Acesso a diagnóstico e tratamento de câncer de mama e colo uterino no Brasil: Análise dos dados dos registros hospitalares de câncer.

Abstract

Breast and cervical cancers are prominent causes of mortality and disability affecting women over the world. Both diseases are related to worse prognosis when diagnosed in advanced stages. The present work aims to study the factors related to stage at diagnosis of breast and cervical cancers in Brazil. We analysed data from the hospital based cancer registries, which covers units from all over the country. The cases diagnosed from 2000 to 2012 were included. Multinomial logit regression model was used to estimate de risk of late stage presentation for both diseases. We observed an increase in the percentage of cases diagnosed in stages III and IV for the two types of cancer through the period of the study. Factors related to advanced stage at diagnosis were, addressing both cancers, age at diagnosis, educational level, histologic type, federative unit of the attending clinic, race/colour (as an indicative of ethnic status) and marital status. We concluded that access to cervical and breast cancer diagnosis and effective treatment is uneven in Brazil and women with lower socioeconomic status are exposed to greater risk of late stage diagnosis of both diseases, being subjected to its consequences in terms of prognosis.