Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors

Freire, Aldelany Ramalho; Freire, Déborah Ellen Wanderley Gomes; Júnior, Gilberto Alfredo Pucca; Carrer, Fernanda Campos de Almeida; Sousa, Simone Alves de; Lucena, Edson Hilan Gomes de; Cavalcanti, Yuri Wanderley

doi:10.1590/1807-3107bor-2021.vol35.0042

Cited by 5 publications

(8 citation statements)

References 27 publications

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“…O sexo masculino foi o mais prevalente neste estudo, e os pacientes acometidos pelo CCP se caracterizaram, em sua maioria, por idosos com a média de idade de 65 anos ± 12,54 e de etnia parda, corroborando os resultados de outros estudos [8][9][10][11] .…”

Section: Discussionunclassified

“…As condições socioeconômicas encontradas nos indivíduos foram a predominância do ensino fundamental incompleto, agricultura como atividade laboral e renda mensal em torno de um salário-mínimo, sendo essas características interligadas para a incidência de CCP [12][13] . Considerando que a baixa escolaridade e a renda podem estar relacionadas ao menor conhecimento sobre prevenção do CCP, autoavaliação da boca, falta de acesso aos serviços de saúde e, ainda, o fato de profissionais como os agricultores estarem mais expostos à radiação solar e agrotóxicos, são fatores predisponentes às neoplasias [8][9][10] .…”

Section: Discussionunclassified

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Caracterização dos Microrganismos Presentes na Cavidade Oral e Orofaringe de Pacientes Acometidos pelo Câncer de Cabeça e Pescoço Atendidos em um Centro Odontológico Localizado no Agreste Pernambucano: Estudo Piloto

Silva,

Alves,

Barbosa

et al. 2023

Arch Health Invest

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Introdução: A cavidade oral e a orofaringe apresentam uma gama diversificada de microrganismos em homeostase com o próprio hospedeiro, entretanto, a terapia antineoplásica pode desencadear uma imunossupressão capaz de provocar diversas alterações nesses indivíduos. Objetivo: Caracterizar os microrganismos da cavidade oral e orofaringe de pacientes acometidos pelo Câncer de Cabeça e Pescoço (CCP) em tratamento com antineoplásicos, atendidos em um Centro Odontológico localizado no Agreste Pernambucano. Métodos: Trata-se de um estudo caso controle (17 indivíduos do grupo estudo acometidos por CCP e 17 indivíduos do grupo controle), em que foram realizadas coletas microbiológicas através de esfregaço com swabs no assoalho bucal e orofaringe, posteriormente processadas para identificação microbiana através de testes fenotípicos. A verificação do perfil de resistência foi realizada seguindo a difusão em disco de Kirby-Bauer. Resultados: Os isolados corresponderam à presença do gênero Candida em todos os pacientes, além de bactérias oportunistas, sendo Enterobacterales, Staphylococcus ssp., Enterococcus ssp. mais predominantes no grupo estudo (67,64%). Foi detectada multiressistência de bactérias oportunistas a várias classes de antibióticos, como aminoglicosídeos, carbapenêmicos, cefalosporinas, fluoroquinolonas, glicopeptídeos, macrolídeos e penicilinas. Já entre as bactérias da microbiota normal, os Streptococcus viridans foram menos prevalentes no grupo estudo, correspondendo a (32,35%). Conclusão: O microbioma oral e orofaríngeo sofreu mudanças significativas nos pacientes em tratamento antineoplásico, podendo contribuir para o aumento da susceptibilidade a infecções por microrganismos multirresistentes que podem limitar as opções terapêuticas.

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Section: Discussionunclassified

Caracterização dos Microrganismos Presentes na Cavidade Oral e Orofaringe de Pacientes Acometidos pelo Câncer de Cabeça e Pescoço Atendidos em um Centro Odontológico Localizado no Agreste Pernambucano: Estudo Piloto

Silva,

Alves,

Barbosa

et al. 2023

Arch Health Invest

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“…Black individuals have a worse prognosis for oral cancer due to late diagnosis of the disease, or difficult access to health care ( 11 , 13 ). However, the SUS plays an important role in reducing these inequities by prioritizing the most vulnerable populations, to improve the epidemiological picture of oral cancer in Brazil ( 12 ). According to the results of the present study, non-white individuals were the majority in the SUS referral to the hospital service.…”

Section: Discussionmentioning

confidence: 99%

“…Population in situation of social vulnerability are the most affected by the lack of access. However, a large part of the Brazilian population depends on health care provided by the Unified Health System (SUS) ( 12 ). Although there are several challenges in the diagnosis and prevention of oral cancer, the increase in health coverage and the increase in the number of Dental Specialty Centers contributed to a reduction in the number of hospitalizations due to oral cancer in Brazil ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…These cases are registered through the Hospital Cancer Records Integrator linked to the José de Alencar Gomes da Silva National Cancer Institute (INCA). These records allow to monitoring the severity of cancer cases, as well as their possible relationship with socioeconomic factors ( 12 ). Some studies from our research group have used the Hospital Cancer Records from INCA to discuss the association between oral cancer, socioeconomic factors and public health coverage ( 3 , 4 , 12 ).…”

Section: Introductionmentioning

confidence: 99%

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Association between socioeconomic factors and origin of hospital referrals among patients with oral cancer

Raymundo

Ferreira²,

Gomes-Freire³

et al. 2022

Med Oral

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Background The Brazilian Unified Health System (SUS) is responsible for offering free assistance to more than 100 million Brazilians, including treatment of oral cancer lesions. Considering that the Brazilian public system aids the most vulnerable population, this study analyzed whether the origin of hospital referrals of patients with oral cancer is associated with socioeconomic factors. Material and Methods A cross-sectional study was carried out from cancer hospital records of the National Cancer Institute (RHC-INCA), considering the primary locations (C00 to C06) diagnosed between 2016 and 2019. Data on gender, skin color (white and non-white), education (no schooling, incomplete or complete elementary education; high school; incomplete and complete higher education) and origin of referral (SUS and non-SUS) were analyzed by multiple logistic regression ( p <0.05). Results Higher referral rates by the SUS were observed in 2017 (OR=1.27; 95% CI=1.098-1.480) and 2018 (OR=1.28; 95% CI=1.101-1.490); no differences were found between the years 2016 and 2019. Regarding gender, men were 40% more likely to have the SUS as the source of referral (OR=1.40; 95% CI=1.233-1.600). Non-white individuals were 34% more likely to have the SUS as the source of the referral (OR=1.34; 95% CI=1.190-1.512). Illiterate individuals or individuals who only attended elementary school were 6.38 times more likely to be referred by the SUS than individuals with higher education (OR=6.38; 95% CI=5.228-7.796). Conclusions It is concluded that the origin of hospital referrals via SUS of patients with oral cancer is associated with socioeconomic factors. Key words: Mouth neoplasms, oral diagnosis, health service coverage.

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Impact of COVID-19 pandemic on completed treatments and referrals during urgent dental visits

Zajkowski,

Scarparo,

Silva

et al. 2023

Braz. oral res.

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This ecological study assessed the impact of the COVID-19 pandemic on completed treatments (CTs) and referrals during urgent dental visits to primary health care units in Brazil, and their associations with socioeconomic, geodemographic, and pandemic index factors in Brazilian municipalities. The difference in rates of procedures 12 months before and during the pandemic was calculated. Data were extracted at baseline from health information systems of all municipalities that provided urgent dental care (n = 5,229 out of 5,570). Multiple logistic regression predicted the factors associated with referrals and CTs. The number of dental urgencies increased from 3,987.9 to 4,272.4 per 100,000 inhabitants. The rates of referrals decreased in 44.1% of the municipalities, while 53.9% had lower rates of CTs. Municipalities with a greater number of oral health teams in the primary health care system (OR = 1.52, 95%CI:1.21-1.91) and with specialized services (OR = 1.80, 95%CI:1.50-2.16) were more likely to decrease referrals during the pandemic. Higher HDI and GDP per capita were associated with a larger decrease in referrals and smaller decrease in CTs. The calamity generated by the long pandemic period resulted in a greater demand for urgent visits. Less developed and larger cities seem to have been more likely to not complete treatments during urgent visits in primary dental care units in times of calamity. Primary dental care offices in smaller and less developed municipalities should be better equipped to provide appropriate assistance and to improve the problem-solving capacity of dental services during emergencies.

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Diagnosis of mucosal changes and hospitalized oral cancer patients in Brazil: influence of socioeconomic factors

Cited by 5 publications

References 27 publications

Caracterização dos Microrganismos Presentes na Cavidade Oral e Orofaringe de Pacientes Acometidos pelo Câncer de Cabeça e Pescoço Atendidos em um Centro Odontológico Localizado no Agreste Pernambucano: Estudo Piloto

Caracterização dos Microrganismos Presentes na Cavidade Oral e Orofaringe de Pacientes Acometidos pelo Câncer de Cabeça e Pescoço Atendidos em um Centro Odontológico Localizado no Agreste Pernambucano: Estudo Piloto

Association between socioeconomic factors and origin of hospital referrals among patients with oral cancer

Impact of COVID-19 pandemic on completed treatments and referrals during urgent dental visits

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