Abstract
To describe mortality and the hospital morbidity by neoplasias in Brazil and regions according to gender. Data of deaths were obtained from the Mortality Information System and of hospital morbidity from the Hospital Information System. Deaths were categorized according to primary tumor sites, selected in accordance with the tenth revision of the International Classification of Diseases. The population data were drawn from the inter census estimates of the IBGE (Brazilian Institute of Geography and Statistics). The period of analysis was the triennial 2002-2004, with the most recent mortality data in Brazil. The average of this period was calculated to ensure greater stability of the rates. Between 2002 and 2004, 405,415 deaths from neoplasias occurred in Brazil. The highest rates of mortality were identified in the South and South-East regions. For men, cancer of the trachea, bronchi and lungs were the malignant neoplasias with the highest mortality rate while for women breast cancer was highest. Breast cancer and cancer of the uterine cervix are those requiring the largest number of in-hospital admissions. In internments, leukemia presented the highest average cost and total cost. The burden of neoplasms is extremely high in Brazil and public policies focused on the population must be given priority for an effective control of mortality and morbidity.
Highlights
To describe mortality and the hospital morbidity by neoplasias in Brazil and regions according to gender
Data of deaths were obtained from the Mortality Information System and of hospital morbidity from the Hospital Information System
The population data were drawn from the inter census estimates of the IBGE (Brazilian Institute of Geography and Statistics)
Summary
Tabela 2 – Média anual de internações, média de permanência (dias), valor médio por internação (R$) e média anual do valor total pago em internações (R$) segundo a localização primária do tumor. O câncer de mama foi o que apresentou a maior taxa de mortalidade entre as mulheres das regiões Sul, Sudeste, CentroOeste e Nordeste. Como houve no Brasil, nos últimos anos, um aumento não só na incidência, mas também na mortalidade por câncer de mama, os serviços de saúde devem aperfeiçoar o acesso ao diagnóstico precoce e à terapia apropriada[15,16]. Apesar de contar com sistema de prevenção relativamente simples e com custo reduzido, o câncer de colo de útero figurou como um dos tumores que mais mataram as mulheres no Brasil entre 2002-2004, tendo impacto singular na região Norte. O câncer de mama e de colo uterino foram os que mais demandaram internações, apesar de serem doenças em que a prevenção e o diagnóstico precoce estão dentro das possibilidades dos serviços de saúde.
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