Temporal trends in treatment delays for oral and oropharyngeal cancer in Brazil: An analysis of the national database

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry Pub Date : 2025-02-05 DOI:10.1111/jphd.12658

Marcio Vinícius Campos Borges DDS, MSc, Erika Martins Pereira DDS, PhD, Raysa Theresa Pinheiro Santos DDS, Izabel Cristina Vieira de Oliveira DDS, MSc, Erika Barbara Abreu Fonseca Thomaz DDS, PhD, Vandilson Rodrigues DDS, PhD

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引用次数: 0

Abstract

Objectives

This study investigated regional trends in delays between the histological diagnosis of oral and oropharyngeal cancer and initiation of treatment across Brazil's federal units from 2013 to 2019.

Methods

A retrospective, observational study was conducted using secondary data from the Brazilian Health System Database (DATASUS) for the years 2013–2019. Variables collected included the year of treatment, sex, age group, anatomical location, disease stage, treatment method, and federal unit of Brazil. Thematic maps were generated, and time series were analyzed using joint-point regression.

Results

A total of 72,062 cases were included in the study. Majority of cases were of men (79.32%) and individuals older than 45 years (91.15%). Treatment was initiated earlier in younger patients, in cases of lip cancer, and among those who had undergone surgery. In 11 states, a significant decrease was observed in initiating treatment for oral cancer 60 days from diagnosis, whereas a significant increase was observed in three states. For oropharyngeal cancer, a significant decrease was observed in initiating treatment at 60 days from diagnosis in three states, whereas a significant increase was observed in five states.

Conclusions

The findings revealed a high degree of heterogeneity in treatment delays for oral and oropharyngeal cancer across Brazil from 2013 to 2019. The northern states of Brazil exhibited a high percentage of treatment delays exceeding 60 days.

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巴西口腔癌和口咽癌治疗延迟的时间趋势：国家数据库分析。

目的：本研究调查了2013年至2019年巴西联邦单位口腔和口咽癌组织学诊断与开始治疗之间延迟的区域趋势。方法：采用2013-2019年巴西卫生系统数据库（DATASUS）的辅助数据进行回顾性观察性研究。收集的变量包括治疗年份、性别、年龄组、解剖位置、疾病分期、治疗方法和巴西联邦单位。生成主题图，并利用结合点回归对时间序列进行分析。结果：本研究共纳入72062例。以男性（79.32%）和45岁以上（91.15%）居多。年轻患者、唇癌患者和接受过手术的患者较早开始治疗。在11个州中，在诊断后60天内开始接受口腔癌治疗的人数显著减少，而在3个州中则显著增加。对于口咽癌，三个州在诊断后60天开始治疗时观察到显著减少，而五个州观察到显著增加。结论：研究结果显示，2013年至2019年，巴西各地口腔癌和口咽癌的治疗延迟存在高度异质性。巴西北部各州的治疗延误超过60天的比例很高。

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

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.