Increasing pancreatic cancer is not paralleled by pancreaticoduodenectomy volumes in Brazil: A time trend analysis

Souza, Lucila Marieta Perrotta de; Moreira, Jessica P.L.; Fogaça, Homero Soares; Eulálio, José Marcus Raso; Luiz, Ronir Raggio; Souza, Heitor

doi:10.1016/j.hbpd.2018.12.007

Cited by 5 publications

(7 citation statements)

References 35 publications

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“…The second domain identified concerns the reliability of data provided by DATASUS (29.78%, n=14). The main aspect highlighted by the authors is dependence of the platform on filling out of forms in the executing hospitals, which generates the possibility of bias in the reporting of information 32 , 33 , 41 , 44 , 45 , 54 , with a probability of including multiple or wrong diagnoses in the database 16 , in addition to the risk of underreporting 31 , 46 . Forms are usually filled by administrative technicians and non-medical professionals, which increases the risk of bias in the information provided 52 .…”

Section: Resultsmentioning

confidence: 99%

“…Several authors also highlighted the lack of information about the private health system on the DATASUS platform 14,16,17,[20][21][22]31,41,45,[48][49][50]55 .…”

Section: Collection Summarization and Results Reportingmentioning

confidence: 99%

Section: Data Reliabilitymentioning

confidence: 99%

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Limitations of using the DATASUS database as a primary source of data in surgical research: a scoping review

VIANA,

FALEIRO,

MENDES

et al. 2023

Rev. Col. Bras. Cir.

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Objective: DATASUS is the Brazilian Public Unified Health System (SUS) department responsible for providing health data that are used as a primary source of data in several studies on surgery and surgical specialties although its main limitations have not been previously reviewed. The objective of this work is to synthesize information from studies on surgery that used DATASUS systems as a data source and to identify the main gaps in this platform. Methods: a scoping review was conducted according to the PRISMA-ScR method to identify papers on surgery, and other surgical specialties, that used the DATASUS platform as a primary data source. No restrictions were imposed regarding the type of study or year of publication. Grounded Theory was used to analyze the content of the articles. Results: 248 works were initially analyzed and 47 were included in the final analysis of this study. The original articles included were published between 2009 and 2022 and the majority (12.76%, n=6) were published in the Journal of the Brazilian College of Surgeons. Retrospective studies (40.43%, n=19) were the most common type of study found. Content analysis of the articles identified four predominant domains in the scientific literature about the limitations of using DATASUS in surgical research: lack of data, reliability, precision and data integration. Conclusion: the information systems available in DATASUS are the largest source of information about the SUS, but the scientific literature on the quality of data available in these systems remains scarce and studies aimed at measuring this metric are necessary.

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Section: Resultsmentioning

confidence: 99%

“…Several authors also highlighted the lack of information about the private health system on the DATASUS platform 14,16,17,[20][21][22]31,41,45,[48][49][50]55 .…”

Section: Collection Summarization and Results Reportingmentioning

confidence: 99%

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Limitations of using the DATASUS database as a primary source of data in surgical research: a scoping review

VIANA,

FALEIRO,

MENDES

et al. 2023

Rev. Col. Bras. Cir.

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“…For the statistical analysis, we used the same approach as in previous studies from our group. [16,17] HCC hospitalization rates were determined after correcting for the total number of available hospital beds and divided by the resident population in Brazil annually, from 2005 to 2018. Estimates of the resident population were obtained from the Instituto Brasileiro de Geografia e Estatística (IBGE; Brazilian Institute of Geography and Statistics) projections.…”

Section: Discussionmentioning

confidence: 99%

Time trends and geographic distribution of hepatocellular carcinoma in Brazil: An ecological study

et al. 2022

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The incidence of hepatocellular carcinoma (HCC) is increasing globally, and HCC is the fourth leading cause of cancer-related death. This ecological study aimed to investigate the time trends and geographic distribution of HCC in Brazil. Data from the Brazilian Health Public System were retrospectively collected from January 2005 to December 2018. Hospitalization and intrahospital lethality rates for HCC were stratified by age and sex. Hospitalization rates and associated lethality per 100,000 inhabitants in each municipality were included in a worksheet to build maps displaying the estimates and the geographic distribution of HCC. From 2005 to 2018, a total of 75,466 admissions for HCC were registered and the mean hospitalizations increased from 2.1 to 5.8/100,000 inhabitants (176%). The greatest increase occurred among patients older than 50, particularly in males above 70 years old. Prevalence rates increased throughout the country, with the highest levels detected in the South and Southeast. However, the increase was proportionally higher in the Northeast (377%), especially in municipalities not integrated into metropolitan regions. The HCC lethality rate remained relatively stable in both sexes, ranging from 21% to 25% (19%), but it was higher among older patients. The length of hospital stay did not differ between survivors and nonsurvivors throughout the study period. HCC hospitalizations are rising, particularly above 50 years of age and in rural areas, not paralleled by lethality rates. This suggests ongoing changes in environmental and socioeconomic factors in Brazil. Abbreviations: HCC = hepatocellular carcinoma, ICD-10 = International Classification of Diseases 10th Revision, MR = metropolitan region.

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“…Incidence of hospitalization in the Brazilian Unified Health System (SUS, in Portuguese) for pancreatic cancer also increased. Between 2002 and 2015, an increase was reported in hospitalization rates, from 2.4 to 4.5/100,000 inhabitants, with an increase of 75% and 109% in each region of the country, mostly in state capitals 8 .…”

Section: Introductionmentioning

confidence: 99%

The increasing burden of pancreatic cancer in Brazil from 2000 to 2019: estimates from the Global Burden of Disease Study 2019.

Chaves

Bastos

Almeida

et al. 2022

Rev. Soc. Bras. Med. Trop.

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Introduction: Pancreatic cancer is increasing worldwide. The burden of pancreatic cancer in Brazil and its states was analyzed and compared with that from the USA and China. Methods: This is a descriptive study of the incidence and mortality estimates from the Global Burden of Disease 2019 study, from 2000 to 2019. The Brazilian states presenting the highest and lowest socio-demographic index (SDI) were selected from each of the five regions. The SDI consists of the per capita income, education, and fertility rate of each population. Results: A significant increase was found in age-standardized incidence and mortality of pancreatic cancer in all three countries, with differences in magnitude and annual increases. In Brazil, this incidence rose from 5.33 [95% Uncertainty Interval (UI): 5.06-5.51] to 6.16 (95% UI: 5.68-6.53) per 100,000 inhabitants. China and the Brazilian states with the lowest SDI, such as Pará and Maranhão, showed lower incidence and mortality rates, although presenting the highest annual increases. No difference was found between the sexes. A higher mortality rate was observed for those individuals of 70+ years, which was three to four times higher than those aged 50 to 69 years. Conclusions: The increasing burden of pancreatic cancer in the studied countries, and the higher estimates for the elderly in a fast-aging country such as Brazil, indicates that more resources and health policies will be necessary. The greatest increase in the states with lower SDI reflects inequalities in the access to diagnosis and registries of this cancer.

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Increasing pancreatic cancer is not paralleled by pancreaticoduodenectomy volumes in Brazil: A time trend analysis

Cited by 5 publications

References 35 publications

Limitations of using the DATASUS database as a primary source of data in surgical research: a scoping review

Limitations of using the DATASUS database as a primary source of data in surgical research: a scoping review

Time trends and geographic distribution of hepatocellular carcinoma in Brazil: An ecological study

The increasing burden of pancreatic cancer in Brazil from 2000 to 2019: estimates from the Global Burden of Disease Study 2019.

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