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首页> 外文期刊>Journal of Clinical Medicine Research >Prevalence of Solid Neoplasms Diagnosed Between the Years of 2011 to 2016 and Oncologically Treated at the University Hospital of Santa Maria
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Prevalence of Solid Neoplasms Diagnosed Between the Years of 2011 to 2016 and Oncologically Treated at the University Hospital of Santa Maria

机译：在2011年至2016年之间诊断并在圣玛丽亚大学医院进行肿瘤治疗的固体肿瘤患病率

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Background: Cancer is a public health problem, especially in developing countries. In order to establish effective measures for the cancer control, there is a need for quality information, thus enabling a better understanding of the disease and its determinants, formulation of causal hypotheses, evaluation of the technological advances applied to prevention and treatment as well as the effectiveness of health care. The objective of the study was to investigate the prevalence of solid neoplasms diagnosed between the years 2011 to 2016 and treated at the Oncology Department of the University Hospital of Santa Maria and the existing oncological context. Methods: This is an observational cross-sectional study. The target population was comprised of adult patients (18 years of age or older) and elderly people (60 years of age or older) diagnosed with solid cancer by anatomico-pathological examination between 2011 and 2016, who started oncological treatment, according to high complexity procedure authorization (APAC)/Oncology. Results: A total of 2,757 patients were selected, of which 1,493 patients were female (54.2%) and 1,264 male (45.8%). The mean age at the time of initiation of treatment was 59.94 years for both sexes, with the 95% confidence interval (59.44 - 60.44). The majority of patients were aged 61 - 70 years, totaling 747 patients, followed by 718 patients between 51 - 60 years. In all 31 primary sites identified the most prevalent one of neoplasms are breast, prostate, colorectal and lung; and most cases were stage IV (1,039 cases). A percentage of the number of cases of breast and esophageal cancer was higher than expected, and in contrast to a low percentage of hepatocarcinoma, kidney cancer and central nervous system tumors. The patients came from the entire area of the fourth Health Coordinating Area, where 100% of the municipalities referred to the institution, as well as other nine locations belonging to other coordinators. Conclusion: Most of the data obtained are consistent with the Brazilian reality, not identifying any peculiar characteristic of this region of the study worthy of note, except for the difference in the prevalence of some types of cancer, a fact that deserves further studies. There were also no discrepancies in a regional analysis. Along with this work, it was possible to demonstrate the cancer situation and the profile of oncology patients attended at a reference center for 41 municipalities, mainly in the central region of Rio Grande do Sul state, which may be useful in the elaboration of public policies to modify the profile identified, and serve as the basis for further studies in this region.
机译：背景：癌症是一个公共卫生问题，尤其是在发展中国家。为了建立有效的癌症控制措施，需要质量信息，从而能够更好地了解疾病及其决定因素，提出因果假设，评估应用于预防和治疗的技术进步以及卫生保健的有效性。这项研究的目的是调查在2011年至2016年之间诊断并在圣玛丽亚大学医院肿瘤科治疗的实体瘤的患病率以及现有的肿瘤学背景。方法：这是一项观察性横断面研究。目标人群包括2011年至2016年之间通过解剖病理学检查诊断为患有实体癌的成年患者（18岁以上）和老年人（60岁以上），并根据其高度复杂性进行了肿瘤治疗程序授权（APAC）/肿瘤学。结果：共入选2757例患者，其中女性1493例（54.2％），男性1264例（45.8％）。男女开始治疗时的平均年龄为59.94岁，置信区间为95％（59.44-60.44）。大多数患者年龄在61-70岁之间，共747位患者，其次是718位在51-60岁之间的患者。在所有的31个主要部位中，最常见的一种肿瘤是乳腺，前列腺，结肠直肠和肺。大多数病例为IV期（1,039例）。乳腺癌和食道癌病例数的百分比高于预期，而肝癌，肾癌和中枢神经系统肿瘤的百分比较低。患者来自第四卫生协调区的整个区域，那里有100％的市镇将其转介给该机构，以及来自其他协调员的其他九个地点。结论：获得的大多数数据与巴西的实际情况一致，除了某些类型的癌症的流行率差异外，没有发现该研究区域的任何特殊特征，这一点值得我们进一步研究。区域分析中也没有差异。通过这项工作，可以证明癌症状况和在41个市镇的参考中心（主要在南里奥格兰德州）的参考中心就诊的肿瘤科病人的概况，这可能有助于制定公共政策修改已识别的配置文件，并作为该区域进一步研究的基础。

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