统一卫生系统中因恶性皮肤肿瘤住院的情况:生态时间序列研究

Concilium Pub Date : 2024-07-08 DOI:10.53660/clm-3684-24n07c
Alan Greison Ramos Silva Junior, Júlia Assunção Freire, Laura Mendes Vilaça, Luiza Brito Dutra, Maria Luiza Silveira Lopes, Taynnah maria de Freitas Gontijo Barcellos, Karina Andrade de Prince
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引用次数: 0

摘要

分析巴西统一卫生系统中因恶性皮肤肿瘤住院的情况。这是一项时间序列描述性生态学研究,数据来自统一卫生系统医院信息系统,采用普拉伊斯-温斯顿广义线性回归法进行分析。2013年至2022年期间,共记录了453714例因皮肤恶性肿瘤住院的病例,其中80.4%为选择性住院,平均死亡率为2.1%。另一方面,进展到治愈的住院病例显示出最高值(22.7 和 69.1 例/100,000),并呈上升趋势。巴西的住院率从2013年的每10万居民16.2例增加到2022年的每10万居民28.6例,但在2020年和2021年,即Covid-19大流行期间,住院率有所下降。在分析期间,虽然死亡率保持稳定,但住院系数有所增加,尤其是在 80 岁年龄组、男性和巴西南部。因此,必须改进公共政策,提高民众对皮肤癌的认识,以便进行早期诊断和治疗,从而减少并发症,节省公共系统的开支。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospitalizations due to malignant skin neoplasm in the unified health system: an ecological time-series study
To analyze hospitalizations due to malignant skin neoplasms in the Brazilian Unified Health System. This is a descriptive ecological study of time series, with data from the SUS Hospital Information System, analyzed using Prais-Winsten generalized linear regression. Between 2013 and 2022, 453.714 hospitalizations due to cutaneous malignancy were recorded, 80.4% of which were elective and the average mortality rate was 2.1%. On the other hand, hospitalizations that progressed to cure showed the highest values (22.7 and 69.1 cases/100,000) and an increasing trend. The hospitalization rate in Brazil grew, from 16.2 cases per 100 thousand inhabitants in 2013 to 28.6 per 100 inhabitants in 2022, however, there was a reduction in 2020 and 2021, the period of the Covid-19 pandemic. There was an increase in the coefficient of hospitalizations during the period analyzed, especially in the age group of 80 years, males and Southern Brazil, although a stationary mortality rate is maintained. Thus, it is important to improve public policies that raise awareness among the population about skin cancer, in order to carry out an early diagnosis and treatment, aiming at reducing complications and saving the public system.
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