Manoela Garcia Dias da Conceição1, Isabel Cristina Martins Emmerick2, Ana Claudia Figueiró3, Vera Lucia Luiza4. 1. Public health Post-Graduation Program National School of Public Health Sergio Arouca, Oswaldo Cruz Foundation (PPGSP/ENSP/FIOCUZ), 1480 Rua Leopoldo Bulhoes, Manguinhos, RJ, ZC, 21041-210, Rio de Janeiro, Brazil. 2. Division of Thoracic Surgery, Department of Surgery, UMass Memorial Healthcare/University of Massachusetts Medical School, 67 Belmont Street #201, Massachusetts, 01605, Worcester, USA. 3. Department of Collective Health, Instituto Aggeu Magalhães Institute, Oswaldo Cruz Foundation (SDC/IAM/Fiocruz), Campus da UFPE - Av. Prof. Moraes Rego, s/n - Cidade Universitária, Recife - PE, ZC, 50670-420, Recife, Brazil. 4. Department of Medicines and Pharmaceutical Services Policies, National School of Public Health Sergio Arouca, Oswaldo Cruz Foundation (NAF/ENSP/FIOCUZ), 1480 Rua Leopoldo Bulhoes, Manguinhos, ZC, 21041-210, Rio de Janeiro, Brazil. negritudesenior@gmail.com.
Abstract
BACKGROUND: This paper aims to describe the profile of oral cancer (OC) patients, their risk classification and identify the time between screening and treatment initiation in Rio de Janeiro Municipality. METHOD: Data were obtained from the healthcare Regulation System (SISREG) regarding the period January 2013 to September 2015. Descriptive, bivariate and multivariate analysis were performed identifying the factors associates with a diagnosis of OC as well as the time to treatment initiation (TTI) differences between groups. RESULTS: From 3,862 individuals with a potential OC lesion, 6.9 % had OC diagnosis. OC patients were 62.3 y.o. (mean), 64.7 % male, 36.1 % were white and 62.5 % of the records received a red/yellow estimated risk classification. Being older, male, white and receiving a high-risk classification was associated with having an OC diagnosis. OC TTI was in average 59.1 days and median of 50 days significantly higher than non-OC individuals (p = 0.007). TTI was higher for individuals older than 60 years old, male, and white individuals and for risk classification red and yellow, nevertheless while in average none of these differences were statistically significant, the median of individuals classified as low risk was significantly (p = 0.044) lower than those with high risk. CONCLUSIONS: Time to treatment initiation (TTI) was higher for OC patients related to non OC. Despite OC confirmed was associated with risk at screening classified as urgent or emergent, a high percentage of OC patients had their risk classified for elective care when specialized care was requested.
BACKGROUND: This paper aims to describe the profile of oral cancer (OC) patients, their risk classification and identify the time between screening and treatment initiation in Rio de Janeiro Municipality. METHOD: Data were obtained from the healthcare Regulation System (SISREG) regarding the period January 2013 to September 2015. Descriptive, bivariate and multivariate analysis were performed identifying the factors associates with a diagnosis of OC as well as the time to treatment initiation (TTI) differences between groups. RESULTS: From 3,862 individuals with a potential OC lesion, 6.9 % had OC diagnosis. OCpatients were 62.3 y.o. (mean), 64.7 % male, 36.1 % were white and 62.5 % of the records received a red/yellow estimated risk classification. Being older, male, white and receiving a high-risk classification was associated with having an OC diagnosis. OC TTI was in average 59.1 days and median of 50 days significantly higher than non-OC individuals (p = 0.007). TTI was higher for individuals older than 60 years old, male, and white individuals and for risk classification red and yellow, nevertheless while in average none of these differences were statistically significant, the median of individuals classified as low risk was significantly (p = 0.044) lower than those with high risk. CONCLUSIONS: Time to treatment initiation (TTI) was higher for OCpatients related to non OC. Despite OC confirmed was associated with risk at screening classified as urgent or emergent, a high percentage of OCpatients had their risk classified for elective care when specialized care was requested.
Entities:
Keywords:
Mouth neoplasms; Oral health; Primary Health Care; Specialized health care
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