Changes in mastectomy rates at a Brazilian public hospital over 20 years (1989 to 2008)

Balabram, Débora; Araújo, Fábio Braga; Porto, Simone; Rodrigues, Joyce Soares; Sousa, Atila Silva; Siqueira, Arminda Lúcia; Gobbi, Helenice

doi:10.1590/s1516-31802012000600002

Cited by 3 publications

(4 citation statements)

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“…In our study, the frequencies of stages did not change over the years (P = 0.114, data not shown). It is possible that in the later years of the study, more patients were diagnosed with in situ tumors, which has been shown in a previous publication [18], but these tumors were not the scope of the present study. Also, our time span was too small to show any differences.…”

Section: Discussionmentioning

confidence: 78%

“…Our data come from patients treated from 2001 to 2008 at the Clinical Hospital of the Federal University of Minas Gerais (Hospital das Clínicas, Universidade Federal de Minas Gerais, HC-UFMG), Belo Horizonte, Brazil. The HC-UFMG is a general teaching hospital that treats mostly patients from the SUS coming from Belo Horizonte (the state’s capital) or from smaller cities without a tertiary health care center [18]. It provides patients with surgery as well as chemo- and endocrine therapies.…”

Section: Introductionmentioning

confidence: 99%

“…Radiotherapy is performed at other cancer centers in the city. The Breast Pathology Laboratory of the UFMG School of Medicine is responsible for all breast pathology exams from the HC-UFMG and it has kept records of diagnostic and surgical specimens from it since 1989 [18]. …”

Section: Introductionmentioning

confidence: 99%

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Survival of patients with operable breast cancer (Stages I-III) at a Brazilian public hospital - a closer look into cause-specific mortality

2013

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BackgroundBreast cancer incidence is increasing. The survival rate varies and is longer in high-income countries. In Brazil, lower-income populations rely on the Unified Public Health System (Sistema Único de Saude, SUS) for breast cancer care. The goal of our study is to evaluate the survival of patients with operable breast cancer stages I-III at a Brazilian public hospital that treats mostly patients from the SUS.MethodsA cohort study of patients who underwent surgery for breast cancer treatment at the Clinical Hospital of the Federal University of Minas Gerais from 2001 to 2008 was performed, with a population of 897 cases. Information on tumor pathology and staging, as well as patients’ age and type of health coverage (SUS or private system) was collected. A probabilistic record linkage was performed with the database of the Mortality Information System to identify patients who died by December 31th, 2011. The basic cause of death was retrieved, and breast cancer-specific survival rates were estimated with the Kaplan-Meier method. The Cox proportional hazards model was used for univariate and multivariate analysis of factors related to survival.ResultsA total of 282 deaths occurred during the study’s period, 228 of them due to breast cancer. Five-year breast cancer-specific survival rates were 95.5% for stage I, 85.1% for stage II and 62.1% for stage III disease. Patients from the SUS had higher stages at diagnosis (42% was in stage III, and from the private system only 17.6% was in this stage), and in the univariate but not multivariate analysis, being treated by the SUS was associated with shorter survival (hazard ratio, HR = 2.22, 95% CI 1.24-3.98). In the multivariate analysis, larger tumor size, higher histologic grade, higher number of positive nodes and age older than 70 years were associated with a shorter breast cancer-specific survival.ConclusionsFive-year breast cancer survival was comparable to other Brazilian cohorts. Patients treated by the SUS, rather than by the private system, had shorter survival times, mostly due to higher initial stage of the disease.

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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

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Survival of patients with operable breast cancer (Stages I-III) at a Brazilian public hospital - a closer look into cause-specific mortality

2013

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“…Particularly, mastectomy has played an important role in this field, and it currently ranks among the most common treatments. In recent reports from Saudi Arabia (Al‐Gaithy et al., 2019 ) and Brazil (Balabram et al., 2012 ), its rates ranged from 62.4% to 64.6% of all procedures related to breast cancer in 2011 (Brazil) and 2018 (Saudi Arabia); in some provinces of China (Huang et al., 2016 ; Lu et al., 2015 ), these numbers went as high as 80.41%–81.7% in 2014.…”

Section: Introductionmentioning

confidence: 97%

Body image and hopelessness among early‐stage breast cancer survivors after surgery in China: A cross‐sectional study

Yin

Wang

et al. 2021

Nursing Open

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Worldwide, breast cancer is the most common cancer among women (Ferlay et al., 2015). Based on data from the Global Cancer Statistics 2018, it accounted for nearly 2.1 million newly diagnosed cancer cases in 185 countries (Bray et al., 2018). In China, from 2009 to 2011, breast cancer cases were estimated to be around 15.1% of all newly diagnosed cancer cases (Chen et al., 2016), and it is predicted that 2.5 million new cases of breast cancer will be diagnosed among Chinese women by 2021 (Linos et al., 2008). Particularly, mastectomy has played an important role in this field, and it currently ranks among the most common treatments. In recent reports from Saudi Arabia (Al-Gaithy et al., 2019) and Brazil (Balabram et al., 2012), its rates ranged from 62.4% to 64.6% of all procedures related to breast cancer in 2011 (Brazil) and 2018 (Saudi Arabia); in some provinces of China (Huang et al., 2016;Lu et al., 2015), these numbers went as high as 80.41%-81.7% in 2014.Notwithstanding, such surgery procedures often cause many adverse effects towards breast cancer survivors' physical, psychological and spiritual health in the postsurgery period. Previous studies demonstrated that breast cancer surgery survivors could experience nausea and vomiting (Wesmiller et al., 2017

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Determinants of advanced stage presentation of breast cancer in 87,969 Brazilian women

et al. 2015

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Changes in mastectomy rates at a Brazilian public hospital over 20 years (1989 to 2008)

Cited by 3 publications

References 45 publications

Survival of patients with operable breast cancer (Stages I-III) at a Brazilian public hospital - a closer look into cause-specific mortality

Survival of patients with operable breast cancer (Stages I-III) at a Brazilian public hospital - a closer look into cause-specific mortality

Body image and hopelessness among early‐stage breast cancer survivors after surgery in China: A cross‐sectional study

Determinants of advanced stage presentation of breast cancer in 87,969 Brazilian women

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