Perfil de mulheres com câncer de mama atendidas em Vitória - ES : influência das variáveis sociodemográficas com o estadiamento clínico do tumor antes do tratamento

Abstract

Objective: To evaluate the completeness of the data registered in the Sistema de Informação do Registro Hospitalar de Câncer from Santa Rita de Cassia Hospital from 2000 to 2006, regarding analytical cases of breast neoplasms in women; To describe those patients' profile according to factors of the Record of Registration of Tumor and to examine the association among the social and geographic factors with the clinical breast neoplasms’ staging before the treatment. Methods: An analytical descriptive study of secondary data of 2930 registrations of analytical cases of women breast neoplasms who was accomplished assisted in the Institution, Vitória, Espírito Santo, from January 01, 2000 to December 31 of 2006. After evaluation of the completeness of the data, four factors were excluded and then accomplished the profile description and the comparative analysis among the cases of precocious and late staging in the moment of diagnosis. They were applied tests Qui-square and logistics regression in order to identify those factors with statistically significant association with the occurrence of the diagnosis in late staging. Results: Sample’s profile indicated age group between 40 and 49 years (29,8% with 42,3% of accumulated frequency), brown color (53%), married (56,4%), with incomplete (33,2%) fundamental teaching, directed to the health service through SUS (44,9%), diagnosed with ductal infiltrative carcinoma (78,6%) located at the left (49,6%) breast and diagnosed in precocious (48,1%) staging. Low educational levels and source of referral by SUS presented significant statistic association with the occurrence of the diagnosis in late staging (4,3 and 1,9 times more chances, respectively). Conclusions: The results point to the strong impact of social and economic factors in the effectiveness of secondary prevention of breast neoplasms, suggesting the need to recast the current strategies of public health policies in health education and screening.