120 months. Abstract xvii Conclusions: The study showed that there are a large number of cases that need to be recoded by changing the initial bank. Thus, we suggest that the highest injury potential aggressiveness is described first, standardized reports and the training of collectors, so there are no unknown information to transcribe the DCIS for RCBP the chips. There was an increasting incidence of DCIS rate in Goiânia, possibly related to mammographic screening. Despite the small number of local recurrences when appeared they arose mostly with invasion. Still, it was confirmed in the studied group high overall survival rate after 10 years of treatment.
publishDate 2015
dc.date.accessioned.fl_str_mv 2015-12-04T17:21:49Z
dc.date.issued.fl_str_mv 2015-07-17
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 LEMOS, N. A. F. Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010). 2015. 95 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015.
dc.identifier.uri.fl_str_mv http://repositorio.bc.ufg.br/tede/handle/tede/5006
dc.identifier.dark.fl_str_mv ark:/38995/0013000005vr3
identifier_str_mv LEMOS, N. A. F. Estudo epidemiológico do carcinoma ductal in situ em Goiânia: análise de 16 anos (1994-2010). 2015. 95 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015.
ark:/38995/0013000005vr3
url http://repositorio.bc.ufg.br/tede/handle/tede/5006
dc.language.iso.fl_str_mv por
language por
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dc.relation.confidence.fl_str_mv 600
600
600
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dc.relation.cnpq.fl_str_mv 8765449414823306929
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Goiás
dc.publisher.program.fl_str_mv Programa de Pós-graduação em Ciências da Saúde (FM)
dc.publisher.initials.fl_str_mv UFG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade de Medicina - FM (RG)
publisher.none.fl_str_mv Universidade Federal de Goiás
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFG
instname:Universidade Federal de Goiás (UFG)
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