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Gastric adenocarcinoma and periodontal disease: A systematic review and meta-analysis disease metaanalysis meta analysis
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Aguiar, Francisco José Nunes

; Menezes, Fabrício dos Santos

; Fagundes, Marcela de Araújo

; Fernandes, Gisele Aparecida

; Alves, Fabio de Abreu

; Goncalves Filho, João

; Curado, Maria Paula

Clinics

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2024, Volume 79 elocation 100321

Abstract: En | Text: En | PDF: En

Abstract Background The oral cavity is a link between of external environment with gastrointestinal tract. Studies are controversial on the presence of Periodontal Disease (PD) and its association with Gastric Adenocarcinoma (GAC). Methods The authors performed a systematic review and meta-analysis to verify the association between PD and GAC. Six electronic databases were evaluated between 1961 and 2022. Titles and abstracts were reviewed independently according to the eligibility criteria, assessing full texts of selected studies. The quality of the included research was verified using the Newcastle-Ottawa Scale for case-control and cohort studies. Statistical analyses were performed based on fixed and/or random effects models to calculate the summarized Relative Risk (RR) and its 95 % Confidence Interval (95 % CI). Results There were 639 studies, of which nine articles were included (3 case-controls and 6 cohorts). Overall, the authors identified 1,253 cases of GAC 2,501 controls in case-control studies, and 1,631 patients with GAC enrolled in cohort studies. Patients presenting PD increased the risk of developing GAC by 17 % (RR=1.17; 95 % CI 1.03‒1.32), which remained regardless of the diagnostic method for PD, i.e., clinical examination (RR = 1.19; 95 % CI 1.14‒1.24) and self-report (RR = 1.34; 95 % CI 1.06‒1.69). Moreover, Asian patients (RR=1.17; 95 % CI 1.00‒1.36) with PD had a higher risk of having GAC than American and European patients (RR = 1.18; 95 % CI 0.84‒1.66). Conclusions The presence of PD the risk of GAC suggesting that its infectious-inflammatory process of PD may be related to GAC development. Further investigations on the oral-gastric microbiota and its role in the carcinogenesis of gastric cancer should be carried out, and the screening of patients with potential risk for GAC should be considered in the clinical practice of dentists. tract (PD . (GAC) metaanalysis meta analysis 196 2022 criteria studies NewcastleOttawa Newcastle Ottawa casecontrol case control andor or RR 9 (9 CI. CI) 63 3 ( casecontrols cohorts. cohorts cohorts) Overall 1253 1 253 1,25 2501 2 501 2,50 1631 631 1,63 RR=1.17 RR117 (RR=1.17 1.03‒1.32, 103132 1.03‒1.32 , 03 32 1.03‒1.32) ie i e i.e. 1.19 119 19 1.14‒1.24 114124 14 24 selfreport self report 1.34 134 34 1.06‒1.69. 106169 1.06‒1.69 06 69 1.06‒1.69) Moreover 1.00‒1.36 100136 00 36 1.18 118 18 0.84‒1.66. 084166 0.84‒1.66 0 84 66 0.84‒1.66) infectiousinflammatory infectious inflammatory development oralgastric out dentists (GAC 202 125 25 1,2 250 50 2,5 163 1,6 RR=1.1 RR11 (RR=1.1 10313 1.03‒1.3 i.e 1.1 11 1.14‒1.2 11412 1.3 13 10616 1.06‒1.6 1.00‒1.3 10013 08416 0.84‒1.6 8 20 12 1, 5 2, 16 RR=1. RR1 (RR=1. 1031 1.03‒1. 1. 1.14‒1. 1141 1061 1.06‒1. 1.00‒1. 1001 0841 0.84‒1. RR=1 (RR=1 103 1.03‒1 1.14‒1 114 106 1.06‒1 1.00‒1 100 084 0.84‒1 RR= (RR= 10 1.03‒ 1.14‒ 1.06‒ 1.00‒ 08 0.84‒ 1.03 1.14 1.06 1.00 0.84 1.0 0.8 0.

https://doi.org/10.1016/j.clinsp.2023.100321

EXPLORATORY ANALYSIS OF DIETARY PATTERNS OF PATIENTS WITH GASTRIC ADENOCARCINOMA: A CASE-CONTROL STUDY IN CENTRAL BRAZIL ADENOCARCINOMA CASECONTROL CASE CONTROL
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SANTIAGO, Silvana Barbosa

; SOUSA, Gabriela Rodrigues de

; RAMOS, Amanda Ferreira Paes Landim

; FERNANDES, Gisele Aparecida

; CURADO, Maria Paula

; BARBOSA, Mônica Santiago

Arquivos de Gastroenterologia

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nov 2023, Volume 60 N. 4 Pages 419 - 430

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Background: Diet is one of the most important modifiable risk factors for the incidence of gastric cancer. Objective: To carry out an exploratory analysis on the dietary patterns of individuals with gastric adenocarcinoma (AdG) in the Central Brazil region. Methods: This is a case-control study carried out from April 2019 to July 2022, in three reference centers for cancer treatment in Goiânia-GO. The cases were patients diagnosed with AdG, the control 1 dyspeptic patients submitted to upper digestive endoscopy and the control 2 patients without gastric complaints. In the three groups, patients aged 18 to 75 years and of both sexes were recruited. To assess food consumption, a Food Frequency Questionnaire validated for the Brazilian population was used. Dietary patterns were identified by Exploratory Factor Analysis (EFA), using principal component analysis as the extraction method, followed by Varimax rotation. Results: The commonality values in the EFA for the foods/food groups consumed by the cases and controls were above 0.30 for all variables. The variance explained by the model was 66.7% for cases, 60.3% for control 1 and 59.7% for control 2. Three eating patterns were identified in cases, control 1 and control 2 that explained 34, 87%, 35.41% and 33.25% respectively of the total variance. The first pattern (“healthy”) was characterized by the consumption of vegetables, fruits, meat and cheese; the second (“unhealthy”) for sausages, pizzas, snacks, ketchup, sweet drinks and instant noodles and the third (“prudent”) rice, beans, meat and fried fish and pasta. Conclusion: This study identified three dietary patterns among patients with AdG and controls in the Central Brazil region. According to the identified patterns, it will be possible to establish a relationship between diet and other epidemiological measures aimed at the prevention of gastric cancer. Background Objective (AdG region Methods casecontrol case 201 2022 GoiâniaGO. GoiâniaGO Goiânia GO. GO Goiânia-GO complaints 7 recruited used EFA, , (EFA) method rotation Results foodsfood foods 030 0 30 0.3 variables 667 66 66.7 603 60 3 60.3 597 59 59.7 34 87 87% 3541 35 41 35.41 3325 33 25 33.25 healthy (“healthy” vegetables fruits cheese unhealthy (“unhealthy” sausages pizzas snacks ketchup prudent (“prudent” rice beans pasta Conclusion 20 202 (EFA 03 0. 6 66. 60. 5 59. 8 354 4 35.4 332 33.2 (“healthy (“unhealthy (“prudent 35. 33.

RESUMO Contexto: A dieta é um dos fatores de risco modificáveis mais importante para a incidência de câncer gástrico. Objetivo: Realizar uma análise exploratória sobre os padrões alimentares de indivíduos com adenocarcinoma gástrico (AdG) na região Brasil central. Métodos: Este é um estudo de caso-controle realizado no período de abril de 2019 a julho de 2022, em três centros de referência para o tratamento para câncer em Goiânia-GO. Os casos foram pacientes diagnosticados com AdG, o controle 1 pacientes dispépticos submetidos a endoscopia digestiva alta e o controle 2 pacientes sem queixas gástricas. Nos três grupos foram recrutados pacientes de 18 a 75 anos e de ambos os sexos. Para avaliar o consumo alimentar foi utilizado um Questionário de Frequência Alimentar validado para a população brasileira. Os padrões alimentares foram identificados por Análise Fatorial Exploratória (AFE), utilizando a análise de componentes principais como método de extração, seguida pela rotação Varimax. Resultados: Os valores de comunalidade na AFE para os alimentos/grupos alimentares consumidos pelos casos e controles ficaram acima de 0,30 para todas as variáveis. A variância explicada pelo modelo foi de 66,7%, para casos, 60,3% para o controle 1 e 59,7% para o controle 2. Foram identificados três padrões alimentares nos casos, controle 1 e controle 2 que explicaram 34,87%, 35,41% e 33,25% respectivamente da variância total. O primeiro padrão (“saudável”) foi caracterizado pelo consumo de vegetais, frutas, carne e queijos; o segundo (“não saudável”) por embutidos, pizzas, snacks, ketchup, bebidas doces e macarrão instantâneo e o terceiro (“prudente”) arroz, feijão, carnes e peixes fritos e massas. Conclusão: Esse estudo identificou três padrões alimentares entre os pacientes com AdG e os controles na região Brasil central. De acordo com os padrões identificados, será possível estabelecer uma relação entre a dieta e outras medidas epidemiológicas destinadas à prevenção do câncer gástrico. Contexto Objetivo (AdG central Métodos casocontrole caso 201 2022 GoiâniaGO. GoiâniaGO Goiânia GO. GO Goiânia-GO gástricas 7 sexos brasileira AFE, , (AFE) extração Varimax Resultados alimentosgrupos alimentos 030 0 30 0,3 variáveis 667 66 66,7% 603 60 3 60,3 597 59 59,7 3487 34 87 34,87% 3541 35 41 35,41 3325 33 25 33,25 total saudável (“saudável” vegetais frutas queijos não saudável” embutidos pizzas snacks ketchup prudente (“prudente” arroz feijão massas Conclusão 20 202 (AFE 03 0, 6 66,7 60, 5 59, 348 8 34,87 354 4 35,4 332 33,2 (“saudável (“prudente 66, 34,8 35, 33, 34,

https://doi.org/10.1590/s0004-2803.230402023-67

PANCREATIC CANCER MORTALITY TRENDS AND CORRELATION WITH HUMAN DEVELOPMENT INDEX (HDI) IN BRAZIL OVER 40 YEARS HDI (HDI 4
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SILVA, Diego Rodrigues Mendonça e

; OLIVEIRA, Max Moura de

; FERNANDES, Gisele Aparecida

; CURADO, Maria Paula

Arquivos de Gastroenterologia

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jan 2023, Volume 60 N. 1 Pages 30 - 38

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Background Pancreatic cancer mortality is greater in countries with a high Human Development Index (HDI). This study analyzed pancreatic cancer mortality rates trends, and their correlation with HDI in Brazil over 40 years. Methods: Data on pancreatic cancer mortality in Brazil between 1979 and 2019 were obtained from the Mortality Information System (SIM). Age-standardized mortality rates (ASMR) and Annual Average Percent Change (AAPC) were calculated. Pearson’s correlation test was applied to compare mortality rates and HDI for three periods: 1986-1995 was correlated with HDI of 1991, 1996-2005 with HDI of 2000, and 2006-2015 with HDI of 2010; and to the correlation of AAPC versus the percentage change in HDI from 1991 to 2010. Results: A total of 209,425 deaths from pancreatic cancer were reported in Brazil, with an annual increase of 1.5% in men and 1.9% in women. There was an upward trend for mortality in most Brazilian states, with the highest trends observed in the North and Northeast states. A positive correlation between pancreatic mortality and HDI was observed over the three decades (r>0.80, P<0.05) and also between AAPC and HDI improvement by sex (r=0.75 for men and r=0.78 for women, P<0.05). Conclusion There was an upward trend in pancreatic cancer mortality in Brazil for both sexes, but rates among women were higher. Mortality trends were higher in states with a higher percentage improvement in HDI, such as the North and Northeast states. HDI. . (HDI) 4 years Methods 197 201 SIM. SIM (SIM) Agestandardized Age standardized ASMR (ASMR (AAPC calculated Pearsons Pearson s periods 19861995 1986 1995 1986-199 19962005 1996 2005 1996-200 2000 20062015 2006 2015 2006-201 2010 199 Results 209425 209 425 209,42 15 1 5 1.5 19 9 1.9 r>0.80, r080 r 0 80 (r>0.80 P<0.05 P005 P 05 r=0.75 r075 75 (r=0.7 r078 78 r=0.7 P<0.05. sexes (HDI 20 (SIM 1986199 198 1986-19 1996200 200 1996-20 2006201 2006-20 20942 42 209,4 1. r>0.80 r08 8 (r>0.8 P<0.0 P00 r07 7 (r=0. r=0. 2 198619 1986-1 199620 1996-2 200620 2006-2 2094 209, r>0.8 r0 (r>0. P<0. P0 (r=0 r=0 19861 1986- 19962 1996- 20062 2006- r>0. (r>0 P<0 (r= r= r>0 (r> P< (r r>

RESUMO Contexto A mortalidade por câncer de pâncreas é maior em países com alto Índice de Desenvolvimento Humano (IDH). Este estudo analisou as taxas e tendências de mortalidade por câncer de pâncreas e correlacionou-as com o IDH no Brasil no período de 40 anos. Métodos: Os dados sobre mortalidade por câncer de pâncreas no Brasil, entre 1979 e 2019, foram extraídos do Sistema de Informações sobre Mortalidade (SIM). As taxas de mortalidade padronizadas por idade e variação percentual média anual (AAPC) foram calculadas. O teste de correlação de Pearson foi aplicado para comparar as taxas de mortalidade e IDH em três períodos: 1986-1995 foi correlacionado com o IDH de 1991, 1996-2005 com IDH 2000 e 2006-2015 com IDH 2010; e a correlação da AAPC versus o percentual de variação do IDH de 1991 a 2010. Resultados: Foram notificados 209.425 óbitos por câncer de pâncreas no Brasil no período de 1979 a 2019, com aumento de 1,5% ao ano em homens e de 1,9% em mulheres. Houve tendência de aumento da mortalidade na maioria dos estados brasileiros, com maiores tendências nos estados das regiões Norte e Nordeste. Foi observada uma correlação positiva na mortalidade por câncer de pâncreas e o IDH ao longo de três décadas (r>0,80, P<0,05); também, entre o AAPC e o incremento do IHD entre 1991 e 2010 (r=0,75 para homens e r=0,78 para mulheres, P<0,05). Conclusão: Houve tendência crescente da mortalidade por câncer de pâncreas no Brasil, em ambos os sexos, porém maior entre as mulheres. As tendências de mortalidade foram maiores nos estados com maior percentual de incremento do IDH, como estados das regiões Norte e Nordeste. IDH. . (IDH) correlacionouas correlacionou 4 anos Métodos 197 2019 SIM. SIM (SIM) (AAPC calculadas períodos 19861995 1986 1995 1986-199 19962005 1996 2005 1996-200 200 20062015 2006 2015 2006-201 199 Resultados 209425 209 425 209.42 15 1 5 1,5 19 9 1,9 mulheres brasileiros Nordeste r>0,80, r080 r 0 80 (r>0,80 P<0,05 P005 P 05 P<0,05) também 201 r=0,75 r075 75 (r=0,7 r078 78 r=0,7 P<0,05. Conclusão sexos (IDH (SIM 1986199 198 1986-19 1996200 1996-20 20 2006201 2006-20 20942 42 209.4 1, r>0,80 r08 8 (r>0,8 P<0,0 P00 r07 7 (r=0, r=0, 198619 1986-1 199620 1996-2 2 200620 2006-2 2094 209. r>0,8 r0 (r>0, P<0, P0 (r=0 r=0 19861 1986- 19962 1996- 20062 2006- r>0, (r>0 P<0 (r= r= r>0 (r> P< (r r>

https://doi.org/10.1590/s0004-2803.202301000-05

Molecular subtypes as a prognostic breast cancer factor in women users of the São Paulo public health system, Brazil
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Peres, Stela Verzinhasse

; Arantes, Paola Engelmann

; Fagundes, Marcela de Araújo

; Ab’Saber, Alexandre Muxfeldt

; Gimenes, Daniel Luiz

; Curado, Maria Paula

; Vieira, René Aloisio da Costa

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230028

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

https://doi.org/10.1590/1980-549720230028

Molecular subtypes as a prognostic breast cancer factor in women users of the São Paulo public health system, Brazil system
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Peres, Stela Verzinhasse

; Arantes, Paola Engelmann

; Fagundes, Marcela de Araújo

; Ab’Saber, Alexandre Muxfeldt

; Gimenes, Daniel Luiz

; Curado, Maria Paula

; Vieira, René Aloisio da Costa

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230028

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Objective: This study aimed to analyze the prognosis of women with breast cancer by molecular subtypes, sociodemographic variables, and clinical and treatment characteristics. Methods: This hospital-based retrospective cohort study analyzed 1,654 women over 18 years of age diagnosed with invasive breast cancer from 2000 to 2018. Data were extracted from Brazil’s Oncocenter Foundation of São Paulo. The variables analyzed were age, histology, molecular subtypes, clinical staging, treatment type, and diagnosis-to-treatment time. Cox regression analysis was applied to estimate death risk. Results: Women with HER-2-positive (nonluminal) and triple-negative molecular subtypes were more than twice more likely to be at risk of death, with adjusted hazard ratio — HRadj=2.30 (95% confidence interval — 95%CI 1.34–3.94) and HRadj=2.51 (95%CI 1.61–3.92), respectively. A delayed treatment associated with an advanced clinical stage at diagnosis increased fourfold the risk of death (HRadj=4.20 (95%CI 2.36–7.49). Conclusion: In summary, besides that interaction between advanced clinical stage and longer time between diagnosis and treatment, HER-2-positive (nonluminal) and triple-negative phenotypes were associated with a worse prognosis. Therefore, actions to reduce barriers in diagnosis and treatment can provide better outcome, even in aggressive phenotypes. Objective characteristics Methods hospitalbased hospital based 1654 1 654 1,65 200 2018 Brazils Brazil s Paulo histology staging type diagnosistotreatment Results HER2positive HERpositive HER 2 positive nonluminal (nonluminal triplenegative triple negative HRadj230 HRadj 30 HRadj=2.3 95% 95 (95 95CI CI 1.34–3.94 134394 34 3 94 HRadj251 51 HRadj=2.5 1.61–3.92, 161392 1.61–3.92 , 61 92 1.61–3.92) respectively HRadj=4.20 HRadj420 4 20 (HRadj=4.2 2.36–7.49. 236749 2.36–7.49 . 36 7 49 2.36–7.49) Conclusion summary Therefore outcome 165 65 1,6 201 HRadj23 HRadj=2. 9 (9 1.34–3.9 13439 HRadj25 5 16139 1.61–3.9 6 HRadj=4.2 HRadj42 (HRadj=4. 23674 2.36–7.4 16 1, HRadj2 HRadj=2 ( 1.34–3. 1343 1613 1.61–3. HRadj=4. HRadj4 (HRadj=4 2367 2.36–7. HRadj= 1.34–3 134 161 1.61–3 HRadj=4 (HRadj= 236 2.36–7 1.34– 13 1.61– (HRadj 23 2.36– 1.34 1.61 2.36 1.3 1.6 2.3 1. 2.

RESUMO Objetivo: O objetivo deste estudo foi analisar o prognóstico de mulheres com câncer de mama de acordo com os subtipos moleculares, variáveis sociodemográficas, características clínicas e de tratamento. Métodos: Este foi um estudo de coorte retrospectivo de base hospitalar. Foram analisadas 1.654 mulheres maiores de 18 anos diagnosticadas com câncer de mama invasivo entre 2000 a 2018. Os dados foram extraídos da Fundação Oncocentro de São Paulo, Brasil. As variáveis analisadas foram idade, histologia, subtipo moleculares, estadiamento clínico, tipo de tratamento e tempo entre o diagnóstico e tratamento. A análise de regressão de Cox foi aplicada para estimar o risco de morte. Resultados: As mulheres que apresentaram os subtipos moleculares HER-2-positivo (não luminal) e triplo negativo tiveram risco de morte quase duas vezes maior respectivamente, com razão de risco ajustada — HRaj=2,30 (intervalo de confiança de 95% — 95%IC 1,34–3,94) e HRaj=2,51 (95%IC 1,61–3,92). O atraso no tratamento associado ao avanço do estadiamento clínico ao diagnóstico aumentou em quatro vezes o risco de morte (HRaj=4,20 (IC95% 2,36–7,49). Conclusão: Os fenótipos HER-2-positivo (não luminal) e triplo negativo, além da interação entre estágio clínico avançado e maior tempo entre o diagnóstico e o tratamento, associaram-se a pior prognóstico. Assim, ações para reduzir as barreiras no diagnóstico e tratamento podem proporcionar melhores resultados, mesmo em fenótipos agressivos. Objetivo sociodemográficas Métodos hospitalar 1654 1 654 1.65 200 2018 Paulo Brasil idade histologia Resultados HER2positivo HERpositivo HER 2 positivo não luminal respectivamente HRaj230 HRaj 30 HRaj=2,3 intervalo 95 95IC IC 1,34–3,94 134394 34 3 94 HRaj251 51 HRaj=2,5 1,61–3,92. 161392 1,61–3,92 . 61 92 1,61–3,92) HRaj=4,20 HRaj420 4 20 (HRaj=4,2 IC95% IC95 (IC95 2,36–7,49. 236749 2,36–7,49 36 7 49 2,36–7,49) Conclusão associaramse associaram se Assim resultados agressivos 165 65 1.6 201 HRaj23 HRaj=2, 9 1,34–3,9 13439 HRaj25 5 16139 1,61–3,9 6 HRaj=4,2 HRaj42 (HRaj=4, IC9 (IC9 23674 2,36–7,4 16 1. HRaj2 HRaj=2 1,34–3, 1343 1613 1,61–3, HRaj=4, HRaj4 (HRaj=4 (IC 2367 2,36–7, HRaj= 1,34–3 134 161 1,61–3 HRaj=4 (HRaj= 236 2,36–7 1,34– 13 1,61– (HRaj 23 2,36– 1,34 1,61 2,36 1,3 1,6 2,3 1, 2,

https://doi.org/10.1590/1980-549720230028

Epidemiological profile of COVID-19 in patients with prostate cancer undergoing androgen deprivation therapy at a Brazilian Cancer Center COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Travalini, Isabela Granato

; Vergamini, Lucas Bonachi

; Silva, Ivan Leonardo Avelino Franca e

; Caruso, Pedro

; Orellana, Fernanda Monteiro

; Curado, Maria Paula

; Zequi, Stênio de Cássio

einstein (São Paulo)

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2023, Volume 21 elocation eAO0273

Abstract: En | Text: En | PDF: En

ABSTRACT Objective To describe the epidemiological aspects of COVID-19 in patients with prostate cancer who received androgen deprivation therapy and those who did not. Methods We retrospectively analyzed the medical records of patients with prostate cancer undergoing androgen deprivation therapy and those who did not undergo androgen deprivation therapy. These patients were treated at the A.C.Camargo Cancer Center between March 2020 and March 2021. Results Of the 78 patients with prostate cancer and positive RT-PCR test results, 50% were undergoing androgen deprivation therapy, and 49% were experiencing a non-metastatic biochemical relapse. Of these, 80.6% were symptomatic on the day of examination compared to 97.2% in the Control Group. A total of 82.1% of the patients receiving androgen deprivation therapy required hospitalization, with 30.8% admitted to the intensive care unit compared to 21.6% in the Control Group. There was no statistically significant difference in the use of a high-flow oxygen cannula, the need for orotracheal intubation and mechanical ventilation, the need for dialysis, multiple organ failure, or death. A significant difference was found between the groups in terms of the average length of stay in the intensive care unit. Conclusion Androgen deprivation therapy was not associated with protective factors or potential treatments in patients with prostate cancer and COVID-19. Although the number of patients analyzed was limited, and there may have been a selection bias, this is a unique study that cannot be expanded or replicated in similar (unvaccinated) populations. COVID19 COVID 19 COVID-1 ACCamargo C Camargo 202 2021 7 RTPCR RT PCR results 50 49 nonmetastatic non metastatic relapse these 806 80 6 80.6 972 97 2 97.2 Group 821 82 1 82.1 hospitalization 308 30 8 30.8 216 21 21.6 highflow high flow cannula ventilation dialysis failure death COVID19. 19. limited bias unvaccinated (unvaccinated populations COVID1 COVID- 20 5 4 80. 9 97. 82. 3 30. 21.

https://doi.org/10.31744/einstein_journal/2023ao0273

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

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2023, Volume 37 elocation e126

Abstract: En | Text: En | PDF: En

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System. (OMPLs SCC. . (SCC) crosssectional cross sectional North, North (North Northeast CentralWest, CentralWest Central West, West Central-West South. South South) 201 120010 120 010 120,01 20102019, 20102019 , (2010-2019) 69 6 9 6.9 8,321 8321 8 321 (8,32 0.8%, 08 0 (0.8% 95 cases, 4.9%, 49 4 (4.9% 5971 5 971 5,97 1.2%, 12 1 2 (1.2% 1399 399 1,39 Brazils s 64.5%, 645 64.5% 64 (64.5%) located men years level consumption group nonCaucasian non formercurrent former users Institute 99 9.9 Therefore System (SCC 20 12001 01 120,0 2010201 (2010-2019 6. 8,32 832 32 (8,3 0.8% (0.8 4.9% (4.9 597 97 5,9 1.2% (1.2 139 39 1,3 64.5 (64.5% 9. 1200 120, 201020 (2010-201 8,3 83 3 (8, 0.8 (0. 4.9 (4. 59 5, 1.2 (1. 13 1, 64. (64.5 20102 (2010-20 8, (8 0. (0 4. (4 1. (1 (64. (2010-2 ( (64 (2010- (6 (2010 (201 (20 (2

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

Fatores ocupacionais associados a neoplasias hematológicas em um polo fruticultor: estudo de caso-controle
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Moura, Luiza Taciana Rodrigues de

; Bedor, Cheila Nataly Galindo

; Sobral, Guilherme Leocádio Medeiros

; Santana, Vilma Sousa

; Curado, Maria Paula

Revista Brasileira de Saúde Ocupacional

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2022, Volume 47 elocation edepi2

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivos: identificar fatores de risco ocupacionais para neoplasias hematológicas, leucemia, linfomas e mieloma múltiplo. Métodos: estudo caso-controle conduzido com casos de neoplasias hematológicas e controles recrutados do mesmo serviço, com outros diagnósticos, pareados por frequência, sexo e idade. Entrevistas individuais foram realizadas por pesquisadores treinados, utilizando um questionário estruturado. Informações sobre a história ocupacional, uso e características de exposições a substâncias químicas, em geral, e a agrotóxicos foram registradas. Foram estimadas odds ratios (OR), por meio de modelos de regressão logística não-condicional multivariável para análise exploratória. Resultados: foram incluídos 61 casos e 146 controles. Trabalho na agropecuária (OR: 2,18; intervalo de confiança de 95% (IC95%): 1,10;4,30), exposição ocupacional a agrotóxicos (OR: 2,37; IC95%: 1,18;4,77), e tempo total de exposição ocupacional a agrotóxicos na vida laboral em horas - curto (OR: 3,52; IC95%: 1,25;9,87) e longo (OR: 3,95; IC95%: 1,54;10,14) - foram fatores de risco para neoplasias hematológicas, em comparação aos não expostos. Essas medidas foram ajustadas por consumo de álcool e tabagismo, prática de atividade física, renda, escolaridade e história de exposição ocupacional a produtos químicos. Conclusão: a exposição ocupacional a agrotóxicos se associa a neoplasias hematológicas, independentemente de características do estilo de vida e nível socioeconômico.

Abstract Objectives: to identify the occupational risk factors for hematological neoplasms, specifically leukemia, lymphomas, and multiple myeloma. Methods: this is a case-control study. Cases were individuals with hematological neoplasms and controls were individuals with other diagnoses; frequency-matched by sex and age. Individual interviews were conducted by trained researchers using a structured questionnaire. We collected information on participants’ occupational history and chemicals use and exposure, in general, and pesticides, in particular. Odds ratios (OR) were used as association measurements, estimated by multivariate non-conditional logistic regression models for exploratory analysis. Results: 61 cases and 146 controls were included. We found that agricultural work (OR: 2.18; 95% confidence interval (95%CI): 1.10;4.30), occupational exposure to pesticides (OR: 2.37; 95%CI: 1.18;4.77), and total occupational exposure to pesticides throughout their working life (in hours) - both short (OR: 3.52; 95%CI: 1.25;9.87) and long (OR: 3.95; 95%CI: 1.54;10.14) - constituted risk factors for hematological neoplasms, when compared to those unexposed. We adjusted these measures for alcohol consumption and smoking, physical activity, income, education, and history of occupational exposure to chemicals. Conclusion: occupational exposure to pesticides is associated with hematological neoplasms regardless of lifestyle and socioeconomic status.

https://doi.org/10.1590/2317-6369/07422pt2022v47edepi2

SURVIVAL OF PATIENTS WITH COLORECTAL CANCER IN A CANCER CENTER
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AGUIAR JUNIOR, Samuel

; OLIVEIRA, Max Moura de

; SILVA, Diego Rodrigues Mendonça e

; MELLO, Celso Abdon Lopes de

; CALSAVARA, Vinicius Fernando

; CURADO, Maria Paula

Arquivos de Gastroenterologia

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jun 2020, Volume 57 N. 2 Pages 172 - 177

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO CONTEXTO: Estudos hospitalares recentes têm demonstrado aumento da sobrevida do câncer colorretal e melhor sobrevida para mulheres, jovens e pacientes diagnosticados em estágio precoce da doença. OBJETIVO: Descrever a sobrevida global e analisar os fatores prognósticos de pacientes tratados para câncer colorretal em um centro de oncologia. MÉTODOS: Foram incluídos pacientes com diagnóstico de adenocarcinoma de cólon e reto entre 2000 e 2013, identificados no Registro Hospitalar de Câncer do A.C.Camargo Cancer Center. A sobrevida global aos 5 anos foi estimada pelo método de Kaplan-Meier e os fatores prognósticos foram avaliados pelo modelo de Cox. As razões de risco (HR) são relatadas com intervalos de confiança (IC) de 95%. RESULTADOS: Dos 2.279 casos de câncer colorretal analisados, 58,4% eram de cólon. A taxa de sobrevida global aos 5 anos para pacientes com câncer colorretal foi de 63,5% (65,6% e 60,6% para câncer de cólon e retal, respectivamente). O risco de óbito foi elevado para pacientes na faixa etária de 50-74 anos (HR=1,24; IC95% =1,02-1,51) e ≥75 anos (HR=3,02; IC95% =2,42-3,78), para pacientes com câncer retal (HR=1,37; IC95% =1,11-1,69) e para aqueles cujo tratamento foi iniciado >60 dias após o diagnóstico (HR=1,22; IC95% =1,04-1,43). O risco diminuiu para pacientes diagnosticados em períodos recentes (2005-2009 HR=0,76; IC95% =0,63-0,91; 2010-2013 HR=0,69; IC95% =0,57-0,83). CONCLUSÃO: A sobrevida dos pacientes com câncer colorretal é maior naqueles em estágio inicial e com início do tratamento antes dos 60 dias.. Idade acima de 70 anos foi fator independente preditivo de mau prognóstico. A sobrevida global aumentou para todos os pacientes tratados no período de 2000-2004 a 2010-2013.

ABSTRACT BACKGROUND: Hospital-based studies recently have shown increases in colorectal cancer survival, and better survival for women, young people, and patients diagnosed at an early disease stage. OBJECTIVE: To describe the overall survival and analyze the prognostic factors of patients treated for colorectal cancer at an oncology center. METHODS: The analysis included patients diagnosed with colon and rectal adenocarcinoma between 2000 and 2013 and identified in the Hospital Cancer Registry at A.C.Camargo Cancer Center. Overall 5-year survival was estimated using the Kaplan-Meier method, and prognostic factors were evaluated in a Cox regression model. Hazard ratios (HR) are reported with 95% confidence intervals (CI). RESULTS: Of 2,279 colorectal cancer cases analyzed, 58.4% were in the colon. The 5-year overall survival rate for colorectal cancer patients was 63.5% (65.6% and 60.6% for colonic and rectal malignancies, respectively). The risk of death was elevated for patients in the 50-74-year (HR=1.24, 95%CI =1.02-1.51) and ≥75-year (HR=3.02, 95%CI =2.42-3.78) age groups, for patients with rectal cancer (HR=1.37, 95%CI =1.11-1.69) and for those whose treatment was started >60 days after diagnosis (HR=1.22, 95%CI =1.04-1.43). The risk decreased for patients diagnosed in recent time periods (2005-2009 HR=0.76, 95%CI =0.63-0.91; 2010-2013 HR=0.69, 95%CI =0.57-0.83). CONCLUSION: Better survival of patients with colorectal cancer improves with early stage and started treatment within 60 days of diagnosis. Age over 70 years old was an independent factor predictive of a poor prognosis. The overall survival increased to all patients treated in the period 2000-2004 to 2010-2013.

https://doi.org/10.1590/s0004-2803.202000000-32 2169 downloads

10.

Survival trends of patients with oral and oropharyngeal cancer treated at a cancer center in São Paulo, Brazil
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Kowalski, Luiz Paulo

; Oliveira, Max Moura de

; Lopez, Rossana Veronica Mendoza

; Silva, Diego Rodrigues Mendonça e

; Ikeda, Mauro Kazuo

; Curado, Maria Paula

Clinics

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2020, Volume 75 elocation e1507

Abstract: En | Text: En | PDF: En

OBJECTIVE: We aimed to estimate the overall survival (OS) and conditional survival (CS) in patients diagnosed with oral and oropharyngeal squamous cell carcinoma (SCC) and to determine their survival trends. METHODS: The study included all consecutive patients treated at the A.C. Camargo Cancer Center for oral or oropharyngeal SCC between 2001 and 2012. Data were obtained from the Hospital Cancer Registry. OS and CS were analyzed using the Kaplan-Meier method to evaluate the probability of survival with Cox predictor models. RESULTS: Data of 505 oral and 380 oropharyngeal SCC patients obtained in 2001-2006 and 2007-2012 were analyzed. Most of the oral SCC (59%) and oropharyngeal SCC (90%) patients had stages III-IV SCC. The 5-year OS for patients with oral SCC was 51.7%, with no significant difference between the first and second periods. The CS rates in 2007-2012 were 65% after the first year and 86% up to the fifth year. For oropharyngeal SCC, the 5-year OS rate was 45.0% in the first period. The survival rate increased to 49.1% from 2007 to 2012, with a reduction in the risk of death (HR=0.69;0.52-09.2). The CS estimates from 2007 to 2012 were 59% after the first year and 75% up to the fifth year. CONCLUSION: Survival across the two time periods remained stable for oral SCC but showed a significant increase for oropharyngeal SCC, possibly because of improvements in the patients’ response to radiotherapy, such as intensity-modulated radiation therapy, and the use of more accurate diagnostic imaging approaches.

https://doi.org/10.6061/clinics/2020/e1507 619 downloads

11.

Exposição ocupacional a agrotóxicos organofosforados e neoplasias hematológicas: uma revisão sistemática
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Moura, Luiza Taciana Rodrigues de

; Bedor, Cheila Nataly Galindo

; Lopez, Rossana Veronica Mendoza

; Santana, Vilma Sousa

; Rocha, Talita Máira Bueno da Silveira da

; Wünsch Filho, Victor

; Curado, Maria Paula

Revista Brasileira de Epidemiologia

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2020, Volume 23 elocation e200022

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO: Objetivo: Atualizar achados de estudos observacionais analíticos sobre a associação entre exposição ocupacional a organofosforados e neoplasias hematológicas. Métodos: Revisão sistemática de literatura, incluindo estudos de coorte e caso controle, sem limitação de tempo de publicação, nos idiomas português e inglês. O rastreamento de artigos foi feito no período de junho de 2017 a julho de 2019 nas bases de dados PubMed, MEDLINE, LILACS, Web of Science e Scopus. A avaliação qualitativa de risco de viés foi feita com a Escala Newcastle-Otawa e com o Checklist Downs e Black. Os resultados foram apresentados segundo as recomendações da Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Resultados: Foram elegíveis 17 estudos avaliados como de boa/alta qualidade metodológica. A exposição a diazinon (um coorte), fonofós (um coorte), diclorvós, crotoxifós e fanfur (um caso controle) associou-se à leucemia, enquanto a exposição a organofosforados associou-se aos linfomas (seis caso controle). O risco de linfoma não-Hodgkin foi maior para os indivíduos expostos a diazinon (um caso controle) e malation (três caso controle), em relação aos não expostos. O mieloma múltiplo ocorreu mais comumente em expostos a organofosforados do que entre os não expostos (um caso controle). Conclusão: A exposição ocupacional a organofosforados aumenta o risco de neoplasias hematológicas, sobretudo entre os indivíduos com maior período de exposição. Medidas de monitoramento de trabalhadores e de controle da exposição são recomendadas.

ABSTRACT: Objective: To update findings of observational analytical studies on the association between occupational exposure to organophosphates and hematologic malignancies. Methodology: Systematic literature review, including cohort and case-control studies, without limitation of publication time, in Portuguese and English. The articles were traced from June 2017 to July 2019 in PubMed, MEDLINE, LILACS, Web of Science, and Scopus databases. The qualitative bias risk assessment was performed using the Newcastle-Ottawa Scale and the Downs and Black Checklist. Results were presented according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Results: Seventeen studies evaluated as good/high methodological quality were eligible. Exposure to diazinon (1 cohort), phonophos (1 cohort), dichlorvos, crotoxiphos and famphur (1 case control) was associated with leukemia, while exposure to organophosphate was associated to lymphomas (6 case control); the risk of non-Hodgkin’s lymphoma was higher in those exposed to diazinon (1 control case) and malathion (3 control case) than non-exposed ones. Multiple myeloma occurred more commonly in organophosphate exposed than in non-exposed individuals (1 case-control). Conclusion: Occupational exposure to organophosphates increases the risk of hematologic malignancies, especially among individuals with longer exposure periods. Worker monitoring and exposure control measures are recommended.

https://doi.org/10.1590/1980-549720200022

12.

Exposição ocupacional a agrotóxicos organofosforados e neoplasias hematológicas: uma revisão sistemática
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Moura, Luiza Taciana Rodrigues de

; Bedor, Cheila Nataly Galindo

; Lopez, Rossana Veronica Mendoza

; Santana, Vilma Sousa

; Rocha, Talita Máira Bueno da Silveira da

; Wünsch Filho, Victor

; Curado, Maria Paula

Revista Brasileira de Epidemiologia

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2020, Volume 23 elocation e200022

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1980-549720200022 1946 downloads

13.

Tendências da morbimortalidade por câncer infantojuvenil em um polo de fruticultura irrigada
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Silva, Marília Gabriella Pinheiro

; Bedor, Cheila Nataly Galindo

; Alencar, Kamilla Maria de Souza Aires

; Curado, Maria Paula

; Moura, Luiza Taciana Rodrigues de

Cadernos Saúde Coletiva

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mar 2018, Volume 26 N. 1 Pages 38 - 44

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivo Descrever as tendências de morbimortalidade por câncer em jovens de 0 a 19 anos nos municípios de Petrolina (PE) e Juazeiro (BA). Método Série histórica de morbimortalidade por câncer infantojuvenil dos residentes em Petrolina (PE) e Juazeiro (BA), no período de 2004 a 2013, usando dados do Sistema de Informação de Internação Hospitalar e Sistema de Informação de Mortalidade. As taxas de internação e mortalidade foram padronizadas por idade, tendo sido realizada análise de tendências pelo modelo de regressão Joinpoint. Resultados As taxas de internação e de mortalidade foram mais altas em Petrolina comparadas com as de Juazeiro. Taxas de mortalidade acima de 60/1.000.0000 em ambos os municípios encontram-se acima das taxas de mortalidade brasileiras (40,28/1.000.000) e das taxas de mortalidade do Nordeste (35,62/1.000.000) para o período de 2001 a 2005. Conclusão Houve tendência de aumento significante das taxas de internação e aumento sem significância estatística das taxas de mortalidade nos dois municípios, o que pode estar relacionado à melhoria no acesso ao serviço especializado de oncologia pediátrica, ao diagnóstico tardio e à exposição ambiental a agrotóxicos.

Abstract Objective To describe trends in cancer morbidity and mortality among young people aged 0 to 19 years in the municipalities of Petrolina (PE) and Juazeiro (BA). Method Historical series of morbidity and mortality from childhood and adolescence of residents of Petrolina (PE) and Juazeiro (BA), from 2004 to 2013, using data from the Hospital Internment Information System and Mortality Information System. Rates of hospitalization and mortality were standardized by age, trend analysis was performed by the Joinpoint regression model. Results Rates of hospitalization and mortality were higher in Petrolina compared to those in Juazeiro. Mortality rates above 60/1.000.0000 in both municipalities are above the Brazilian mortality rates (40.28/1.000,000) and the mortality rates in the Northeast (35.62/1.000.000) from 2001 to 2005. Conclusion There was a significant increase in hospitalization rates and increase without statistical significance of mortality rates in the two municipalities, which may be related to improved access to specialized pediatric oncology services, late diagnosis, and exposure to pesticides.

https://doi.org/10.1590/1414-462x201800010477 3754 downloads

14.

Fração de câncer de cabeça e pescoço atribuível ao tabaco e ao álcool em cidades de três regiões brasileiras
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Kfouri, Suely Aparecida

; Eluf Neto, José

; Koifman, Sérgio

; Curado, Maria Paula

; Menezes, Ana

; Daudt, Alexander Welaussen

; Wünsch Filho, Victor

Revista Brasileira de Epidemiologia

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mar 2018, Volume 21 elocation e180005

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO: Objetivo: Estimar a fração de câncer de cabeça e pescoço (CCP) atribuível ao tabaco e ao álcool em cidades das regiões Centro-Oeste, Sudeste E Sul do Brasil. Métodos: Estudo caso-controle com 1.594 casos de CCP e 1.292 controles hospitalares. A associação de CCP com tabaco e álcool foi estimada pela odds ratio e intervalos de confiança de 95% via regressão logística não condicional, ajustada por idade, sexo, escolaridade, consumo de frutas e legumes, consumo de bebidas alcoólicas (para examinar o efeito do tabaco) e tabagismo (para examinar o efeito do álcool). As proporções de CCP atribuíveis ao tabaco e ao álcool foram estimadas pelo cálculo da fração atribuível (FA). Foram realizadas estimativas separadas para Goiânia (Centro-Oeste), Rio de Janeiro e São Paulo (Sudeste) e Pelotas e Porto Alegre (Sul). Resultados: A fração de CCP atribuível ao tabagismo foi discretamente mais elevada em Goiânia (FA = 90%) em comparação às cidades do Sudeste (FA = 87%) e do Sul (FA = 86%). A fração de CCP atribuível ao consumo de bebidas alcoólicas apresentou resultados similares e mais altos nas cidades do Sudeste (FA = 78%) e Sul (FA = 77%) em comparação a Goiânia (FA = 62%). Conclusão: As frações de CCP atribuíveis ao tabagismo foram mais expressivas do que para o consumo de álcool. Embora com discretas distinções entre si, as FA para tabaco e álcool observadas nas cidades das três regiões brasileiras foram semelhantes às obtidas em estudos em outras regiões da América Latina, porém, mais altas que em outras partes do mundo.

ABSTRACT: Objectives: To estimate the fraction of head and neck cancer (HNC) attributable to tobacco and alcohol in cities in the Midwest, Southeast and South regions of Brazil. Methods: Case-control study including 1,594 cases of HNC and 1,292 hospital controls. The association of HNC with tobacco and alcohol was estimated by the odds ratio and respective 95% confidence intervals through non-conditional logistic regression, adjusted for age, sex, schooling, consumption of fruits and vegetables, alcohol drinking (to examine the tobacco effect), and tobacco smoking (to examine the alcohol effect). The proportions of HNC attributable to tobacco and alcohol were estimated through the attributable fraction (AF) calculation. Separate estimates were made for Goiânia (Midwest), Rio de Janeiro and São Paulo (Southeast) and Pelotas and Porto Alegre (South). Results: The HNC fraction attributable to smoking was slightly higher in Goiânia (AF = 90%) than in cities in the Southeast (AF = 87%) and South (AF = 86%). The HNC fraction attributable to the consumption of alcoholic beverages presented similar and higher results in the cities of Southeast (AF = 78%) and South (AF = 77%) than in Goiânia (AF = 62%). Conclusion: The HNC fractions attributable to smoking were more expressive than for alcohol consumption. Although with discrete distinctions between them, the AFs to tobacco smoking and alcohol consumption in HNC observed in the cities of these three Brazilian regions were similar to those obtained in Latin America studies, but they were higher than in other parts in the world.

https://doi.org/10.1590/1980-549720180005 276 downloads

15.

Disparidades na mortalidade de câncer colorretal nos estados brasileiros
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Oliveira, Max Moura de

; Latorre, Maria do Rosário Dias de Oliveira

; Tanaka, Luana Fiengo

; Rossi, Benedito Mauro

; Curado, Maria Paula

Revista Brasileira de Epidemiologia

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mar 2018, Volume 21 elocation e180012

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO: Objetivo: Analisar a tendência da mortalidade por câncer colorretal, ajustado por indicadores selecionados, segundo sexo, para unidades federativas, regiões e Brasil, no período de 1996 a 2012. Métodos: Estudo ecológico de série temporal das taxas de mortalidade por câncer colorretal, feita análise de regressão linear, sendo o ano centralizado a variável independente. Os modelos foram ajustados por indicadores selecionados. Resultados: Houve aumento nas taxas de mortalidade padronizadas por câncer colorretal em todos os estados para o sexo masculino e em 21 estados para o sexo feminino. No modelo ajustado por taxa de mortalidade por causas mal definidas, produto interno bruto e coeficiente de Gini, a tendência de aumento foi significativa (p < 0,05) no Brasil, somente para os homens, com 0,17 óbitos por 100 mil habitantes ao ano (aa). Nos estados do Piauí (0,09 e 0,20 aa), Ceará (0,17 e 0,19 aa) e Rio Grande do Sul (0,61 e 0,42 aa) ocorreu aumento em homens e mulheres, respectivamente; somente em homens nos estados da Paraíba (0,16 aa), no Espírito Santo (0,28 aa), em São Paulo (0,24 aa) e Goiás (0,31 aa); e em mulheres nos estados de Roraima (0,41 aa), do Amapá (0,97 aa), Maranhão (0,10 aa), Sergipe (0,46 aa), Mato Grosso do Sul (0,47 aa) e Distrito Federal (0,69 aa). Conclusão: O aumento da taxa de mortalidade por câncer colorretal manteve-se significativo no Brasil somente entre os homens; em sete estados, entre homens; e em nove estados, entre mulheres, independentemente dos indicadores estudados. Essas diferenças podem estar relacionadas ao possível aumento da incidência e ao acesso tardio ao diagnóstico e tratamento.

ABSTRACT: Objective: To analyze the trend of colorectal cancer mortality adjusted for selected indicators, according to sex, by Brazilian federative units and regions, and countrywide from 1996 to 2012. Methods: This is a temporal time series on colorectal cancer mortality rates, using linear regression analysis, in which the independent variable was the centered year. Models were adjusted for selected indicators. Results: There was an increase in standardized colorectal cancer mortality rates for males in all states and for females in 21 states. In the model adjusted for mortality rate from ill-defined causes, for gross domestic product, and for Gini coefficient, the upward trend remained statistically significant (p < 0.05) countrywide only for men, with 0.17 deaths per 100 thousand inhabitants per year (py). In the States of Piauí (0.09 and 0.20 py), Ceará (0.17 and 0.19 py) and Rio Grande do Sul (0.61 and 0.42 py), there was an increase for both men and women, respectively; only among men in the States of Paraíba (0.16 py), Espírito Santo (0.28 py), São Paulo (0.24 py) and Goiás (0.31 py); and among women in Roraima (0.41 py), Amapá (0.97 P/Y), Maranhão (0.10 py), Sergipe (0.46 P/Y), Mato Grosso do Sul (0.47 py), and the Federal District (0.69 py). Conclusion: The increase in colorectal cancer mortality remained significant when assessing Brazil as a whole only among men; in seven States among men, and in nine States among women, regardless of the studied indicators. These differences could be related to the possible increase in incidence and to late access to diagnosis and treatment.

https://doi.org/10.1590/1980-549720180012 14 downloads

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