Nurse, Master. Regional Hospital Abelardo Santos. Federal University of Pará Belém, Pará, Brazil.
Nurse, Ph.D. Associate Professor I. Federal University of Pará Belém, Pará, Brazil.
Invest Educ Enferm. 2024 Jun;42(2). doi: 10.17533/udea.iee.v42n2e04.
To analyze whether the COVID-19 pandemic had an impact on the screening, diagnosis and treatment of breast cancer in women up to 50 years of age in the state of Pará.
Retrospective, cross-sectional study with a quantitative approach, using data from the Information Technology Department of the Brazilian Unified Health System. (DATASUS). The number of exams carried out in the pre-pandemic (2018-2019) and pandemic (2020-2021) period was analyzed based on the percentage variation, application of the chi-square test and G test for the time of exams and start time of treatment.
During the pandemic period, there was a greater number of screening mammograms (+3.68%), cytological (+23.68%), histological (+10.7%) and a lower number of diagnostic mammograms (-38.7%). The time interval for carrying out the exams was up to 30 days for screening and diagnostic exams and more than 60 days to start treatment during the pandemic period.
Although the results indicate an increase in the number of screening and diagnostic procedures for breast cancer during the pandemic period, with the exception of diagnostic mammography, when considering probability values, the study points out that statistically the COVID-19 pandemic did not interfere with actions of breast cancer, in women over 50 years of age, in the state of Pará. Considering the autonomy of nursing and its role in public health, it is up to the professionals who are in charge of primary care programs to implement contingency plans in periods of crisis so that the population is not left unassisted.
分析 COVID-19 大流行是否对帕拉州 50 岁以下女性的乳腺癌筛查、诊断和治疗产生影响。
这是一项回顾性、横断面研究，采用定量方法，使用巴西统一卫生系统信息技术部（DATASUS）的数据。根据百分比变化、卡方检验和 G 检验分析大流行前（2018-2019 年）和大流行期间（2020-2021 年）进行的检查数量，以及检查时间和治疗开始时间。
在大流行期间，筛查乳房 X 光检查（+3.68%）、细胞学（+23.68%）、组织学（+10.7%）的数量增加，而诊断乳房 X 光检查的数量减少（-38.7%）。在大流行期间，进行检查的时间间隔在 30 天以内用于筛查和诊断检查，而开始治疗的时间超过 60 天。
尽管结果表明在大流行期间，除了诊断性乳房 X 光检查外，乳腺癌的筛查和诊断程序数量有所增加，但考虑到概率值，研究表明 COVID-19 大流行并没有干预 50 岁以上女性的乳腺癌行动在帕拉州。考虑到护理的自主权及其在公共卫生中的作用，负责初级保健计划的专业人员应在危机时期制定应急计划，以确保民众不会无人照顾。
