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Epidemiologia e Serviços de Saúde
Print version ISSN 1679-4974On-line version ISSN 2337-9622
Abstract
TOMAZELLI, Jeane Glaucia et al. Assessment of actions for breast cancer early detection in Brazil using process indicators: a descriptive study with Sismama data, 2010-2011. Epidemiol. Serv. Saúde [online]. 2017, vol.26, n.1, pp.61-70. ISSN 1679-4974. http://dx.doi.org/10.5123/s1679-49742017000100007.
OBJECTIVE:
to assess actions for breast cancer early detection in the Brazilian National Health System using process indicators.
METHODS:
this is a descriptive study with secondary data from the Breast Cancer Information System (Sismama), for the period from 2010 to 2011.
RESULTS:
5,759,503 mammograms and 44,892 histopathological tests were assessed; screening mammography was predominant (96.2%), with annual interval (44.6%) and 51.2% of the patients were in the recommended age group (50 to 69 years); mammogram report was emitted in 30 days in 61.7% of the cases; among the 17,343 malignant lesions confirmed in the histopathological tests, 66.4% were detected through clinical examination.
CONCLUSION:
screening actions and early diagnosis in disagreement with the Ministry of Health's recommendations may compromise its effectiveness and entail greater risk to women; it is necessary to improve professional’s adherence to screening guidelines, as well as enhance the control and assessment of the health services.
Keywords : Breast Neoplasms; Early Detection of Cancer; Mass Screening; Mammography; Epidemiology, Descriptive.
