Cancer detection ratio in a population participating in cancer screening programs at a tertiary care cancer center in São Paulo

Background: Tertiary care cancer centers can act as reference units for prevention and early detection programs. The purpose of this study was to describe the profile of the Cancer Prevention Campaign (CPC) participants at the A.C. Camargo Cancer Center in Sao Paulo, Brazil. Methods: A cross-sectional, quantitative study was carried out to analyze data of the CPC participants at the A.C. Camargo Cancer Center. Participants were recruited from the general public during lectures delivered by CPC members in selected parts of the city of São Paulo. Data included gender analysis, number of cancer cases diagnosed, topography and tumor/node/metastasis (TNM) stage, in the period 2008­2012. Results: Sixty-two thousand nine hundred one people participated in CPC during the 5-years period (2008­2012). A total of 65 cancer cases were diagnosed, which represents 0,1% of detection rate: 25 cases were identified in men and 40 in women. The most frequent neoplasms in men were thyroid, prostate and oral cavity cancers while in women, thyroid and breast cancers were more frequent. Conclusions: Cancer prevention activities in tertiary care cancer centers raise awareness in its employees and in the general population, increasing early diagnosis (AU)

Perfil epidemiológico da população participante do programa de rastreamento de um centro terciário de tratamento de câncer em São Paulo / Epidemiological profile of the population participating in the screening program of a tertiary treatment center of cancer in Sao Paulo

Objetivos: Descrever o perfil sociodemográfico dos participantes da Campanha de Prevenção em Câncer do A.C. Camargo Cancer Center com ênfase nos casos diagnosticados com câncer e a topografia acometida. Identificar o tempo decorrido entre o diagnóstico e início do tratamento, assim como a ocorrência de mais de uma participação na campanha no período de 2008 a 2012. Métodos: Estudo transversal de natureza quantitativa. A população do estudo incluiu os participantes da CPC promovida por um centro terciário localizado no município de São Paulo. Os dados foram obtidos a partir do Relatório-194 e Anamnese ­ I que continham os registros dos participantes atendidos na campanha no período de 2008 a 2012. Resultados: Nos anos considerados, foram atendidos 62.947 participantes. 65 casos foram confirmados com câncer entre os registros analisados, sendo 26 homens (40%) e 39 mulheres (60%). O mínima de idade foi 16 anos e a idade máxima de 98 anos. A topografia de maior acometimento foi a glândula tireoide cujo estadiamento TNM variou de I a III, seguido do câncer de mama com estadio IA a IIIC, câncer da cavidade oral I a IVA e câncer de seio piriforme IVC. O menor tempo entre o diagnóstico e início do tratamento foi em média vinte dias e o intervalo máximo foi em média 44 dias no período de 2008 a 2012. A frequência dos participantes no ano de 2008 apenas 17% dos participantes foram atendidos uma vez em cinco anos, ao passo que 67% dos cadastrados não tem resultados de exames após o registro de participação na campanha. Nos anos de 2009 a 2012, a ausência de informações impossibilitou o detalhamento da frequência e a perda de segmento entre esse período. No entanto, os dados obtidos demonstram que no ano de 2009 foram atendidos 34% dos participantes foram atendidos uma vez em quatro anos. Em 2010, dos participantes analisados tiveram 52% de frequência em três anos. No ano de 2011, 84% dos participantes foram atendidos 2 vezes no período de 2 anos. Os participantes analisados de 2012 foram 100% atendidos ao menos uma vez no ano de egresso ao programa. No período de 2009 a 2012 não foi possível avaliar o percentual de participantes cadastros que deixaram de realizar os exames de rastreamento. Conclusão: A partir deste estudo, pode-se inferir a necessidade de informatização dos formulários utilizados nas campanhas de rastreamento e conscientizar os profissionais envolvidos no atendimento sobre o adequado preenchimento dos formulários, tais medidas, além de retratarem adequadamente a população atendida, possibilitarão a implantação de políticas efetivas na área de controle do câncer.

Purpose: To describe the socio-demographic profile of the people participating in the Prevention Campaign of Cancer (PCC) organized by the tertiary center A.C. Camargo Cancer Center, located in Sao Paulo, with emphasis on cases diagnosed with cancer and the affected topography, to identify the time between diagnosis and the beginning of treatment as well as the frequency of participation in PCC in the period of 2008 to 2012 for more than one time. Methods: Cross sectional, retrospective study of quantitative nature. The study population in composed of PCC participants. The data was obtained from the Report-194 and the respective health report (Anamnese - I) which contain the records of the participants that attended the campaign from 2008 to 2012. Results: In the respective years, 62.947 participants were attended. 65 cases were confirmed with cancer among my analysis, being 26 men (40%) and 39 women (60%), the minimum age was 16 years and the maximum age 98 years. The topography with greatest occurrence was the thyroid gland which TNM staging ranged from I to III, followed by breast cancer with stage IA to IIC, oral cavity cancer ranging from I to IVA and pyriform sinus with a stage of IVC. The lowest time between diagnosis and start of treatment was on average 20 days and the maximum interval was on average 44 days in the period from 2008 to 2012. With regard to the frequency of the participants in 2008, only 17% of the participants were attended one time in five years, while 67% of those registered in the campaign did not obtain any test results after registration. In the years 2009-2012 the difficulty of obtaining certain information made it impossible to detail the frequency and loss segment between this period. However, the data presented shows that in 2009 34% of the participants were attended at least once in 4 years. In 2010, the analyzed participants had 52% of attendance in three years. In the year 2011, 84% of participants were seen at least 2 times within 2 years. In 2012, 100% of the participants were attended at least once a year. From 2009 to 2012, it was not possible to evaluate the percentage of entries that failed to perform the screening tests. Conclusion: From this study we can follow the need for digitalization of forms used for tracking campaigns and educate profissionals involved in the care of the proper completion of forms, such as measures, as well as adequately portray the population served, it will enable the implantation of effective policies in cancer control area.