Estimativa de custo do rastreamento mamográfico em mulheres no climatério

Detalhes bibliográficos
Autor(a) principal: Kemp, Claudio [UNIFESP]
Data de Publicação: 2005
Outros Autores: Elias, Simone [UNIFESP], Gebrim, Luiz Henrique [UNIFESP], Nazário, Afonso Celso Pinto [UNIFESP], Baracat, Edmund Chada [UNIFESP], Lima, Geraldo Rodrigues De [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0100-72032005000700008
http://repositorio.unifesp.br/handle/11600/2589
Resumo: PURPOSE: to evaluate the cost of preventive mammographic screening in climacteric women, as compared to the cost of breast cancer treatment in more advanced stages. METHODS: one thousand and fourteen patients attended at the Climacteric outpatient service of the Gynecology Department, Federal University of São Paulo Paulista School of Medicine, were included in the study and submitted to mammographic test. All mammographic test's were analyzed by the same two physicians and classified according to the BI-RADS (Breast Imaging Reporting and Data System American College of Radiology) categories. The detected lesions were submitted to cytological and histological examination. RESULTS: the final diagnostic impression of the 1014 examinations, according to the classification of BI-RADS categories was: 1=261, 2=671, 3=59, 4=22 and 5=1. The invasive procedures were performed through a needle guided by ultrasound or stereotactic examinations: 33 fine-needle aspiration biopsies, 6 core biopsies guided by ultrasound and 20 core biopsies guided by stereotactic examination. Five cancer diagnoses were established. The total cost of this screening based on Brazilian procedure values was R$ 76,593.79 (25,534 dollars). Therefore, the cost of the diagnosis of the five cases of cancer in this screening was R$ 15,318.75 (5,106 dollars) each. However, the average cost per patient screened was R$ 75.53 (25 dollars). CONCLUSIONS: considering that the total treatment cost of only one case of breast cancer in advanced stage including hospital costs, surgery, chemotherapy, radiotherapy and hormonal treatment is similar to the cost of 1,000 mammographic screenings in climacteric women, it may be concluded that the cost of the early cancer diagnosis program is worth it and should be included in the public health program, as a way of lowering the public health expense.
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spelling Estimativa de custo do rastreamento mamográfico em mulheres no climatérioCost estimate of mammographic screening in climacteric womenBreast neoplasmsMammographyClimactericNeoplasias mamáriasMamografiaClimatérioPURPOSE: to evaluate the cost of preventive mammographic screening in climacteric women, as compared to the cost of breast cancer treatment in more advanced stages. METHODS: one thousand and fourteen patients attended at the Climacteric outpatient service of the Gynecology Department, Federal University of São Paulo Paulista School of Medicine, were included in the study and submitted to mammographic test. All mammographic test's were analyzed by the same two physicians and classified according to the BI-RADS (Breast Imaging Reporting and Data System American College of Radiology) categories. The detected lesions were submitted to cytological and histological examination. RESULTS: the final diagnostic impression of the 1014 examinations, according to the classification of BI-RADS categories was: 1=261, 2=671, 3=59, 4=22 and 5=1. The invasive procedures were performed through a needle guided by ultrasound or stereotactic examinations: 33 fine-needle aspiration biopsies, 6 core biopsies guided by ultrasound and 20 core biopsies guided by stereotactic examination. Five cancer diagnoses were established. The total cost of this screening based on Brazilian procedure values was R$ 76,593.79 (25,534 dollars). Therefore, the cost of the diagnosis of the five cases of cancer in this screening was R$ 15,318.75 (5,106 dollars) each. However, the average cost per patient screened was R$ 75.53 (25 dollars). CONCLUSIONS: considering that the total treatment cost of only one case of breast cancer in advanced stage including hospital costs, surgery, chemotherapy, radiotherapy and hormonal treatment is similar to the cost of 1,000 mammographic screenings in climacteric women, it may be concluded that the cost of the early cancer diagnosis program is worth it and should be included in the public health program, as a way of lowering the public health expense.OBJETIVOS: analisar os custos de um ciclo de rastreamento mamográfico do câncer de mama em população de 1014 mulheres no climatério e comparar com os custos do tratamento do câncer da mama em estádios mais avançados. MÉTODOS: realizou-se rastreamento em 1014 mulheres atendidas em ambulatório de Climatério. Todas as mamografias foram classificadas de acordo com as categorias do BI-RADSä (Breast Imaging Reporting and Data System American College of Radiology) e as lesões detectadas foram submetidas a estudo citológico ou histológico. A estimativa dos custos dos exames e procedimentos realizados foram obtidos da Tabela AMB 92. RESULTADOS: a impressão diagnóstica final dos 1014 exames, de acordo com a classificação em categorias do BI-RADSä, foi: 1=261; 2=671; 3=59; 4=22; 5=1. Os procedimentos invasivos realizados totalizaram 33 punções com agulha fina dirigida por USG, 6 biópsias com agulha grossa orientada por USG e 20 biópsias orientadas por mamografia (estereotaxia). Com base nos valores da tabela AMB 92, foram necessários para rastrear e diagnosticar essa população cerca de R$ 76.000,00. Detectaram-se 5 cânceres de mama, ao custo aproximado de R$ 15.318,75 por diagnóstico e média de custo por paciente de R$ 75,53. CONCLUSÕES: considerando que o custo total do tratamento de um único caso de câncer de mama em estádio II ou mais pode atingir R$ 75.000,00, concluímos que os programas de rastreamento mamográfico podem ser incluídos entre as políticas de saúde.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de GinecologiaUNIFESP, EPM, Depto. de GinecologiaSciELOFederação Brasileira das Sociedades de Ginecologia e ObstetríciaUniversidade Federal de São Paulo (UNIFESP)Kemp, Claudio [UNIFESP]Elias, Simone [UNIFESP]Gebrim, Luiz Henrique [UNIFESP]Nazário, Afonso Celso Pinto [UNIFESP]Baracat, Edmund Chada [UNIFESP]Lima, Geraldo Rodrigues De [UNIFESP]2015-06-14T13:31:39Z2015-06-14T13:31:39Z2005-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion415-420application/pdfhttp://dx.doi.org/10.1590/S0100-72032005000700008Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 27, n. 7, p. 415-420, 2005.10.1590/S0100-72032005000700008S0100-72032005000700008.pdf0100-7203S0100-72032005000700008http://repositorio.unifesp.br/handle/11600/2589porRevista Brasileira de Ginecologia e Obstetríciainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-28T08:54:27Zoai:repositorio.unifesp.br/:11600/2589Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-28T08:54:27Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Estimativa de custo do rastreamento mamográfico em mulheres no climatério
Cost estimate of mammographic screening in climacteric women
title Estimativa de custo do rastreamento mamográfico em mulheres no climatério
spellingShingle Estimativa de custo do rastreamento mamográfico em mulheres no climatério
Kemp, Claudio [UNIFESP]
Breast neoplasms
Mammography
Climacteric
Neoplasias mamárias
Mamografia
Climatério
title_short Estimativa de custo do rastreamento mamográfico em mulheres no climatério
title_full Estimativa de custo do rastreamento mamográfico em mulheres no climatério
title_fullStr Estimativa de custo do rastreamento mamográfico em mulheres no climatério
title_full_unstemmed Estimativa de custo do rastreamento mamográfico em mulheres no climatério
title_sort Estimativa de custo do rastreamento mamográfico em mulheres no climatério
author Kemp, Claudio [UNIFESP]
author_facet Kemp, Claudio [UNIFESP]
Elias, Simone [UNIFESP]
Gebrim, Luiz Henrique [UNIFESP]
Nazário, Afonso Celso Pinto [UNIFESP]
Baracat, Edmund Chada [UNIFESP]
Lima, Geraldo Rodrigues De [UNIFESP]
author_role author
author2 Elias, Simone [UNIFESP]
Gebrim, Luiz Henrique [UNIFESP]
Nazário, Afonso Celso Pinto [UNIFESP]
Baracat, Edmund Chada [UNIFESP]
Lima, Geraldo Rodrigues De [UNIFESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Kemp, Claudio [UNIFESP]
Elias, Simone [UNIFESP]
Gebrim, Luiz Henrique [UNIFESP]
Nazário, Afonso Celso Pinto [UNIFESP]
Baracat, Edmund Chada [UNIFESP]
Lima, Geraldo Rodrigues De [UNIFESP]
dc.subject.por.fl_str_mv Breast neoplasms
Mammography
Climacteric
Neoplasias mamárias
Mamografia
Climatério
topic Breast neoplasms
Mammography
Climacteric
Neoplasias mamárias
Mamografia
Climatério
description PURPOSE: to evaluate the cost of preventive mammographic screening in climacteric women, as compared to the cost of breast cancer treatment in more advanced stages. METHODS: one thousand and fourteen patients attended at the Climacteric outpatient service of the Gynecology Department, Federal University of São Paulo Paulista School of Medicine, were included in the study and submitted to mammographic test. All mammographic test's were analyzed by the same two physicians and classified according to the BI-RADS (Breast Imaging Reporting and Data System American College of Radiology) categories. The detected lesions were submitted to cytological and histological examination. RESULTS: the final diagnostic impression of the 1014 examinations, according to the classification of BI-RADS categories was: 1=261, 2=671, 3=59, 4=22 and 5=1. The invasive procedures were performed through a needle guided by ultrasound or stereotactic examinations: 33 fine-needle aspiration biopsies, 6 core biopsies guided by ultrasound and 20 core biopsies guided by stereotactic examination. Five cancer diagnoses were established. The total cost of this screening based on Brazilian procedure values was R$ 76,593.79 (25,534 dollars). Therefore, the cost of the diagnosis of the five cases of cancer in this screening was R$ 15,318.75 (5,106 dollars) each. However, the average cost per patient screened was R$ 75.53 (25 dollars). CONCLUSIONS: considering that the total treatment cost of only one case of breast cancer in advanced stage including hospital costs, surgery, chemotherapy, radiotherapy and hormonal treatment is similar to the cost of 1,000 mammographic screenings in climacteric women, it may be concluded that the cost of the early cancer diagnosis program is worth it and should be included in the public health program, as a way of lowering the public health expense.
publishDate 2005
dc.date.none.fl_str_mv 2005-07-01
2015-06-14T13:31:39Z
2015-06-14T13:31:39Z
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://dx.doi.org/10.1590/S0100-72032005000700008
Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 27, n. 7, p. 415-420, 2005.
10.1590/S0100-72032005000700008
S0100-72032005000700008.pdf
0100-7203
S0100-72032005000700008
http://repositorio.unifesp.br/handle/11600/2589
url http://dx.doi.org/10.1590/S0100-72032005000700008
http://repositorio.unifesp.br/handle/11600/2589
identifier_str_mv Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 27, n. 7, p. 415-420, 2005.
10.1590/S0100-72032005000700008
S0100-72032005000700008.pdf
0100-7203
S0100-72032005000700008
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista Brasileira de Ginecologia e Obstetrícia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 415-420
application/pdf
dc.publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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