Höfelmann Doroteia Aparecida, Anjos Juliana Cristine Dos, Ayala Arlene Laurenti
Cien Saude Colet. 2014 Jun;19(6):1813-24. doi: 10.1590/1413-81232014196.03062013.
Breast cancer has the highest incidence among women, and reduces survival among female sufferers. This article aims to evaluate the survival and its prognostic factors in women with breast cancer, treated by public sector, in Joinville, Santa Catarina, Brazil. Retrospective cohort study nested in a case-control. The data has been obtained by a questionnaire, by the review of records and death certifications. In the analysis of survival it has been applied the Kaplan-Meier's statistical method and the Cox's method. 170 women have been evaluated. The survival in ten years was 83.1% (95% CI 74.1 to 89.3%), and 21 (12.4%) deaths were identified at the time period. The probability of being alive was smaller for those in advanced stages of cancer; the risk of death was higher among those who had another kinds of cancer associated, and among those unsatisfied with life. The death's ratio was 17.1 times bigger among women diagnosed in advanced stages. The variable staging presented higher association with the survival in evaluated women. Detecting the disease early minimizes the mortality by breast cancer.
乳腺癌在女性中发病率最高，会降低女性患者的生存率。本文旨在评估巴西圣卡塔琳娜州茹安维尔市公立部门治疗的乳腺癌女性患者的生存情况及其预后因素。嵌套在病例对照研究中的回顾性队列研究。数据通过问卷调查、病历审查和死亡证明获得。在生存分析中应用了Kaplan-Meier统计方法和Cox方法。共评估了170名女性。十年生存率为83.1%（95%可信区间74.1%至89.3%），在此期间确定有21例（12.4%）死亡。癌症晚期患者存活的可能性较小；患有其他类型癌症的患者以及对生活不满意的患者死亡风险较高。晚期诊断的女性死亡比率高17.1倍。在评估的女性中，分期变量与生存的关联度更高。早期发现疾病可将乳腺癌死亡率降至最低。
