Profile of patients with cervical cancer and its care pathway in Rio de Janeiro, Brazil

Authors

DOI:

https://doi.org/10.29397/reciis.v19iAhead-of-Print.3706

Keywords:

Uterine cervical neoplasms, Health care coordination and monitoring, Time series analysis interrupted, Health services accessibility, Outcome assessment

Abstract

Explore the possible effects of the implementation of municipal (August 2013) and state (June 2015) regulatory systems on the sociodemographic and clinical characteristics of patients with cervical cancer and their geographical access. This is a retrospective interrupted time series analysis carried out in Brazil using the Rio de Janeiro state Hospital-Based Cancer Registry database. All individuals with cervical cancer registered in the Rio de Janeiro state Hospital-Based Cancer Registry from 2012 to 2017 were included. ITS analysis considered the implementation period of the regulation systems using a segmented linear regression model. Geographic access to health services was mapped using QGIS software to verify the distance traveled from the patient's place of residence to the treatment facility. A total of 3460 women were included. 69.81% were between 30 and 59 years old, and 28.12% had no staging information at diagnosis. Implementing regulation systems influenced geographic access to health services and distances traveled for treatment by patients with CC in Rio de Janeiro.

Author Biographies

Lara Vinhal Faria, Instituto Nacional de Câncer, Divisão de Ensino. Rio de Janeiro, RJ, Brazil.

Specialization in Oncology from the National Cancer Institute.

Isabel Cristina Martins Emmerick, UMass Chan Medical School, Department of Surgery, Division of Thoracic Surgery. Worcester, MA, United States.

Doctoral degree in Public Health from the Oswaldo Cruz Foundation.

Debora Castanheira Pires, Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brazil.

Doctoral degree in Political Science from the State University of Rio de Janeiro.

Raphael Reis Coelho, Universidade Federal do Rio de Janeiro, Núcleo de Computação Eletrônica. Rio de Janeiro, RJ, Brazil.

Master's degree in Computer Science from the Federal University of Rio de Janeiro.

Mario Jorge Sobreira da Silva, Instituto Nacional de Câncer, Divisão de Ensino. Rio de Janeiro, RJ, Brazil.

Doctoral degree in Public Health from the Oswaldo Cruz Foundation.

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Published

2025-02-14

How to Cite

Faria, L. V., Emmerick, I. C. M., Pires, D. C., Coelho, R. R., & Silva, M. J. S. da. (2025). Profile of patients with cervical cancer and its care pathway in Rio de Janeiro, Brazil. RECIIS, 19(1), 1–15. https://doi.org/10.29397/reciis.v19iAhead-of-Print.3706

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Vol. 19 No. 1 (2025)

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Original articles

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Copyright (c) 2025 Lara Vinhal Faria, Isabel Cristina Martins Emmerick, Debora Castanheira Pires, Raphael Reis Coelho, Mario Jorge Sobreira da Silva

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