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Epidemiologia e Serviços de Saúde
Print version ISSN 1679-4974On-line version ISSN 2237-9622
Abstract
RIBEIRO, Caroline Madalena and SILVA, Gulnar Azevedo e. Assessment of the production of cervical cancer care procedures in the Brazilian National Health System in 2015. Epidemiol. Serv. Saúde [online]. 2018, vol.27, n.1, e20172124. Epub Jan 11, 2018. ISSN 1679-4974. http://dx.doi.org/10.5123/s1679-49742018000100004.
Objective:
to assess the procedures production of screening, diagnostic investigation and precursor lesions treatment for cervical cancer in the Brazilian National Health System (SUS).
Methods:
normative evaluation with calculation of estimates of need based on national screening guidelines in two scenarios: organized (1) and opportunistic (2) screening; data were obtained from the SUS Ambulatory Care Information System and the Cervical Cancer Information System.
Results:
considering the scenario 1, the production of cytopathologic exams (-46,9%) and biopsies (-44.9%) was below the necessary in Brazil, whereas colposcopy (61.3%) and precursor lesions treatments (37.4%) were above; in scenario 2, biopsies were below the necessary (-48.5%) whilst colposcopy (193.9%) and precursor lesions treatments (28.4%) were above.
Conclusion:
there were deficits in cytopathologic exams and biopsies and excess of colposcopies and treatment of precursor lesions in Brazil.
Keywords : Mass Screening; Uterine Cervical Neoplasms; Health Planning; Health Information Systems; Evaluation Studies.
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