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Frequency and factors associated with delay in breast cancer treatment in Brazil, according to data from the Oncology
Mário Círio Nogueira1, Adriana Tavares de Moraes Atty2, Jeane Tomazelli3
1Universidade Federal de Juiz de Fora, Programa de Pós-Graduação em Saúde Coletiva, Juiz de Fora, MG, Brasil.
Objective:
to analyze treatment delay and the flow of care for women with breast cancer in Brazil in 2019 and 2020.
Method:
this was a follow-up study of breast cancer cases available from the Oncology Panel; a chi-square test and multilevel logistic regression were performed in order to analyze the explanatory variables associated with delay (greater than 60 days) in starting treatment.
Results:
22,956 cases (54.5%) with delay in treatment were identified in 2019 and 17,722 (48.7%) in 2020; the Southeast region (54.6%) had the greatest proportion of delay; delay was greater when treatment was provided outside the municipality of residence and lower in 2020 compared to 2019; most outward flows were to the capital cities in the same Federative Units of residence.
Conclusion:
strategies to reduce cancer treatment delay and optimize health care networks in the Federative Units should be prioritized.
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