Oral cancer patient's profile and time to treatment initiation in the public health system in Rio de Janeiro, Brazil
Authorsda Conceicao, Manoela Garcia Dias
Martins Emmerick, Isabel Cristina
Figueiro, Ana Claudia
Luiza, Vera Lucia
UMass Chan AffiliationsDivision of Thoracic Surgery, Department of Surgery
Document TypeJournal Article
Primary Health Care
Specialized health care
Health Services Administration
Health Services Research
MetadataShow full item record
AbstractBACKGROUND: This paper aims to describe the profile of oral cancer (OC) patients, their risk classification and identify the time between screening and treatment initiation in Rio de Janeiro Municipality. METHOD: Data were obtained from the healthcare Regulation System (SISREG) regarding the period January 2013 to September 2015. Descriptive, bivariate and multivariate analysis were performed identifying the factors associates with a diagnosis of OC as well as the time to treatment initiation (TTI) differences between groups. RESULTS: From 3,862 individuals with a potential OC lesion, 6.9 % had OC diagnosis. OC patients were 62.3 y.o. (mean), 64.7 % male, 36.1 % were white and 62.5 % of the records received a red/yellow estimated risk classification. Being older, male, white and receiving a high-risk classification was associated with having an OC diagnosis. OC TTI was in average 59.1 days and median of 50 days significantly higher than non-OC individuals (p = 0.007). TTI was higher for individuals older than 60 years old, male, and white individuals and for risk classification red and yellow, nevertheless while in average none of these differences were statistically significant, the median of individuals classified as low risk was significantly (p = 0.044) lower than those with high risk. CONCLUSIONS: Time to treatment initiation (TTI) was higher for OC patients related to non OC. Despite OC confirmed was associated with risk at screening classified as urgent or emergent, a high percentage of OC patients had their risk classified for elective care when specialized care was requested.
da Conceição MGD, Emmerick ICM, Figueiró AC, Luiza VL. Oral cancer patient's profile and time to treatment initiation in the public health system in Rio de Janeiro, Brazil. BMC Health Serv Res. 2021 Feb 15;21(1):145. doi: 10.1186/s12913-021-06131-x. PMID: 33588852; PMCID: PMC7885217. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/41785
RightsCopyright © The Author(s) 2021. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
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