Artigo

A model to optimize public health care and downstage breast cancer in limited-resource populations in southern Brazil. (Porto Alegre Breast Health Intervention Cohort)

BERNARDETE WEBER, ADEMAR JOSE BEDIN JUNIOR, DAKIR LOURENCO DUARTE FILHO, PATRICIA ASHTON PROLLA, GIOVANA PAGGIARIN SKONIESKI, JULIANA MACHADO ZIGNANI, MAIRA CALEFFI, RODRIGO ANTONINI RIBEIRO, LUCIANE RAMPANELLI FRANCO, JEFFERSON GOMES FERNANDES , JULIANA GIACOMAZZI, PAULA POHLMANN, PHILIP KIVITZ

BMC Public Health, v. 9, n. 83, p. 1-8, 2009.

Motivo: Produção Colaborador HMV

Setor HMV: Nucleo Mama Moinhos

Área da saúde: Mastologia

Resumo: Breast cancer (BC) is a major public health problem, with rising incidence in many regions of the globe. Although mortality has recently dropped in developed countries, death rates are still increasing in some developing countries, as seen in Brazil. Among the reasons for this phenomenon are the lack of structured screening programs, a long waiting period between diagnosis and treatment, and lack of access to health services for a large proportion of the Brazilian population. Methods and design: Since 2004, an intervention study in a cohort of women in Southern Brazil, denominated Porto Alegre Breast Health Intervention Cohort, is being conducted in order to test the effectiveness and cost-effectiveness of a model for BC early detection and treatment. In this study, over 4,000 women from underserved communities aged 40 to 69 years are being screened annually with mammography and clinical breast examination performed by a multidisciplinary team, which also involves nutritional counseling and genetic cancer risk assessment. Risk factors for BC development are also being evaluated. Active search of participants by lay community health workers is one of the major features of our program. The accrual of new participants was concluded in 2006 and the study will last for 10 years. The main goal of the study is to demonstrate significant downstaging of BC in an underserved population through proper screening, attaining ahigher rate of early-stage BC diagnoses than usually seen in women diagnosed in the Brazilian Public Health System. Preliminary results show a very high BC incidence in this population (117 cases per 100,000 women per year), despite a low prevalence of classical risk factors. Discussion: This study will allow us to test a model of BC early diagnosis and treatment and evaluate its cost-effectiveness in a developing country where the mortality associated with this disease is very high. Also, it might contribute to the evaluation of risk factors in a population with a different ethnic background from that studied in developed countries. If our model is proven effective, it may be replicated in other parts of the globe where BC is also a major public health problem.

Envie um e-mail para os autores

© Copyright 2010 Hospital Moinhos de Vento - Todos os Direitos Reservados

Hospital Moinhos de Vento - Rua Ramiro Barcelos 910 - Bairro Moinhos de Vento - Porto Alegre - RS , CEP: 90035-001 - Fone: (51) 3314 - 3434

Hospital Moinhos de Vento Iguatemi - Shopping Iguatemi 3º andar - Porto Alegre - RS, CEP: 91340-001 - Fone: (51) 3327 - 7000

Responsável Técnico - Dr. Luiz Antonio Nasi - CREMERS 11217

Fale Conosco | Ouvidoria | Trabalhe Conosco | Localize e Visite | Mapa do Site