Temporal trend analysis of hospitalizations and in-hospital deaths due to female breast cancer in the state of Alagoas from 2009 to 2019
a cross-sectional study
Keywords:
Breast neoplasms, Epidemiology, Hospitalization, Public healthAbstract
BACKGROUND: Breast cancer is a common neoplasm in women worldwide. Its varying patterns of incidence and clinical prognosis in Brazil make it an important and complex public health problem that needs to be solved. OBJECTIVES: To analyze the temporal dynamics of hospital admissions and deaths due to female breast cancer in the state of Alagoas, Brazil, from 2009 to 2019. DESIGN AND SETTING: Cross-sectional study including secondary data from hospital admissions and deaths due to female breast cancer in Alagoas. METHODS: A joinpoint regression model was constructed for temporal analysis of hospital admissions and deaths due to female breast cancer in Alagoas, over this period. The hospital information system of the Department of Informatics of the National Health System was used. RESULTS: There were 5,801 hospitalizations and 633 hospital deaths due to neoplasm in Alagoas over the period. The age group from 50 to 59 years old stood out, corresponding to 28.1% of hospitalizations and 31.1% of registered deaths. An increasing trend in the rate of hospital admissions was observed (average annual percentage change, AAPC = 14.0; P-value < 0.001), from 14.9/100,000 inhabitants in 2009 to 53.6 in 2019. There was a growth trend in the in-hospital mortality rate (AAPC = 19.8; P-value < 0.001), from 6.3% in 2009 to 11.0% in 2019. CONCLUSION: The results indicated an increasing trend of hospital admissions and mortality rates in the state of Alagoas, with a higher percentage of hospitalizations and deaths in the 50-59 age group.
Downloads
References
Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424. PMID: 30207593; https://doi.org/10.3322/caac.21492 Erratum in: CA Cancer J Clin. 2020;70(4):313.
Brasil. Ministério da Saúde. Departamento de Informática do SUS (DATASUS). Sistema de Informações Hospitalares (SIH). Available from: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sih/cnv/nruf.def Accessed in 2021 (Jun 25).
Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva. Coordenação de Prevenção e Vigilância. Estimativa 2014: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2014. Available from: https://www.inca.gov.br/bvscontrolecancer/publicacoes/Estimativa_2014.pdf Accessed in 2021 (Jun 25).
Giordano SH, Temin S, Kirshner JJ, et al. Systemic therapy for patients with advanced human epidermal growth factor receptor 2-positive breast cancer: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol. 2014;32(19):2078-99. PMID: 24799465; https://doi.org/10.1200%2FJCO.2013.54.0948
Cepas T. Câncer como a primeira causa de morte nos municípios brasileiros. Observatório de Oncologia. 2018. Available from: https://observatoriodeoncologia.com.br/cancer-como-a-primeira-causa-de-morte-nos-municipios-brasileiros-em-2015/ Accessed in 2021 (Jun 25).
Wünsch Filho V, Mirra AP, López RVM, Antunes LF. Tabagismo e câncer no Brasil: evidências e perspectivas. Rev Bras Epidemiol. 2010;13(2):175-87. https://doi.org/10.1590/S1415-790X2010000200001 Accessed in 2021 (Jun 5).
Brasil. Ministério da Saúde. Departamento de Informática do SUS (DATASUS). Sistema de Informações sobre Mortalidade (SIM). Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sim/cnv/obt10uf.def Accessed in 2021 (Jun 25).
Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil/Instituto Nacional de Câncer José Alencar Gomes da Silva. Rio de Janeiro: INCA; 2019. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-2020-incidencia-de-cancer-no-brasil.pdf Accessed in 2021 (Jun 25).
Carvalho JB, Paes NA. Desigualdades socioeconômicas na mortalidade por câncer de mama em microrregiões do Nordeste brasileiro. Rev Bras Saude Mater Infant. 2019;19(2):391-400. https://doi.org/10.1590/1806-93042019000200008
Barbosa IR, Costa ICC, Pérez MMB, Souza DLB. Mortalidade por câncer de mama nos estados do nordeste do Brasil: tendências atuais e projeções até 2030. Revista Ciência Plural. 2015;1(1):4-14. Available from: https://periodicos.ufrn.br/rcp/article/view/7318/5495 Accessed in 2021 (Jun 25).
Instituto Brasileiro de Geografia e Estatística (IBGE). Brasil/Alagoas. Rio de Janeiro: IBGE; 2017. Available from: https://cidades.ibge.gov.br/brasil/al/panorama Accessed in 2021 (Jun 25).
Kim HJ, Fay MP, Feuer EJ, Midthune DN. Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 2000;19:335-51 (correction: 2001;20:655). Available from: https://surveillance.cancer.gov/joinpoint/ Accessed in 2021 (June 25).
Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva. A Situação do Câncer de Mama no Brasil: Síntese de Dados dos Sistemas de Informação. Rio de Janeiro: INCA; 2019. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/a_situacao_ca_mama_brasil_2019.pdf Accessed in 2021 (Jun 25).
Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva. Conceito e Magnitude. Available from: https://www.inca.gov.br/controle-do-cancer-de-mama/conceito-e-magnitude Accessed in 2021 (Jun 25).
Lôbo JLS, Silva MLC, Tomé TKBV, Souza CDF. Mortalidade por Câncer de Mama Feminino em Alagoas no Período de 2001 a 2016: Análise de Tendência e Distribuição Espacial. Revista Brasileira de Cancerologia 2020;66(1). https://doi.org/10.32635/2176-9745.RBC.2020v66n1.656
Silva MM, Silva VH. Envelhecimento: importante fator de risco para o câncer. Arq Med ABC. 2005;30(1):11-8. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/lil-429517 Accessed in 2021 (Jun 25).
Souza MM, Winnikow EP, Moretti GP, et al. Taxa de mortalidade por neoplasia maligna de mama em mulheres residentes da região Carbonífera Catarinense no período de 1980 a 2009. Cad Saúde Coletiva. 2013;21(4):384-90. https://doi.org/10.1590/S1414-462X2013000400005
Borghesan DH, Pelloso SM, Carvalho MDB. Câncer de mama e fatores associados. Cienc Cuid Saude. 2008;7(Supl 1):62-8. https://doi.org/10.4025/cienccuidsaude.v7i0.6566
Thuler LC. Considerações sobre a prevenção do câncer de mama feminino. Revista Brasileira de Cancerologia. 2003;49(4):227-38. Available from: http://www1.inca.gov.br/rbc/n_49/v04/pdf/REVISAO1.pdf Accessed in 2021 (Jun 25).
Brasil. Ministério da Saúde. Controle do Câncer de Mama - Documento de Consenso. Revista Brasileira de Cancerologia. 2004;50(2):77-90. Available from: http://www1.inca.gov.br/rbc/n_50/v02/pdf/NORMAS.pdf Accessed in 2021 (Jun 25).
Viacava F, Souza-Junior PRB, Moreira RS. Estimates of mammography coverage according to health surveys in Brazil. Rev Saúde Pública. 2009;43 Suppl 2:117-25. PMID: 19936506; https://doi.org/10.1590/S0034-89102009000900015
Silva GA, Gamarra CJ, Girianelli VR, Valente JG. Cancer mortality trends in Brazilian state capitals and other municipalities between 1980 and 2006. Rev Saude Publica. 2011;45(6):1009-18. PMID: 22127651; https://doi.org/10.1590/S0034-89102011005000076
Rodrigues JD, Cruz MS, Paixão AN. An analysis of breast cancer prevention in Brazil. Cien Saude Colet. 2015;20(10):3163-76. PMID: 26465858; https://doi.org/10.1590/1413-812320152010.20822014
Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90. PMID: 21296855; https://doi.org/10.3322/caac.20107
Ho GF, Taib NA, Singh RKP, et al. What If All Patients with Breast Cancer in Malaysia Have Access to the Best Available Care: How Many Deaths Are Avoidable? Global Journal of Health Science. 2017;9(8):32-9. https://doi.org/10.5539/gjhs.v9n8p32
Couto MSA, Guerra MR, Firme VAC, Bustamante-Teixeira MT. Breast cancer mortality in Brazilian municipalities and associated factors. Rev Panam Salud Publica. 2017;41:e168. PMID: 31391844; https://doi.org/10.26633/RPSP.2017.168
Cenário epidemiológico do câncer de mama no Brasil. Boletim informativo 01/2018 câncer de mama. Available from: http://cidadao.saude.al.gov.br/wp-content/uploads/2017/07/boletim-informativo-CA-de-mama-FINAL.pdf Accessed in 2021 (Jun 25).
Girianelli VR, Gamarra CJ, Azevedo e Silva G. Disparities in cervical and breast cancer mortality in Brazil. Rev Saude Publica. 2014;48(3):459-67. PMID: 25119941; https://doi.org/10.1590/S0034-8910.2014048005214
Matos BES, Pereira NAM, Rocha FC, et al. Caracterização de mulheres hospitalizadas por neoplasia maligna da mama na Bahia, Brasil, 2012-2016. Rev Enferm Contemp. 2020;9(1):50-7. https://doi.org/10.17267/2317-3378rec.v9i1.2578