da Fonseca Allex Jardim, Ferreira Leonardo Pires, Dalla-Benetta Anderson César, Roldan Cibelli Navarro, Ferreira Mauro Luiz Schmitz
Hospital Geral de Roraima - HGR, Boa Vista, RR, Brasil.
Rev Bras Ginecol Obstet. 2010 Aug;32(8):386-92. doi: 10.1590/s0100-72032010000800005.
to evaluate the incidence and direct economic impact of cervical cancer (CC) in Roraima, in 2009, and to analyze the epidemiological profile of patients with this disease.
the histopathologic reports issued in Roraima in 2009 were reviewed, as were hospital records of female patients under treatment for cancer. Clinical data and medical procedures related to CC were recorded. CC carriers were treated under expenses of the public Brazilian health system (SUS) in Roraima underwent an interview dealing with socio-economic topics.
we registered 90 cases of CC and high grade pre-invasive lesions. Roraima has the highest incidence of CC of Brazil (46.21 cases/100,000 women), which is 3 times higher than that of breast cancer, comparable to low-income developing countries. The epidemiological profile shows patients with economic deprivation, social disadvantage, low education, early first intercourse (mean age is 13.8 years), and high parity (medium of 5.5 gestations). Among the patients included in this report, 71.7% had never been submited to a Pap smear, and ignorance about it was the main reported reason (47.4%). As a public health problem, the management of CC generates direct annual expenditures of more than R$ 600,000, with an average cost per patient of R$ 8,711.
CC is the most common cancer among women from Roraima, and represents a serious public health problem in Roraima. Its high economic impact favors the implementation of preventive strategies from the standpoint of cost-effectiveness. The profile of patients reveals the ineffectiveness of preventive services in reaching patients with a socio-economic exclusion profile at high risk for cervical cancer.
评估2009年罗赖马州宫颈癌（CC）的发病率和直接经济影响，并分析该疾病患者的流行病学特征。
回顾了2009年罗赖马州发布的组织病理学报告以及正在接受癌症治疗的女性患者的医院记录。记录了与宫颈癌相关的临床数据和医疗程序。在罗赖马州，接受巴西公共卫生系统（SUS）治疗费用的宫颈癌患者接受了一次关于社会经济话题的访谈。
我们登记了90例宫颈癌和高级别癌前病变病例。罗赖马州的宫颈癌发病率是巴西最高的（46.21例/10万女性），是乳腺癌发病率的3倍，与低收入发展中国家相当。流行病学特征显示患者存在经济贫困、社会劣势、教育程度低、初次性交早（平均年龄为13.8岁）和多产（平均妊娠5.5次）。在本报告纳入的患者中，71.7%从未接受过巴氏涂片检查，对此无知是报告的主要原因（47.4%）。作为一个公共卫生问题，宫颈癌的管理每年产生的直接支出超过60万雷亚尔，每位患者的平均费用为8711雷亚尔。
宫颈癌是罗赖马州女性中最常见的癌症，是罗赖马州一个严重的公共卫生问题。其高经济影响有利于从成本效益的角度实施预防策略。患者特征显示，预防服务在覆盖具有社会经济排斥特征且宫颈癌高危的患者方面无效。
