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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622

Abstract

TOMAZELLI, Jeane et al. Evaluation of breast cancer screening indicators in the female population using the National Health System, Brazil, 2018-2019: a descriptive study. Epidemiol. Serv. Saúde [online]. 2023, vol.32, n.2, e2022567.  Epub Apr 24, 2023. ISSN 1679-4974.  http://dx.doi.org/10.1590/s2237-96222023000200009.

Objetive:

to analyze breast cancer screening monitoring indicators in the female population using the Brazilian National Health System, from 2018 to 2019.

Methods:

this was a descriptive study based on Cancer Information System (SISCAN) data; screening indicators were calculated following deterministic linkage of the mammography and histopathology databases.

Results:

in 2018, 807,430 women aged 50 to 69 years were screened for breast cancer, 91% of whom had a benign result, 1.8% probably benign, 6.7% inconclusive results and 0.5% results suggestive of cancer; the positive mammogram rate was 9.0%; biopsy was estimated to be indicated for 1.6% of the women, 33.9% of whom had a malignant result, and the cancer confirmation rate was 5.4 per 1,000 women.

Conclusion:

high benign lesion loss to follow-up was identified; the positive mammogram rate was lower than the international parameter, but the cancer detection rate was adequate and the percentage of inconclusive mammograms was acceptable.

Keywords : Breast Neoplasms; Mass Screening; Brazilian National Health System; Indicators (Statistics); Population Studies in Public Health.

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