França Mary Anne de Souza Alves, Nery Newillames Gonçalves, Antunes José Leopoldo Ferreira, Freire Maria do Carmo Matias
Programa de Pós-graduação em Odontologia, Universidade Federal de Goiás, Goiânia, Brasil.
Secretaria Municipal de Saúde de Goiânia, Goiás, Brasil.
Cad Saude Publica. 2021 Oct 29;37(10):e00293220. doi: 10.1590/0102-311X00293220. eCollection 2021.
The study aimed to investigate whether the maximum delay (60 days) for initiating oral cancer treatment following diagnosis, as provided in Federal Law n. 12,732/2012, was achieved in Brazil from 2013 to 2019 and to describe the trend in the number of cases that initiated treatment within this timeframe. A time series was performed with treatment data (N = 37,417) from the Oncology Dashboard of the Brazilian Health Informatics Department (DATASUS) database, according to the patient's region of residence. Analysis of trend used Prais-Winsten regression. In 2018 and 2019, we observed higher percentages of treatments within 60 days, and especially within 30 days. In 2019, 61.5% of treatments began within 60 days, with the highest proportions in the South (71.3%), Southeast (60.1%), and Central-west (59.1%) regions of Brazil. The time trend for the category from 0-60 days was upward in the North of Brazil, with 15.7% annual percent change (APC), and was stationary in the other four major geographic regions of Brazil. The time trend for 0-30 days was only upward in the North and Northeast, with APCs of 29.75% and 20.56%, respectively. In conclusion, since 2018 there were more cases that initiated oral cancer treatment within the stipulated timeframe, as provided in Law n. 12,732/2012 (up to 60 days), with regional differences and a stationary trend in most regions and in Brazil as a whole. Partial achievement of the target, the predominance of a stationary trend, and regional inequalities indicate the need to continue monitoring time-to-treatment for oral cancer in Brazil and to intensify efforts to guarantee timely healthcare.
该研究旨在调查巴西在2013年至2019年期间是否实现了联邦法律第12732/2012号规定的口腔癌诊断后开始治疗的最长延迟时间（60天），并描述在此时间范围内开始治疗的病例数趋势。根据患者的居住地区，对巴西卫生信息部（DATASUS）数据库肿瘤仪表盘的治疗数据（N = 37417）进行了时间序列分析。趋势分析采用Prais-Winsten回归。在2018年和2019年，我们观察到60天内尤其是30天内接受治疗的百分比更高。2019年，61.5%的治疗在60天内开始，其中巴西南部（71.3%）、东南部（60.1%）和中西部（59.1%）地区的比例最高。巴西北部0至60天类别随时间呈上升趋势，年变化百分比（APC）为15.7%，而在巴西其他四个主要地理区域则保持稳定。0至30天的时间趋势仅在北部和东北部呈上升趋势，APC分别为29.75%和20.56%。总之，自2018年以来，按照第12732/2012号法律（最长60天）的规定，在规定时间范围内开始口腔癌治疗的病例增多，存在地区差异，且大多数地区和巴西整体呈稳定趋势。目标部分实现、稳定趋势占主导以及地区不平等表明，巴西需要继续监测口腔癌的治疗时间，并加大力度确保及时提供医疗服务。
