利用Mann Kendal趋势检验评价巴西乳腺癌和妇科癌症控制项目的进展

Oluwafunmilola Awe
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摘要

乳腺癌和妇科癌症(BGC)极大地增加了巴西的医疗负担,因为大多数妇女在诊断时已进入晚期,再加上开始治疗前要排长队,这导致更多妇女死亡。自20世纪80年代中期以来,巴西实施了许多公共政策(1998年Mulher项目)。2012年,巴西提出了“60天法律”来解决治疗延误问题。不幸的是,2019冠状病毒病大流行进一步加剧了这些疾病对妇女的影响,特别是今年是《应对慢性非传染性疾病包括慢性非传染性疾病战略行动计划》目标的终结年。目的:本研究旨在利用选定的指标评估BGC控制项目的进展,并开发应用程序,以促进巴西的癌症控制。方法学:采用Mann-Kendall趋势检验对1996-2023年巴西27个联邦单位选定流行病学指数的趋势进行建模。预期结果-与BGC控制程序相关的进展或缺乏进展。结论:需要对现状进行评估,以便向决策者提出适当的建议,以应对已确定的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the Progress in Breast and Gynecological Cancer Control programs in Brazil using Mann Kendal Trend Test
Introduction-Breast and Gynecological cancers (BGC) contribute immensely to the healthcare burden in Brazil, because majority of women present at diagnosis, with advanced disease stage coupled with long queue before commencement of treatments, which has led to more deaths of women. Many public policies have been put in place in Brazil since mid-1980s, VIVA Mulher program, 1998. In 2012, Brazil came up with the “laws of 60 days” to tackle the delay in treatment. Unfortunately, COVID-19 Pandemic has further worsened the impact of these diseases on women, especially, that this year marks the end of the target of the Strategic Action Plan to Confront Chronic Non-Communicable Diseases including BGCs. Objective-This study aims to evaluate the progress of BGC control programs using selected indicators and develop applications to facilitate cancer control in Brazil. Methodology-Trends of selected Epidemiological indices will be modelled across the 27 federative units of Brazil from 1996-2023 using Mann-Kendall trend test. Expected Outcome-Progress or lack of it with respect to BGC control programs. Conclusion-There needs to be an evaluation of current state of things so appropriate recommendations can be made to policy makers to tackle the identified challenges.
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