Abstract
Background This paper aims to describe the profile of oral cancer (OC) patients, their risk classification and identify the time between screening and treatment initiation in Rio de Janeiro Municipality.MethodData were obtained from the healthcare Regulation System (SISREG) regarding the period January 2013 to September 2015. Descriptive, bivariate and multivariate analysis were performed identifying the factors associates with a diagnosis of OC as well as the time to treatment initiation (TTI) differences between groups.ResultsFrom 3,862 individuals with a potential OC lesion, 6.9 % had OC diagnosis. OC patients were 62.3 y.o. (mean), 64.7 % male, 36.1 % were white and 62.5 % of the records received a red/yellow estimated risk classification. Being older, male, white and receiving a high-risk classification was associated with having an OC diagnosis. OC TTI was in average 59.1 days and median of 50 days significantly higher than non-OC individuals (p = 0.007). TTI was higher for individuals older than 60 years old, male, and white individuals and for risk classification red and yellow, nevertheless while in average none of these differences were statistically significant, the median of individuals classified as low risk was significantly (p = 0.044) lower than those with high risk.ConclusionsTime to treatment initiation (TTI) was higher for OC patients related to non OC. Despite OC confirmed was associated with risk at screening classified as urgent or emergent, a high percentage of OC patients had their risk classified for elective care when specialized care was requested.
Highlights
This paper aims to describe the profile of oral cancer (OC) patients, their risk classification and identify the time between screening and treatment initiation in Rio de Janeiro Municipality
Despite OC confirmed was associated with risk at screening classified as urgent or emergent, a high percentage of OC patients had their risk classified for elective care when specialized care was requested
This study aims to describe the profile of patients with suspect and confirmed oral cancer, associated factors and time to treatment initiation (TTI) in public health system in Rio de Janeiro municipality, Brazil, from January 2013 to September 2015
Summary
This paper aims to describe the profile of oral cancer (OC) patients, their risk classification and identify the time between screening and treatment initiation in Rio de Janeiro Municipality. Issues with oral health can have as consequences: chronic orofacial pain, cancer of the mouth and pharynx, changes in the soft tissues of the mouth, congenital disabilities, or other conditions that affect the craniofacial complex [1], leading to According to data from the National Cancer Institute (INCA) for Brazil, in the triennium 2020–2022 there were an estimated 625 thousands new cases per year [5] and 225 thousands deaths in 2018 [6]. Almost half of the incidence of Oral Cancer (OC) occurs in the Southeast region [6], where Rio de Janeiro Municipality is located. The evolution in the prevalence estimate of OC is discreet, this disease is a worldwide public health problem due to its high morbidity and mortality [7]. When not treated on time, it is significantly mutilating, causing damage to these patients’ physical and psychological aspects and directly interfering with the quality of life [8]
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