Acompanhamento do paciente tratado de osteossarcoma / Follow-up of treated osteosarcoma patient

RESUMO

OBJETIVO: Avaliar o valor do acompanhamento do pós tratamento nos portadores de osteossarcoma. MÉTODOS: Dados coletados através de uma ficha clínica, com registros sócios demográficos, clínicos e referentes a consulta. Realizada a análise descritiva dos dados. Para associação das variáveis independentes ao comparecimento à consulta, utilizou-se teste qui-quadrado. RESULTADOS: Observamos recidiva em 59,6% dos casos sendo 58% pulmonar. Desses casos 44,4% apresentavam queixa clínica e compareceram na data marcada em consulta. Não houve associação estatisticamente significativa entre as características demográficas com o comparecimento precoce. 81,3% dos casos que adiantaram a consulta apresentavam queixas quando comparados com os que não adiantaram (p=0,005). Dos casos que apresentaram recidiva, 12,9% compareceram atrasados em alguma consulta e os não recidivados,47,6% atrasaram na consulta (p=0,006). CONCLUSÃO: Verificou-se que os pacientes que adiantaram a consulta apresentavam mais queixas e estavam associadas ao resultado positivo dos exames realizados. Os pacientes que recidivaram e adiantaram a consulta não apresentaram diferença estatisticamente significativa na sobrevida livre de recidiva.Observou-se que a distância não foi fator preponderante para comparecimento atrasado às consultas. Nível de evidência II, Estudo Retrospectivo.

ABSTRACT

OBJECTIVE: To evaluate the value of post-treatment follow-up in Osteosarcoma patients. METHODS: Data were collected through a clinical record, with socio-demographic and clinical data, and information relating to the medical appointment. Descriptive analysis of the data was carried out. The Chi-squared test was used to associate the independent variables with attendance at scheduled follow-up appointments. RESULTS: We found a recurrence in 59.6% of cases, of which 58% were lung related; 44% presented clinical complaints and arrived on the scheduled date of the appointment. There was no statistically significant association between the demographic characteristics and early attendance of follow-up visits. 81.3% of the cases who came for the appointment earlier than originally scheduled presented complaints compared those who did not (p=0.005). Of the cases who presented recurrence, 12.9% attended an appointment late and those who did not present recurrence, 47.6% were late for the appointment (p=0,006). CONCLUSION: It is seen that the patients who came for an earlier appointment presented more complaints and were associated with the positive result of the exams carried out. The patients who had recurrence and came for an earlier appointment did not present a statistically significant difference in recurrence-free survival. It was observed that distance was not a predominant factor in late attendance at appointments. Level of Evidence II, Retrospective Study.