Navegando por Autor "Figueiredo, Luiza Ohasi de"

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Perfil de pacientes com sarcoma de partes moles tratados no Sistema Único de Saúde (SUS) do Brasil no período de 2000 a 2015
(Faculdade Ciências Médicas de Minas Gerais, 2021-09-22) Figueiredo, Luiza Ohasi de; Rodrigues, Angélica Nogueira
Introduction: Little is known about soft tissue sarcomas (STS) in Brazil, once the federal statistics regarding estimates on incidence and mortality of the most common cancers that affect the Brazilian population currently do not include STS. This study aims to perform a broad evaluation and description of the epidemiological profile, access to treatment and main clinical outcomes of the Brazilian STS patient. Methods: A population-based cohort study of 66,825 patients who underwent procedures related to STS treatment registered in the Brazilian public health system (Sistema Único de Saúde, SUS) databases. Results: Median age was 57 years, 30% of them older than 65 years, and 50.7% of the cohort was female. The majority, 50,383 patients (75.4%), was diagnosed between 2008 and 2015. Most prevalent anatomic sites were head and neck (13.6%) and upper and lower limbs (12.6%). The registry of sarcomas without a specific location comprehended 29.7% of the cohort. The majority of patients resided in the Northeast (40.2% of the patients). Surgery was the first treatment modality in 77.7% of the cases. The 1,5 and 10 y survival were: 82%, 57% and 42%, in line with international data. Male gender, age above 65 years old and with STS of the peritoneum and retroperitoneum, thorax and torso, were identified as negative prognostic predictors. Conclusion: This 66,825 patient cohort demonstrates Brazilian’s reality about the epidemiology and treatment of the STS, and may contribute to a reorganization of the health system, as well as provide a positive impact on the patients’ clinical outcomes