Aspectos do atendimento às mulheres com câncer de mama associados ao estadiamento avançado

Abstract

Introduction: Breast cancer is among the most incidents in the world in women. In Brazil mortality rates remain high and women with breast cancer served in public services still have more advanced staging of the disease. Objectives: To analyze sociodemographic aspects and of the care of women with breast cancer served in a public hospital of the Federal District and to check the association of these aspects with the most advanced staging of the disease; Provide report with the results of the study for the direction of the Basic Hospital of the Federal District. Method: Informations were collected from women with breast cancer registered in Hospital Cancer Record of the hospital in question, between the years 1999 to 2010. It was carried out descriptive analysis and regression logistical univariate and multivariate with the variable response staging. Results: Women diagnosed between the years 2005 to 2010 (p = 0,014; OR: 2.37; IC: 1,19-4,71) and which have had the time between diagnosis and treatment less than 60 days (p = 0.001; OR: 0.43; IC: 0,26-0,71) have been associated with the most advanced staging. Conclusions: The use of hospital cancer registry data should be valued to produce and improve information on breast cancer as well as observed between the years 2005 to 2010. And before the association of advanced staging in women treated in up to 60 days, one can infer a previous problem with primary and secondary attention in the referral and early diagnosis of this patient. In need of studies to better understand this scenario and strengthen the network of care for breast cancer, and to make the research data more clear to managers. So decisions can be taken based on evidence and can be exposed as an equal report carried out in this study or other forms of exhibitions, always thinking about the alliance of research with practice.