Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/118024 |
Resumo: | OBJECTIVES: Cirrhotic patients must receive an abdominal ultrasound every 6 months as part of hepatocellular carcinoma (HCC) screening. The aim of this study was to assess if HCC screening was performed as recommended by the literature and to observe the differences between the private and public services in Brazil. METHODS: We analyzed data from the HCC screenings of 253 cirrhotic patients from the University Hospital (n=177) and private sector (n=76) in Vitória, ES, Brazil. RESULTS: Ultrasound screening was performed every 13.1 months on average (SD 9.02). In 37 out of 253 patients, the screenings were performed close to the recommended frequency; 16 were performed every 6 months, and 21 were mostly performed during the follow-up period every 6 months. In the remaining 216 cases, ultrasounds were not performed according to the guidelines; for 106 patients, less than 50% of all ultrasounds were performed every 6 months and 110 patients showed an interval greater than one year. Patients from the private sector received ultrasound screenings near the ideal in 28.9% of cases, while patients from the University Hospital received ultrasounds in only 8.4% of cases (p |
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oai:revistas.usp.br:article/118024 |
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USP-19 |
network_name_str |
Clinics |
repository_id_str |
|
spelling |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil OBJECTIVES: Cirrhotic patients must receive an abdominal ultrasound every 6 months as part of hepatocellular carcinoma (HCC) screening. The aim of this study was to assess if HCC screening was performed as recommended by the literature and to observe the differences between the private and public services in Brazil. METHODS: We analyzed data from the HCC screenings of 253 cirrhotic patients from the University Hospital (n=177) and private sector (n=76) in Vitória, ES, Brazil. RESULTS: Ultrasound screening was performed every 13.1 months on average (SD 9.02). In 37 out of 253 patients, the screenings were performed close to the recommended frequency; 16 were performed every 6 months, and 21 were mostly performed during the follow-up period every 6 months. In the remaining 216 cases, ultrasounds were not performed according to the guidelines; for 106 patients, less than 50% of all ultrasounds were performed every 6 months and 110 patients showed an interval greater than one year. Patients from the private sector received ultrasound screenings near the ideal in 28.9% of cases, while patients from the University Hospital received ultrasounds in only 8.4% of cases (pHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2016-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/11802410.6061/clinics/2016(07)01Clinics; Vol. 71 No. 7 (2016); 361-364 Clinics; v. 71 n. 7 (2016); 361-364 Clinics; Vol. 71 Núm. 7 (2016); 361-364 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/118024/115648Copyright (c) 2016 Clinicsinfo:eu-repo/semantics/openAccessSignorelli, Izabelle VenturiniGonçalves, Patrícia LofêgoGonçalves, Luciana LofêgoFerreira, Luiz Sérgio EmeryMendonça, Ana Tereza ParpaiolaFranklin, Gustavo LeiteGomes, Maria da Penha Zago2016-07-21T17:00:41Zoai:revistas.usp.br:article/118024Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2016-07-21T17:00:41Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil |
title |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil |
spellingShingle |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil Signorelli, Izabelle Venturini |
title_short |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil |
title_full |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil |
title_fullStr |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil |
title_full_unstemmed |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil |
title_sort |
Socioeconomic disparities in access to a hepatocellular carcinoma screening program in Brazil |
author |
Signorelli, Izabelle Venturini |
author_facet |
Signorelli, Izabelle Venturini Gonçalves, Patrícia Lofêgo Gonçalves, Luciana Lofêgo Ferreira, Luiz Sérgio Emery Mendonça, Ana Tereza Parpaiola Franklin, Gustavo Leite Gomes, Maria da Penha Zago |
author_role |
author |
author2 |
Gonçalves, Patrícia Lofêgo Gonçalves, Luciana Lofêgo Ferreira, Luiz Sérgio Emery Mendonça, Ana Tereza Parpaiola Franklin, Gustavo Leite Gomes, Maria da Penha Zago |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Signorelli, Izabelle Venturini Gonçalves, Patrícia Lofêgo Gonçalves, Luciana Lofêgo Ferreira, Luiz Sérgio Emery Mendonça, Ana Tereza Parpaiola Franklin, Gustavo Leite Gomes, Maria da Penha Zago |
description |
OBJECTIVES: Cirrhotic patients must receive an abdominal ultrasound every 6 months as part of hepatocellular carcinoma (HCC) screening. The aim of this study was to assess if HCC screening was performed as recommended by the literature and to observe the differences between the private and public services in Brazil. METHODS: We analyzed data from the HCC screenings of 253 cirrhotic patients from the University Hospital (n=177) and private sector (n=76) in Vitória, ES, Brazil. RESULTS: Ultrasound screening was performed every 13.1 months on average (SD 9.02). In 37 out of 253 patients, the screenings were performed close to the recommended frequency; 16 were performed every 6 months, and 21 were mostly performed during the follow-up period every 6 months. In the remaining 216 cases, ultrasounds were not performed according to the guidelines; for 106 patients, less than 50% of all ultrasounds were performed every 6 months and 110 patients showed an interval greater than one year. Patients from the private sector received ultrasound screenings near the ideal in 28.9% of cases, while patients from the University Hospital received ultrasounds in only 8.4% of cases (p |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/118024 10.6061/clinics/2016(07)01 |
url |
https://www.revistas.usp.br/clinics/article/view/118024 |
identifier_str_mv |
10.6061/clinics/2016(07)01 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/118024/115648 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2016 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2016 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 71 No. 7 (2016); 361-364 Clinics; v. 71 n. 7 (2016); 361-364 Clinics; Vol. 71 Núm. 7 (2016); 361-364 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222762640343040 |