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Waiting Time between Breast Cancer Diagnosis and Treatment in Brazilian Women: An Analysis of Cases from 1998 to 2012

Author

Listed:
  • Naidhia Alves Soares Ferreira

    (Laboratory of Epidemiology and Data Analysis, University Center Health ABC - FMABC, Santo André 09060-870, Brazil
    Oncológica do Brasil Ensino e Pesquisa, Research Center, Belém 63053-000, Brazil
    University Center of Juazeiro do Norte—UNIJUAZEIRO, Juazeiro do Norte 63010-475, Brazil)

  • Jean Henri Maselli Schoueri

    (Laboratory of Epidemiology and Data Analysis, University Center Health ABC - FMABC, Santo André 09060-870, Brazil)

  • Isabel Cristina Esposito Sorpreso

    (Faculty of Medicine, University of São Paulo, São Paulo 05403-000, Brazil)

  • Fernando Adami

    (Laboratory of Epidemiology and Data Analysis, University Center Health ABC - FMABC, Santo André 09060-870, Brazil
    Oncológica do Brasil Ensino e Pesquisa, Research Center, Belém 63053-000, Brazil)

  • Francisco Winter dos Santos Figueiredo

    (Laboratory of Epidemiology and Data Analysis, University Center Health ABC - FMABC, Santo André 09060-870, Brazil
    Faculty of Medicine, University of São Paulo, São Paulo 05403-000, Brazil)

Abstract

Brazilian law requires that treatment for breast cancer begin within 60 days of diagnosis. This waiting time is an indicator of accessibility to health services. The aim of this study was to analyze which factors are associated with waiting times between diagnosis and treatment of breast cancer in women in Brazil between 1998 and 2012. Information from Brazilian women diagnosed with breast cancer between 1998 and 2012 was collected through the Hospital Registry of Cancer (HRC), developed by the National Cancer Institute (INCA). We performed a secondary data analysis, and found that the majority of women (81.3%) waited for ≤60 days to start treatment after being diagnosed. Those referred by the public health system, aged ≥50 years, of nonwhite race, diagnosed at stage I or II, and with low levels of education waited longer for treatment to start. We observed that only 18.7% experienced a delay in starting treatment, which is a positive reflection of the quality of the care network for the diagnosis and treatment of breast cancer. We also observed inequalities in access to health services related to age, region of residence, stage of the disease, race, and origin of referral to the health service.

Suggested Citation

  • Naidhia Alves Soares Ferreira & Jean Henri Maselli Schoueri & Isabel Cristina Esposito Sorpreso & Fernando Adami & Francisco Winter dos Santos Figueiredo, 2020. "Waiting Time between Breast Cancer Diagnosis and Treatment in Brazilian Women: An Analysis of Cases from 1998 to 2012," IJERPH, MDPI, vol. 17(11), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:4030-:d:367828
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