ABSTRACT
Resumo O objetivo deste artigo é descrever a distribuição de Centros Transplantadores (CTs) e transplantes de células-tronco hematopoiéticas (TCTH) no território brasileiro. Estudo descritivo, que reúne informações sobre a distribuição CTs e o número de procedimentos realizados entre 2001 e 2020, a partir das fontes dos dados: Sociedade Brasileira de Terapia celular e Transplantes de Medula Óssea (SBTMO); Associação Brasileira de Transplante de Órgãos (ABTO); Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH/SUS); e Ministério da Saúde (MS). Foram identificados 86 CTs, com predominância na região Sudeste do país (64%). A região Norte não possui CTs. No período contabilizaram-se mais de 30 mil procedimentos, concentrados nas regiões Sudeste e Sul. O TCTH do tipo alogênico foi prevalente. Constataram-se divergências entre os números de transplantes realizados a depender da fonte consultada. Apesar do crescimento do número de procedimentos no período do estudo, tanto a distribuição de CTs quanto o número de TCTHs se concentrou em regiões mais desenvolvidas. Essa heterogeneidade pode ter propiciado iniquidades no acesso ao tratamento pela população.
Abstract The scope of this article is to describe the distribution of Transplant Centers (TCs) and hematopoietic stem-cell transplants (HSCTs) in the Brazilian territory. It is a descriptive study, which brings together information on the distribution of TCs and the number of procedures performed between 2001 and 2020, based on the following data sources: the Brazilian Cell Therapy and Bone Marrow Transplant Society of (SBTMO); the Brazilian Organ Transplant Association (ABTO); the Hospital Information System of the Unified Health System (SIH/SUS); and the Ministry of Health (MS). A total of 86 TCs were identified, predominantly in the Southeastern region of the country (64%). There are no TCs in the Northern region. Throughout the period, there were more than 30,000 procedures, concentrated in the Southeastern and Southern regions. The allogeneic type of HSCT was prevalent. Differences were found between the numbers of transplants performed depending on the source consulted. Despite the increase in the number of procedures during the period studied, both the distribution of TCs and the number of HSCTs were concentrated in more developed regions. This heterogeneity may have led to inequities in the access of the population to treatment.
ABSTRACT
Introduction: In Brazil, for the 20202022 triennium, the estimated incidence of breast cancer in women was 66,280/year. It is the most incident type of cancer in all Brazilian regions. Several risk factors are associated with the probable etiology of breast cancer, though the complexity of the disease makes it difficult to define its main cause. Objective: To investigate the prevalence of factors associated with breast cancer in an outpatient population at a public hospital in the Federal District, and to verify the epidemiological profile of this population to compare the data obtained with data published in the literature. Method: This is a descriptive crosssectional study, with 115 participants diagnosed with breast cancer undergoing treatment in a highly complex unit of oncology care in the Federal District between July and October 2020. Data collection was done through a questionnaire. The electronic medical record was consulted to complement the data. Results: The majority of women were brown, married, with an average age of 52. Hormone therapy was reported by 73.9%, early menarche by only 33.9% and late menopause by 25.2%. Most had children before the age of 30 and more than 80% breastfed. A family history of breast cancer was present in 30.4% of the sample. The consumption of alcoholic beverages was reported by more than half of the women, but the use of cigarettes was denied by the majority. The practice of some physical activity before the diagnosis of cancer was reported by 69.6%. Most were overweight or had some degree of obesity. Nonspecial invasive carcinoma was the most common type. Conclusions: This study showed that the main factors present in the sample were: advanced age, alcohol consumption, use of hormone therapy and overweight.
ABSTRACT
OBJETIVO: Apresentar o perfil dos pacientes hospitalizados na unidade de queimados do Hospital Regional da Asa Norte - DF. MÉTODOS: Trata-se de um estudo transversal baseado na análise dos prontuários e do livro de registro da Unidade de Terapia de Queimados. Para a coleta de dados, foi realizado um censo do ano de 2014. Os dados coletados foram armazenados em um banco de dados no programa EpiData versão 3.0 e posteriormente analisados no Statistical Package for Social Science (SPSS) versão 20.0. RESULTADOS: A amostra foi composta por 219 pacientes, sendo 63% homens, e a média de idade foi de 32,4 (±20,1) anos. Os agentes térmicos foram os que mais causaram queimaduras nesta população (79,0%), sendo as de segundo grau as mais prevalentes (79,4%). As complicações durante a hospitalização foram frequentes (49,8%), com a infecção como causa mais comum. Dos pacientes hospitalizados, um terço necessitou de hemocomponentes (31,1%), principalmente concentrado de hemácias (23,4%). Em 86,0% dos casos, o desfecho foi alta, mesmo que com sequela. CONCLUSÕES: O perfil dos pacientes hospitalizados no ano de estudo demonstra que majoritariamente os pacientes são do sexo masculino com queimaduras térmicas, sendo geralmente recuperados até a alta hospitalar, mesmo que parte desses sofram complicações durante o período de hospitalização.
OBJECTIVE: To present the profile of hospitalized patients in the burn unit of Hospital Regional da Asa Norte - DF. METHODS: This is a cross-sectional study based on the analysis of medical records and the record book of Burn Care Unit of the Hospital Regional da Asa Norte - DF. The collected data were stored in a database on EpiData 3.0 software and then analyzed using the Statistical Package for Social Sciences (SPSS) 20.0. RESULTS: The sample consisted on 219 patients and 63% were men, the average age was 32.4 (±20.1) years. The thermal agents were the major cause of burns in this population (79.0%), being the second degree burns the most prevalent (79.4%). Complications during hospitalization were common (49.8%) being infections the most common. One third of the patients required blood products (31.1%), mainly red blood cells (23.4%). In 86% of cases the outcome was the discharged from the hospital, even with sequels. CONCLUSIONS: The study sample is predominantly made up of men whose burns were caused by thermal agents and that were generally recovered until hospital discharge, even if some of these complications suffered during hospitalization.