Santos Tainá Bastos Dos, Borges Anne Karin da Mota, Ferreira Jeniffer Dantas, Meira Karina Cardoso, Souza Mirian Carvalho de, Guimarães Raphael Mendonça, Jomar Rafael Tavares
Programa de Residência Multiprofissional em Oncologia, Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA). Praça Cruz Vermelha 23, Centro. 20230-130 Rio de Janeiro RJ Brasil.
Coordenação de Gestão de Pessoas, Instituto Nacional de Câncer José de Alencar Gomes da Silva (INCA). Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2022 Feb;27(2):471-482. doi: 10.1590/1413-81232022272.36462020. Epub 2020 Dec 3.
This cross-sectional study investigated the prevalence and factors associated with advanced stage breast cancer diagnosis among 18,890 women assisted in a specialized hospital in the capital of Rio de Janeiro, Brazil, from 1999 to 2016. We used Poisson regression with robust variance to estimate prevalence ratios and respective 95% confidence intervals. The highest prevalence of diagnosis in this condition was in women aged 20-39 and 40-49 years, black and brown, living without a partner, from other cities of the state of Rio de Janeiro, who were referred by the Unified Health System and diagnosed in the 1999-2004 and 2005-2010 six-year periods. On the other hand, women aged 60-69 and 70-99 years, with some schooling level, with a family history of cancer and who arrived at the hospital with diagnosis and without treatment had lower prevalence of advanced stage breast cancer diagnosis. These results can be considered when planning secondary prevention actions to anticipate and, thus, collaborate to reduce the prevalence the breast cancer diagnosis in the most vulnerable groups.
这项横断面研究调查了1999年至2016年期间在巴西里约热内卢首府一家专科医院接受治疗的18890名女性中晚期乳腺癌诊断的患病率及相关因素。我们使用稳健方差的泊松回归来估计患病率比及各自的95%置信区间。这种情况下诊断患病率最高的是年龄在20 - 39岁和40 - 49岁、黑人和棕色人种、没有伴侣、来自里约热内卢州其他城市、由统一卫生系统转诊并在1999 - 2004年和2005 - 2010年这两个六年期间被诊断的女性。另一方面，年龄在60 - 69岁和70 - 99岁、有一定教育水平、有癌症家族史且入院时已确诊但未接受治疗的女性，晚期乳腺癌诊断的患病率较低。在规划二级预防行动以提前预防从而协助降低最脆弱群体中乳腺癌诊断的患病率时，可以考虑这些结果。
