Perfil sociodemográfico e clínico-patológico de mulheres hospitalizadas com câncer mamário localmente avançado ou metastático
DOI:
https://doi.org/10.5902/2179769240000Palavras-chave:
Neoplasias da mama, Cuidados paliativos, Hospitalização, Enfermagem, Perfil de saúdeResumo
Objetivo: caracterizar o perfil sociodemográfico e clínico-patológico de mulheres hospitalizadas com câncer de mama localmente avançado ou metastático. Método: estudo quantitativo, descritivo, realizado em hospital no Rio de Janeiro, Brasil, entre março e julho de 2017. Participaram 199 mulheres hospitalizadas nas enfermarias clínicas. Coletaram-se dados nos prontuários e por entrevista aplicando formulário contendo variáveis dos perfis. Para análise utilizou-se o Statistical Package for the Social Sciences versão 24. Resultados: 153 (76,88%) mulheres tinham de 40 a 69 anos de idade; 80 (40,20%) com ensino fundamental incompleto; 181 (90,95%) viviam com até dois salários mínimos; 107 (53,77%) foram diagnosticadas no estadiamento III; 145 (72,86%) já se encontravam no estadiamento IV; e 73 (36,68%) apresentavam pior performance status, seguidas de 70 (35,18) mulheres com performance status 3. Conclusão: o perfil demonstrou ocorrência de diagnóstico tardio e elevado nível de dependência, em sua maioria em mulheres com pouco escolaridade e baixa condição socioeconômica.
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Cabral ALLV, Giatti L, Casale C, Cherchiglia ML. Social vulnerability and breast cancer: differentials in the interval between diagnosis and treatment of women with different sociodemographic profiles. Ciênc Saúde Colet. 2019;24(2):613-22. doi: 10.1590/1413-81232018242.31672016
Unger‐Saldaña K, Miranda A, Zarco‐Espinosa G, Mainero‐Ratchelous F, Bargalló‐Rocha E, Lázaro‐León JM. Health system delay and its effect on clinical stage of breast cancer: multicenter study. Cancer. 2015;121(13):2198-206. doi: 10.1002/cncr.29331
Simos D, Clemons M, Ginsburg OM, Jacobs C. Definition and consequences of locally advanced breast cancer. Curr Opin Support Palliat Care. 2014;8(1):33-8. doi: 10.1097/SPC.0000000000000020
Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, et al. Toxicity and response criteria of the Eastern cooperative oncology group. Am J Clin Oncol. 1982;5(6):649-55.
Medeiros GC, Bergmann A, Aguiar SS, Thuler LCS. Determinants of the time between breast cancer diagnosis and initiation of treatment in Brazilian women. Cad Saúde Pública. 2015;31(6):1269-82. doi: 10.1590/0102-311X00048514
Montagna G, Schneeberger AR, Rossi L, Bianchi Micheli G, Meani F, Imperiali M, et al. Can we make a portrait of women with inoperable locally advanced breast cancer? Breast. 2017;33:83-90. doi: 10.1016/j.breast.2017.03.002
Qin T, Yuan ZY, Peng RJ, Bai B, Zeng YD, Shi YX, et al. Clinicopathologic characteristics and prognostic factors for HER2-positive patients with metastatic breast cancer in southern China. Arch Med Sci. 2015;11(3):544-50. doi: 10.5114/aoms.2015.52356
Garcia SN, Jacowski M, Castro GC, Galdino C, Guimarães PRB, Kalinke LP. Quality of life domains affected in women with breast cancer. Rev Gauch Enferm. 2015;36(2):89-96. doi: 10.1590/1983-1447.2015.02.45718
Barbosa Filho FH. A crise econômica de 2014/2017. Estud Av (Online). 2017;31(89):51-60. doi: 10.1590/s0103-40142017.31890006
Kweon SS, Kim MG, Kang MR, Shin MH, Choi JS. Difference of stage at cancer diagnosis by socioeconomic status for four target cancers of the National Cancer Screening Program in Korea: results from the Gwangju and Jeonnam cancer registries. J Epidemiol. 2017;27(7):299-304. doi: 10.1016/j.je.2016.07.004
Kimman M, Jan S, Yip CH, Thabrany H, Peters SA, Bhoo-Pathy N, et al. Catastrophic health expenditure and 12-month mortality associated with cancer in Southeast Asia: results from a longitudinal study in eight countries. BMC Med. 2015;13(190). doi: 10.1186/s12916-015-0433-1
Colombino ICF, Sarri AJ, Castro IQ, Paiva CE, Vieira RAC. Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil. Support Care Cancer. 2020. doi: 10.1007/s00520-019-05164-7
Evangelista CB, Lopes MEL, Costa SFG, Abrão FMS, Batista PSS, Oliveira RC. Spirituality in patient care under palliative care: a study with nurses. Esc Anna Nery Rev Enferm. 2016;20(1):176-82. doi: 10.5935/1414-8145.20160023
Ng CG, Mohamed S, See MH, Harun F, Dahlui M, Sulaiman AH, et al. Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: a 1-year prospective study. Health Qual Life Outcomes. 2015;13(205). doi: 10.1186/s12955-015-0401-7
Çömez S, Karayurt Ö. We as spouses have experienced a real disaster!: a qualitative study of women with breast cancer and their spouses. Cancer Nurs. 2016;39(5):E19-28. doi: 10.1097/NCC.0000000000000306
Vargas GS, Ferreira CLL, Vacht CL, Dornelles CL, Silveira VN, Pereira AD. Social support network of women with breast cancer. Rev Pesq Cuid Fundam [Internet]. 2020 [cited 2020 Apr 23];12:73-8. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/7030
Santos JCM, Silva CM, Teixeira JJV, Peder LD. Epidemiological and clinical profile of women with breast cancer in the Paraná western region. Rev Bras Ciênc Saúde. 2019;23(4):449-58. doi: 10.22478/ufpb.2317-6032.2019v23n4.44252
Xie J, Hao Y, Li N, Lin PL, Ohashi E, Koo V, et al. Clinical outcomes among HR+/HER2- metastatic breast cancer patients with multiple metastatic sites: a chart review study in the US. Exp Hematol Oncol. 2015;4(31):1-9. doi: 10.1186/s40164-015-0023-0
Senkus E, Kyriakides S, Ohno S, Penault-Llorca F, Poortmans P, Rutgers E, et al. Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2015;26(5 Suppl):8-30. doi: 10.1093/annonc/mdv298
Ministério da Saúde (BR), Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Programa Nacional de Controle do Câncer de Mama. Rio de Janeiro (RJ): INCA; 2010.
Carvalho RT, Parsons HA, organizadores. Manual de cuidados paliativos ANCP. 2ª ed. São Paulo (SP): ANCP; 2012.
Tamai N, Mugita Y, Ikeda M, Sanada H. The relationship between malignant wound status and pain in breast cancer patients. Eur J Oncol Nurs. 2016;24:8-12. doi: 10.1016/j.ejon.2016.05.004
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