RESUMOO envelhecimento populacional é um fato presente universalmente nos dias de hoje. Com a diminuição da mortalidade e o aumento da expectativa de vida, houve um substancial acréscimo do número de idosos e da prevalência de doenças crônicas não transmissíveis. Essa mudança no perfil epidemiológico trouxe um novo problema de saúde pública: a incapacidade dos cuidados paliativos (CP) em abranger todo o contingente populacional que necessita deste tratamento. O objetivo desse trabalho foi determinar o papel da atenção primária à saúde (APS) nos indivíduos idosos que atualmente encontram-se em cuidados paliativos. Foi realizada uma revisão narrativa de literatura com busca de artigos na plataforma Biblioteca Virtual de Saúde (BVS). A pesquisa evidenciou a importância da reorganização dos serviços de atenção primária à saúde para assegurar a oferta dos cuidados paliativos de forma adequada e garantir o acesso necessário à população idosa.
Em meio à crescente cultura do uso abusivo e indiscriminado de exames, procedimentos e tratamentos, surgiu a iniciativa Choosing Wisely ("escolhendo com sabedoria" em tradução literal), a qual tem o intuito de evitar a realização de condutas desnecessárias
Cancer incidence has increased significantly in low- and middle-income countries. The priorities of international health research are not always aligned with the global burden of cancer. This study aims to analyze global tendencies in clinical trials in oncology and discuss research priorities and resource allocation in the investigation of new drugs for cancers that significantly affect the least developed countries. This was a retrospective and analytical study that included data collected from the World Health Organization's International Clinical Trials Registry Platform (ICTRP) in 2014. According to our results, there was a tendency for clinical trials involving breast and lung cancer to be conducted in countries with a lower level of economic development. On the other hand, cervical, stomach, and liver cancer, despite the significant burden that these place on middle- and low-income countries, were studied little among the countries selected. In conclusion, the organizations that most fund research to develop new drugs for cancer treatment continue to show little interest in prioritizing resources to fund research for certain types of cancer such as those of the cervix, stomach, and liver, which have a significant impact in low- and middle-income countries.
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