Financial toxicity is a side effect of cancer treatment showing the financial burden experienced by cancer patients for funding their treatment. An instrument for its evaluation can contribute towards the creation of coping strategies. In Brazil, a developing country, cancer patients certainly feel the effects of this serious adverse event, however, the discussion on the theme and research concerning these issues is scarce and an instrument for evaluation can help in the promotion of coping strategies. Thus, the study objective was to: 1) translate and adapt the COmprehensive Score for financial Toxicity (COST) questionnaire to Brazilian culture and 2) evaluate the COST psychometric properties in Brazil. Thus, a methodological study was developed in two stages. In the first stage, the translation and cross-cultural adaptation were performed, and in the second stage, two groups of participants were recruited to evaluate the psychometric properties. In the first stage, 21 individuals participated, including translators and cancer patients, and in the second stage, 126 patients participated who were undergoing cancer treatment. For validation, exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and Cronbach’s alpha coefficient were performed to verify internal consistency. For the first stage’s outcome, the pre-test Cronbach’s alpha was 0.83. The EFA and CFA carried out in the second stage of the study revealed that the COST Brazilian version measures a single construct with a value of—χ2/gl = 179.78, comparative fit index = 0.00, Parsimony goodness of fit index = 0.302, root mean square error of approximation = 1.196 and p-value of close fit = 0.000. When comparing the average of the COST score and the standard deviation of the two samples, the significance value was p = 0.001. Therefore, it is possible to confirm that the COST is a valid and reliable questionnaire to measure the financial toxicity of cancer patients in Brazil.

Objective. To evaluate changes in the quality of life of patients with chronic wounds. Methods. Quantitative research with a cross-sectional design performed with 100 patients with chronic wounds from a university hospital and a Basic Health Unit in southern Brazil. The mean values of the domains of the instruments Wound Quality of Life (Wound-QoL) and Freiburg Life Quality Assessment Wound were compared with sociodemographic variables of age, sex and education. Results. The average age of the participants was 60.98 years old; 41% had diabetic ulcers and 83% treated the wounds for more than 24 months. The total quality of life value was below the mean with 37.50/100 with (Wound-QoL) and 44.20/100 with (FLQA-Wk). The variables of gender, and educational level were not correlated with either of the two instruments used to assess the quality of life. The age variable was significantly correlated with the satisfaction item of the FLQA-Wk. Conclusion. The quality of life of patients with chronic wounds was considered poor. The age variable was correlated with the satisfaction domain, showing that the older the age, the lower the satisfaction. The use of instruments to evaluate the quality of life of patients with chronic wounds may help an effective treatment plan.

Objetivo: Identificar o conhecimento de acadêmicos de enfermagem relacionado aos cuidados e às ações desenvolvidas pelo enfermeiro em sala de recuperação pós-anestésica com vistas à segurança do paciente. Método: Estudo descritivo-exploratório, de abordagem qualitativa, realizado com 30 acadêmicos de enfermagem de uma instituição privada de ensino superior da Região Sul do Brasil. A coleta de dados ocorreu no mês de outubro de 2018, mediante aplicação de questionário semiestruturado. Empregou-se a análise de conteúdo de Bardin para tratamento dos dados. Resultados: Com base nos depoimentos dos entrevistados, emergiu a seguinte categoria: Cuidados e ações do enfermeiro para segurança do paciente, em sala de recuperação pós-anestésica, percebidos pelos acadêmicos de enfermagem. Cuidados rotineiros e mecanicistas, comunicação, liderança, aplicação do processo de enfermagem e uso de protocolos e escalas foram reconhecidos pelos acadêmicos como fundamentais para a segurança do paciente na recuperação. Conclusão: Os acadêmicos de enfermagem reconheceram elementos promotores do cuidado seguro relacionados à assistência de enfermagem na recuperação anestésica.

RESUMO: O Brasil é um dos maiores produtores de crisotila do mundo, mas a ocorrência de mesotelioma é aparentemente baixa. No entanto, a identificação dos casos torna-se difícil por causa de erros de diagnóstico e registro de morte. Este é um estudo epidemiológico, descritivo e retrospectivo de registros hospitalares do Instituto Nacional de Câncer do Brasil, foram selecionados registros câncer de pleura ou histologia do mesotelioma entre [2001][2002][2003][2004][2005][2006][2007][2008][2009][2010][2011][2012][2013][2014] MONITORING OF MESOTHELIOMA IN SOUTHERN BRAZIL: A SITUATION TO BE INVESTIGATEDABSTRACT: Brazil is one of the world's greatest producers of chrysotile, but the occurrence of mesothelioma is apparently low. However, identification of cases of mesothelioma is difficult due to errors of diagnosis and registries of deaths. This is an epidemiological, descriptive and retrospective study of hospital records of Brazil's National Institute of Cancer (INCA). Records of pleural cancer or mesothelioma histology from the 2001-2014 period were selected. We identified 208 records, but only 58 cases of mesothelioma histology. Notably, 13 (22%) had been incorrectly coded as lung cancer. In half the cases, there was no registration of the latest occupations of the patients. We conclude that hospital data on mesothelioma is still imprecise and was incorrectly coded. Besides, the registries do not include information on the workplace and occupation. These findings confirm the need for a proper registry of cases of mesothelioma. DESCRIPTORS: Mesothelioma; Asbestos; Epidemiology. Mientras se apunta que Brasil es un de los mayores productores de crisotila en el mundo, la ocurrencia de mesotelioma es aparentemente baja. Sin embargo, la identificación de los casos es dificil a causa de errores de diagnóstico y registro de muerte. Este es un estudio epidemiológico, descriptivo y retrospectivo de registros hospitalarios del Instituto Nacional de Cáncer de Brasil. Fueron seleccionados registros de cáncer de pleura o histología del mesotelioma entre 2001 y 2014. Se identificaron 208 registros, pero solamente 58 casos con histología de mesotelioma. Se constató que 13 (22%) fueron codificados de modo incorrecto como cáncer de pulmón. La última actividad laboral no estaba presente en mitad de los casos. Se concluye que los datos hospitalarios existentes acerca del mesotelioma todavía son inadecuados por imprecisión y codificación errónea. Además, en los registros no hay informaciones del local de trabajo, así como de la ocupación del paciente. Estos hallados confirman la necesidad de un registro de casos de mesotelioma.