首次癌症治疗中的治疗方式:巴西东北部塞阿拉州大流行之前和期间的百分比变化。
Therapeutic modalities in the first cancer treatment: percentage variation before and during the pandemic, in Ceará, a state in the Northeast region of Brazil.
作者信息
Nobre Stefane Vieira, Arregi Miren Maite Uribe, Moreira Thereza Maria Magalhães, Pinto Antonio Germane Alves, Silva Marcelo Gurgel Carlos da
机构信息
Universidade Estadual do Ceará - Fortaleza (CE), Brazil.
Centro Regional Integrado de Oncologia - Fortaleza (CE), Brazil.
出版信息
Rev Bras Epidemiol. 2025 May 9;28:e250024. doi: 10.1590/1980-549720250024. eCollection 2025.
OBJECTIVE
To evaluate the percentage variation of the different therapeutic modalities used in new cases of cancer, before and during the pandemic, in Ceará.
METHODS
Descriptive study with information from records of the Hospital Information System and Authorization of Highly Complex Procedures, and Cancer Information Systems in the state of Ceará, Brazil.
RESULTS
There was a reduction of 2,575 (-30.85%) new cases in 2020 and 2,368 (-28.37%) in 2021. Regarding the therapeutic modalities, it was possible to observe that there were decreases in the numbers of all institutions in the first cancer treatment, except for isolated radiotherapy and for combined surgery+iodine therapy+radiotherapy. Surgery was the modality most often performed in a timely manner (<30 days) and chemotherapy in an untimely manner (>60 days). The impact on the initiation of timely treatment (<30 days after diagnosis) was greater in 2021 than in 2020. In general, late treatments (>60 days) were lower than in 2019. The period of 31-60 days was shown to be above 2019 almost the entire year, in 2020 and 2021.
CONCLUSION
The number of new cancer cases in Ceará may occur during the pandemic. This situation impacted the reduction of all therapeutic modalities, except for radiotherapy alone and associated with surgery+iodine therapy. However, it did not harm the number of new cases treated in a timely manner.
目的
评估在疫情之前及期间,巴西塞阿拉州癌症新发病例所采用的不同治疗方式的百分比变化。
方法
采用描述性研究,数据来源于医院信息系统记录、高度复杂程序授权以及巴西塞阿拉州癌症信息系统。
结果
2020年新发病例减少了2575例(-30.85%),2021年减少了2368例(-28.37%)。关于治疗方式,除单独的放射治疗以及手术+碘治疗+放射治疗联合应用外,所有机构的首次癌症治疗数量均有所下降。手术是最常及时进行的治疗方式(<30天),而化疗则多未及时进行(>60天)。2021年对及时治疗(诊断后<30天)启动的影响大于2020年。总体而言,延迟治疗(>60天)低于2019年。在2020年和2021年,31 - 60天的时间段几乎全年都高于2019年。
结论
塞阿拉州的癌症新发病例数可能在疫情期间出现。这种情况影响了所有治疗方式的减少,除了单独的放射治疗以及与手术+碘治疗联合应用的情况。然而,这并未影响及时治疗的新病例数量。