Epidemiological profile of prostate cancer mortality and access to hospital care in Brazilian regions - an ecological study

Alcantara, Stefanie de Sousa Antunes; Martinelli, Patricia Merly; Sousa, Luiz Vinicius de Alcantara; Fonseca, Fernando Luiz Affonso

INTRODUCTION:

Due to the high incidence and mortality rates that cancer has, the World Health Organization (WHO) defines it as a public health problem and points out that there are approximately 10 million people affected by cancer, the estimate for the year 2020 will be 16 million of sick individuals.One of the most frequent neoplasms in the world, Prostate Cancer (CaP) (1.1 million), occupies 4th place, being behind only lung cancer (1.8 million), breast (1.7 million), and intestine (1.4 million). In the year 2012, approximately 1,112,000 new global cases of CaP were registered, with about 307,000 deaths

OBJECTIVE:

To analyze the epidemiological profile of mortality from prostate cancer and the access of patients to health among Brazilian regions

METHODS:

Ecological study based on secondary data from between the years 2000 and 2015. Mortality, hospitalization, and population were collected at the DATASUS. The variables were related to the epidemiological profile of CaP among Brazilian regions, stratified by the number of hospitalizations, of deaths, admission fee, mortality rate, and age group (40 to 79 years). The study looks at a time trend and gains access to health and mortality using regression models

RESULTS:

The northern showed a greater decrease in cases from 40-59 years (β -1,800; -0.46). Southeast, with a small reduction only between 40 and 44 years old (β -0.345 and p 0.665). Northeast, South, and Center-West regions did not express a drop in the hospitalization rate, with the greatest growth between 65 and 69 years old (β 7,862; 11,346; and p> 0.05). The Midwest had the greatest increase between 55 and 59 years (β 3,660, p 0.098), followed by 65 to 69 years (β 3,491, p 0.314). Mortality rates indicated a reduction in the Southeast (β - 0.440) and South (β -0.361

CONCLUSION:

This study found an association with various environmental and economic cultures in each Brazilian region, being an important resource for the development of health services and their access to the population

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