RESUMO
Introduction: Breast cancer is a relevant public health issue, and its incidence has increased in patients aged less than 50 years. This population usually receives a late diagnosis, which contributes with the poor prognosis of the condition. Objective: To assess the percentage of patients diagnosed with breast cancer before the age of 50 and compare them with the group that was diagnosed after the age of 50. Results: The general mean age was 54 years; 75.68% of the patients were younger than 50 years, aged between 40 and 49 years. Among the ones who were younger than 50, 35.14% were in stage T4; 55.41% underwent neoadjuvant chemotherapy; 16.22% presented distant metastasis; and 10.81%, locoregional metastasis. On the other hand, among those aged more than 50, 22.71% were in stage T4; 30.68% underwent neoadjuvant chemotherapy; 11.36% presented distant metastasis; and 6.82%, locoregional metastasis. Conclusion: Breast cancer in women aged less than 50 years in a Mastology service in the Federal District has been a matter of concern, for presenting more advanced tumors at the time of diagnosis; screening is still debatable.
RESUMO
Objetivo. Comparar os novos padrões de curva de avaliação de crescimento da Organização Mundial da Saúde(OMS) com aqueles do National Center for Health Statistics (NCHS) em crianças de até cinco anos, atendidas no Hospital Universitário da Universidade Católica de Brasília. Método. Estudo transversal com análise de 302 prontuários de crianças com até cinco anos de idade, atendidas no período de 13-5-2004 a 31-5-2006. O protocolo de pesquisa consistiu na elaboração de planilha do Excel, com dados demográficos e antropométricos. Foram verificados os indicadores altura e idade, peso e altura por meio do escore Z para os padrões do NCHS e da OMS. Para avaliar a concordância entre os dois padrões utilizou-se o teste de simetria de Bowker e o kappa ponderado. Para efeito de análise usou-se nível de significância de 5%. Resultados. As percentagens de baixa estatura moderada e desnutrição moderada foram maiores quando foi usado o padrão da OMS. Os resultados dos testes de simetria evidenciaram valores p < 1. Na interpretação do coeficiente kappa, evidenciou-se concordância em relação ao acaso. Conclusões. Houve concordância na forma de avaliação pelos padrões retrocitados, sendo estes comparáveis entre si. A desnutrição moderada foi mais observada pela nova curva da OMS em ambos os sexos. O padrão da OMS mostrou maior tendência em diagnosticar baixa estatura no sexo masculino. As novas curvas de crescimento da OMS servem como modelo normativo para o crescimento e o desenvolvimento das crianças, o que imprime assim um padrão internacional único.
Objective. To compare the new World Heath Organization (WHO) curves with the National Center For Health Statistics (NCHS) pattern in children younger than 5 years old at the hospital of the Universidade Católica de Brasília. Method. A cross-sectional study analyzing 302 medical records of children less than under 5 years old seen atthat hospital from may 2004 to may 2006. The research protocol consisted of Excel worksheet with demographic and anthropometric data. Height-age and weight-height were verified at the Z score under the NCHS and WHO patterns. To analyze the accordance between the two patterns the Bowker symmetry test and kappa ponderado were used. To analyse it, a significance level of 5% was used. Results. The percentage of low moderate height and moderate subnutrition was higher with WHO pattern. The symmetry test results showed values of p < 1. The kappa coefficient interpretation demonstrated accordance to randomization. Conclusions. There was concordance between the NCHS and WHO patterns, thus both were camparable. Moderate subnutrition was seen more often with the WHO data at both sexes. WHO pattern showed tendency to diagnose low height at the male. The new WHO data is useful to establish children's growth and development, being considered as an unique international pattern