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Epidemiologia e Serviços de Saúde

versão impressa ISSN 1679-4974versão On-line ISSN 2337-9622

Resumo

RENNA JUNIOR, Nelson Luiz  e  SILVA, Gulnar Azevedo e. Temporal trend and associated factors to advanced stage at diagnosis of cervical cancer: analysis of data from hospital based cancer registries in Brazil, 2000-2012. Epidemiol. Serv. Saúde [online]. 2018, vol.27, n.2, e2017285.  Epub 17-Abr-2018. ISSN 1679-4974.  http://dx.doi.org/10.5123/s1679-49742018000200003.

Objective:

To analyze the time trend and analyze the determinants of stage at diagnosis of cervical cancer in Brazil.

Methods:

Time trend analysis and cross-sectional study using data from hospital-based cancer registries (2000-2012); multinomial and joinpoint regression statistical models were used.

Results:

65.843 cases were analyzed; the median interval between diagnosis and treatment was 59 days; the percentage of advanced staging increased, annual percent change 1.10% (95%CI 0.80;1.50); women with higher education (compared to unlettered) had less odds of late stage diagnosis (OR=0.38; 95%CI 0.31;0.47); among indigenous (OR=2.38; 95%CI 1.06;5.33) and black women (OR=1.16; 95%CI 1.02;1.31), compared to white, and in the North region (OR=2.55; 95%CI 2.26;2.89), compared to the Southeast, the odds was higher; other factors positively related to advanced stage were 'age', 'histology', and marital status'.

Conclusion

Inequities affect the odds of late stage diagnosis of cervical cancer.

Palavras-chave : Uterine Cervical Neoplasms; Women's Health; Hospital Records; Health Services Accessibility; Medical Oncology.

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