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- Title
Associação de variáveis sociodemográficas e clínicas com os tempos para início do tratamento do câncer de próstata.
- Authors
Silva Sacramento, Raone; de Jesus Simião, Luana; Gomes Viana, Kátia Cirlene; Carvalho Andrade, Maria Angélica; Costa Amorim, Maria Helena; Zandonade, Eliana
- Abstract
Introduction: Disparities in prostate cancer care have been evidenced and associated with sociodemographic and clinical factors, which establish the time for diagnosis and initiation of treatment. Objective: To evaluate the association of sociodemographic and clinical variables with the onset of prostate cancer treatment. Methods: This is a prospective longitudinal cohort study with secondary data with a population of men with prostate cancer attended in the periods 2010-2011 and 2013-2014 at the Santa Rita de Cássia Hospital in Vitória, Espírito Santo, Brazil. Results: The study population consisted of 1,388 men. Of the total, those younger than 70 years (OR = 1.85; CI = 1.49-2.31), nonwhite (OR = 1.30; CI = 1.00-1.70), less than 8 years of schooling (OR = 1.52; CI = 1.06-2.17) and referred by the Unified Health System services (OR = 2.52; CI = 1.84-3.46) were more likely to have a delayed treatment. Similarly, the lower the Gleason score (OR = 1.78; CI = 1.37-2.32) and Prostate-Specific Antigens levels (OR = 2.71; CI = 2.07-3.54), the greater the likelihood of delay for the onset of treatment. Conclusion: Therefore, sociodemographic and clinical characteristics exerted a strong influence on the access to prostate cancer treatment.
- Subjects
BRAZIL; GLEASON grading system; PROSTATE-specific antigen; PROSTATE cancer; HEALTH services accessibility; MEDICAL care; SOCIODEMOGRAPHIC factors; HIGH dose rate brachytherapy; TREATMENT delay (Medicine)
- Publication
Revista Ciência & Saúde Coletiva, 2019, Vol 24, Issue 9, p3265
- ISSN
1413-8123
- Publication type
Article
- DOI
10.1590/1413-81232018249.31142017