Repercussions of the COVID-19 pandemic on breast cancer actions in a Brazilian state.

IF 1.3 Q3 NURSING
Paula Danniele Dos Santos Dias, Mary Elizabeth de Santana, Vera Lúcia de Azevedo Lima
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引用次数: 0

Abstract

Objective: To analyze whether the COVID-19 pandemic had an impact on the screening, diagnosis and treatment of breast cancer in women up to 50 years of age in the state of Pará.

Methods: Retrospective, cross-sectional study with a quantitative approach, using data from the Information Technology Department of the Brazilian Unified Health System. (DATASUS). The number of exams carried out in the pre-pandemic (2018-2019) and pandemic (2020-2021) period was analyzed based on the percentage variation, application of the chi-square test and G test for the time of exams and start time of treatment.

Results: During the pandemic period, there was a greater number of screening mammograms (+3.68%), cytological (+23.68%), histological (+10.7%) and a lower number of diagnostic mammograms (-38.7%). The time interval for carrying out the exams was up to 30 days for screening and diagnostic exams and more than 60 days to start treatment during the pandemic period.

Conclusion: Although the results indicate an increase in the number of screening and diagnostic procedures for breast cancer during the pandemic period, with the exception of diagnostic mammography, when considering probability values, the study points out that statistically the COVID-19 pandemic did not interfere with actions of breast cancer, in women over 50 years of age, in the state of Pará. Considering the autonomy of nursing and its role in public health, it is up to the professionals who are in charge of primary care programs to implement contingency plans in periods of crisis so that the population is not left unassisted.

COVID-19 大流行对巴西某州乳腺癌防治行动的影响。
目的分析 COVID-19 大流行是否对帕拉州 50 岁以下女性乳腺癌的筛查、诊断和治疗产生了影响:回顾性横断面定量研究,使用巴西统一卫生系统信息技术部(DATASUS)提供的数据。(DATASUS)的数据。根据百分比变化分析了大流行前(2018-2019年)和大流行期间(2020-2021年)进行的检查次数,并对检查时间和治疗开始时间进行了卡方检验和G检验:结果:在乳腺癌大流行期间,乳腺筛查(+3.68%)、细胞学检查(+23.68%)和组织学检查(+10.7%)的数量增加,而乳腺诊断检查的数量减少(-38.7%)。在大流行期间,筛查和诊断检查的时间间隔长达 30 天,而开始治疗的时间间隔则超过 60 天:尽管研究结果表明,在大流行期间,乳腺癌筛查和诊断程序的数量有所增加(诊断性乳房 X 线照相术除外),但考虑到概率值,研究指出,从统计学角度来看,COVID-19 大流行并没有干扰帕拉州 50 岁以上妇女的乳腺癌防治行动。考虑到护理工作的自主性及其在公共卫生中的作用,应由负责初级保健计划的专业人员在危机时期实施应急计划,以避免民众得不到援助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Investigacion y Educacion en Enfermeria
Investigacion y Educacion en Enfermeria Nursing-Maternity and Midwifery
CiteScore
2.60
自引率
5.00%
发文量
34
审稿时长
14 weeks
期刊介绍: The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.
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