Universidade de Brasília. Faculdade de Ciências da Saúde. Programa de pós-graduação em Enfermagem. Brasília, DF, Brasil.
Universidade de Brasília. Faculdade de Administração, Contabilidade Economia, e Gestão Pública. Programa de Pós-Graduação em Economia. Brasília, DF, Brasil.
Rev Saude Publica. 2021 Nov 22;55:83. doi: 10.11606/s1518-8787.2021055003192. eCollection 2021.
Describe the profile of hospitalizations for cancer diagnosis in Brazil from 2008 to 2018 at Unified Health System (SUS).
Time series study of hospitalization rate for malignant neoplasms at SUS. Data were extracted from the Hospital Information System of DataSUS. The trend was estimated using generalized linear regression, applying the Prais-Winsten estimation procedure.
From 2008 to 2018, the hospitalization rate for malignant neoplasms showed an increasing trend at SUS, with an annual variation of 10.7% (p < 0.001; CI = 9.4-11.7). An increasing trend of hospitalizations in all regions of Brazil was observed, except in the Northern region, which remained unchanged. The Northeastern region presented the highest annual variation (13.5%; p < 0.001), whereas the Southern and Southeastern regions had the highest hospitalization rates per 100,000 inhabitants, resulting in 506 and 325 hospitalizations, respectively. We observed a significant increasing trend in hospitalizations of children aged 0 to 9 years (annual variation = 10.9%; p < 0.001); young people, 10 and 19 years (annual variation = 6.9%; p < 0.001); and older adults; over 60 years (annual variation = 7.9%; p < 0.001). Among women, hospitalizations occurred mainly due to malignant neoplasm of the breast (annual variation = 13.2%; p < 0.001); and among men, malignant neoplasm of the prostate (annual variation = 4.7%; p < 0.001).
Hospitalizations for malignant neoplasms showed an increasing trend, in line with the increased incidence of cancer, in particular, the most frequent neoplasms between men and women. Although the Northeastern region showed the highest variation in the period, the Southern and Southeastern regions had the highest hospitalization rates in the country. We also observed an increase in hospitalizations among the young (between 0 and 19 years old) and older adults (over 60 years) population. Hospitalizations for neoplasm of the cervix in women, although still the third cause of hospitalizations, showed decreasing behavior.
描述 2008 年至 2018 年巴西在统一卫生系统（SUS）中癌症诊断住院的概况。
使用 SUS 住院信息系统从数据 SUS 中提取数据，对恶性肿瘤住院率进行时间序列研究。使用广义线性回归对趋势进行估计，采用普赖斯-温斯坦估计程序。
2008 年至 2018 年，SUS 恶性肿瘤住院率呈上升趋势，年变化率为 10.7%（p < 0.001；CI = 9.4-11.7）。除北部地区保持不变外，巴西所有地区的住院人数均呈上升趋势。东北地区的年变化率最高（13.5%；p < 0.001），而南部和东南部地区每 10 万居民的住院率最高，分别为 506 次和 325 次住院。我们观察到 0 至 9 岁儿童（年变化率为 10.9%；p < 0.001）、10 至 19 岁青少年（年变化率为 6.9%；p < 0.001）和老年人（60 岁以上）的住院人数呈显著上升趋势。变化率为 7.9%；p < 0.001）。在女性中，因乳腺癌（年变化率为 13.2%；p < 0.001）住院的情况主要发生；而在男性中，因前列腺癌（年变化率为 4.7%；p < 0.001）住院的情况主要发生。
恶性肿瘤住院人数呈上升趋势，与癌症发病率的上升一致，尤其是男性和女性中最常见的肿瘤。尽管东北地区在该时期的变化幅度最大，但南部和东南部地区的住院率在该国最高。我们还观察到年轻人（0 至 19 岁）和老年人（60 岁以上）人群的住院人数增加。女性宫颈癌的住院人数虽然仍位居第三，但呈下降趋势。
