Breast cancer screening in Brazil. Barriers related to the health system

Página do item simplificado
dc.citation.issue5
dc.citation.volume63
dc.contributor.authorCosta Vieira, Rene Aloisio da [UNIFESP]
dc.contributor.authorFormenton, Alessandro [UNIFESP]
dc.contributor.authorBertolini, Silvia Regina [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-07-13T11:53:18Z
dc.date.available2020-07-13T11:53:18Z
dc.date.issued2017
dc.description.abstractObjective: Identify factors related to the health system that lead to a late diagnosis of breast cancer in Brazil. Method: We performed a systematic review in the PubMed and LILACS databases using as keywords "Breast cancer," "system of health" and "Brazil or Brasil." We evaluated the content of the articles using the PRISMA methodology based on PICTOS. The final date was 12/16/2015. We were able to identify 94 publications in PubMed and 43 publications in LILACS. After assessing the title and summary, and excluding 21 repeated publications, we selected 51 publications for full evaluation. At this stage, we excluded 21 articles, with 30 publications remaining for study. Results: The population coverage is low, and there are problems related to the quality of mammography. Patients with lower income, nonwhite and less educated are more vulnerable. We observed punctual and initial experiences in breast cancer screening. Diagnosis and treatment flows must be improved. The inequality in mortality reflects the differences related to screening structure and treatment. Better results are observed in well-structured services. Conclusion: There are several barriers in the health system leading to advanced stage at diagnosis and limiting the survival outcomes. The establishment of a rapid and effective order for diagnosis and treatment, based on hierarchical flow, are important steps to be improved in the public health context.en
dc.description.affiliationUniv Fed Sao Paulo, Grad Program Lato Sensu Hlth Care Management, Sao Paulo, SP, Brazil
dc.description.affiliationFundacao Pio XII, Hosp Canc Barretos, Barretos, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Hosp Sao Paulo, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Grad Program Lato Sensu Hlth Care Management, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Hosp Sao Paulo, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent466-474
dc.identifierhttps://dx.doi.org/10.1590/1806-9282.63.05.466
dc.identifier.citationRevista Da Associacao Medica Brasileira. Sao Paulo, v. 63, n. 5, p. 466-474, 2017.
dc.identifier.doi10.1590/1806-9282.63.05.466
dc.identifier.fileS0104-42302017000500466.pdf
dc.identifier.issn0104-4230
dc.identifier.scieloS0104-42302017000500466
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54523
dc.identifier.wosWOS:000405950400015
dc.language.isoeng
dc.publisherAssoc Medica Brasileira
dc.relation.ispartofRevista Da Associacao Medica Brasileira
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBreast neoplasms/prevention and controlen
dc.subjectHealth systemsen
dc.subjectScreening programsen
dc.subjectMammographyen
dc.subjectUnified Health Systemen
dc.titleBreast cancer screening in Brazil. Barriers related to the health systemen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
S0104-42302017000500466.pdf
Tamanho:
168.02 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos