Completeness of cervical cancer staging information in Brazil: A national hospital-based study

Background: Cancer staging information in Hospital Cancer Registries (HCR) is essential for cancer care quality evaluations. This study aimed to analyze the completeness of cervical cancer staging in Brazilian HCR and identify individual and contextual factors associated with unknown staging. Method...

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Principais autores: Souza, Dyego Leandro Bezerra de, Oliveira, Nayara Priscila Dantas de, Cancela, Marianna de Camargo, Martins, Luís Felipe Leite, Meira, Karina Cardoso, Castro, Janete Lima de
Outros Autores: https://orcid.org/0000-0001-8426-3120
Formato: article
Idioma:English
Publicado em: Elsevier
Assuntos:
cervical cancer
epidemiology
hospital records
neoplasm staging
oncology
Endereço do item:https://repositorio.ufrn.br/handle/123456789/54663
https://doi.org/10.1016/j.canep.2022.102191
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spelling ri-123456789-546632023-09-01T17:57:11Z Completeness of cervical cancer staging information in Brazil: A national hospital-based study Souza, Dyego Leandro Bezerra de Oliveira, Nayara Priscila Dantas de Cancela, Marianna de Camargo Martins, Luís Felipe Leite Meira, Karina Cardoso Castro, Janete Lima de https://orcid.org/0000-0001-8426-3120 cervical cancer epidemiology hospital records neoplasm staging oncology Background: Cancer staging information in Hospital Cancer Registries (HCR) is essential for cancer care quality evaluations. This study aimed to analyze the completeness of cervical cancer staging in Brazilian HCR and identify individual and contextual factors associated with unknown staging. Methods: The outcome analyzed was missing or unknown staging (Malignant Tumor Classification System and/or International Federation of Gynecology and Obstetrics) in 2006–2015. Individual data on cancer cases were collected from the HCR Integrator. Contextual variables were collected from the Atlas of Human Development in Brazil, the National Registry of Health Facilities, and the Outpatient Information System. The random intercept multilevel Poisson regression model was performed to identify the factors associated with the outcome. Results: The prevalence of unknown staging data was 32.4% (95% confidence interval [CI], 32.1–32.7). Women aged 18–29 years (prevalence ratio [PR], 1.48; 95% CI, 1.42–1.54), referred by the public health system (PR, 1.16; 95% CI, 1.11–1.21), living in states with a low density of oncologists (PR, 1.70; 95% CI, 1.62–1.79), and with a low cytopathological testing rate (PR, 1.69; 95% CI, 1.57–1.82) showed a higher prevalence of unknown tumor staging data. A lower level of education (PR, 0.91; 95% CI, 0.84–0.98) was associated with complete staging data. Conclusions: Individual and contextual factors were associated with missing staging data. It is necessary to improve information on cancer in the HCRs by improving the awareness and training of Brazilian cancer care professionals 2023-09-01T17:56:58Z 2023-09-01T17:56:58Z 2022 article SOUZA, Dyego Leandro Bezerra de; OLIVEIRA, Nayara Priscila Dantas de; CANCELA, Marianna de Camargo; MARTINS, Luís Felipe Leite; MEIRA, Karina Cardoso; CASTRO, Janete Lima de. Completeness of cervical cancer staging information in Brazil: a national hospital-based study. Cancer Epidemiology, [S.L.], v. 79, p. 102191, ago. 2022. Elsevier BV. http://dx.doi.org/10.1016/j.canep.2022.102191. Disponível em: https://www.sciencedirect.com/science/article/pii/S1877782122000960?via%3Dihub. Acesso em: 31 ago. 2023. e1877-783X https://repositorio.ufrn.br/handle/123456789/54663 https://doi.org/10.1016/j.canep.2022.102191 en Elsevier
institution Repositório Institucional
collection RI - UFRN
language English
topic cervical cancer
epidemiology
hospital records
neoplasm staging
oncology
spellingShingle cervical cancer
epidemiology
hospital records
neoplasm staging
oncology
Souza, Dyego Leandro Bezerra de
Oliveira, Nayara Priscila Dantas de
Cancela, Marianna de Camargo
Martins, Luís Felipe Leite
Meira, Karina Cardoso
Castro, Janete Lima de
Completeness of cervical cancer staging information in Brazil: A national hospital-based study
description Background: Cancer staging information in Hospital Cancer Registries (HCR) is essential for cancer care quality evaluations. This study aimed to analyze the completeness of cervical cancer staging in Brazilian HCR and identify individual and contextual factors associated with unknown staging. Methods: The outcome analyzed was missing or unknown staging (Malignant Tumor Classification System and/or International Federation of Gynecology and Obstetrics) in 2006–2015. Individual data on cancer cases were collected from the HCR Integrator. Contextual variables were collected from the Atlas of Human Development in Brazil, the National Registry of Health Facilities, and the Outpatient Information System. The random intercept multilevel Poisson regression model was performed to identify the factors associated with the outcome. Results: The prevalence of unknown staging data was 32.4% (95% confidence interval [CI], 32.1–32.7). Women aged 18–29 years (prevalence ratio [PR], 1.48; 95% CI, 1.42–1.54), referred by the public health system (PR, 1.16; 95% CI, 1.11–1.21), living in states with a low density of oncologists (PR, 1.70; 95% CI, 1.62–1.79), and with a low cytopathological testing rate (PR, 1.69; 95% CI, 1.57–1.82) showed a higher prevalence of unknown tumor staging data. A lower level of education (PR, 0.91; 95% CI, 0.84–0.98) was associated with complete staging data. Conclusions: Individual and contextual factors were associated with missing staging data. It is necessary to improve information on cancer in the HCRs by improving the awareness and training of Brazilian cancer care professionals
author2 https://orcid.org/0000-0001-8426-3120
author_facet https://orcid.org/0000-0001-8426-3120
Souza, Dyego Leandro Bezerra de
Oliveira, Nayara Priscila Dantas de
Cancela, Marianna de Camargo
Martins, Luís Felipe Leite
Meira, Karina Cardoso
Castro, Janete Lima de
format article
author Souza, Dyego Leandro Bezerra de
Oliveira, Nayara Priscila Dantas de
Cancela, Marianna de Camargo
Martins, Luís Felipe Leite
Meira, Karina Cardoso
Castro, Janete Lima de
author_sort Souza, Dyego Leandro Bezerra de
title Completeness of cervical cancer staging information in Brazil: A national hospital-based study
title_short Completeness of cervical cancer staging information in Brazil: A national hospital-based study
title_full Completeness of cervical cancer staging information in Brazil: A national hospital-based study
title_fullStr Completeness of cervical cancer staging information in Brazil: A national hospital-based study
title_full_unstemmed Completeness of cervical cancer staging information in Brazil: A national hospital-based study
title_sort completeness of cervical cancer staging information in brazil: a national hospital-based study
publisher Elsevier
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/54663
https://doi.org/10.1016/j.canep.2022.102191
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AT cancelamariannadecamargo completenessofcervicalcancerstaginginformationinbrazilanationalhospitalbasedstudy
AT martinsluisfelipeleite completenessofcervicalcancerstaginginformationinbrazilanationalhospitalbasedstudy
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AT castrojanetelimade completenessofcervicalcancerstaginginformationinbrazilanationalhospitalbasedstudy
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