巴西前列腺癌的时间和区域趋势
Mehrsa Jalalizadeh1, Heveline Rayane Moura Roesch1, Fernando Korkes2
1UroScience, School of Medical Sciences, State University of Campinas, Campinas, 13083-872, Brazil.
Oncology research
|September 23, 2024
概括
巴西的前列腺癌 (PCa) 护理在发病率,死亡率和治疗方面存在显著的区域差异. 趋势在2018年后发生了转变,受到国际指导方针的影响,流行病后的发病率下降.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 巴西统一卫生系统 (Sistema Único de Saúde-SUS) 管理国家患者数据库.
- 了解前列腺癌 (PCa) 的区域和时间趋势对于公共卫生至关重要.
- 将健康经济状况与PCa流行病学相关联,可以为医疗保健策略提供信息.
研究的目的:
- 分析巴西前列腺癌 (PCa) 发病率,死亡率和护理的区域和时间趋势.
- 调查各州健康经济状况与PCa流行病学之间的相关性.
- 评估国际准则和COVID-19大流行对PCa趋势的影响.
主要方法:
- 通过SUS (DATA-SUS) 对2013-2021年全国PCa数据 (发病率,死亡率,护理) 的分析.
- 数据按国际疾病分类 (ICD-10) 代码进行分类.
- 统计分析包括区域比较,时间趋势分析和相关性研究.
主要成果:
- 观察到PCa发病率,死亡率和治疗率 (手术,辐射,全身疗法) 的区域差异很大.
- 2018年之后,PCa发病率和治疗率出现了显著变化,与国际指导方针的变化保持一致.
- 流行后 (2020年以后) PCa发病率下降,死亡率和治疗率保持稳定.
结论:
- 巴西的前列腺癌护理取决于地区,受治疗准入和国际指导方针的影响.
- 2018年后趋势的变化凸显了查指南对发病率和治疗的影响.
- 研究的局限性包括患者信息,私人诊所和患者旅行方面的数据差距.
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