Fatores associados a instituição oportuna do tratamento do câncer infantojuvenil no Brasil

Abstract

INTRODUCTION: Childhood cancer is the leading cause of death from disease in this age group in Brazil and has significant rates of new cases annually, whose prognosis is associated with several factors, including adequate and timely treatment. OBJECTIVES: This study aims to analyze the factors associated with the institution of childhood cancer treatment in Brazil in the first 30 days after diagnosis, between 2017 and 2021, using the PAINEL-Oncology platform as a database. MATERIAL AND METHODS: With a crosssectional, analytical and quantitative design, this study was carried out with children and adolescents (0 to 19 years old) in Brazil who started cancer treatment between 2017 and 2021. Data were collected through the PAINEL- Oncology, tabulated in Microsoft Excel® 2016 and analyzed descriptively using the Statistical Package for Social Sciences (SPSS) software, version 26.0. RESULTS: Approximately 80% of the children and adolescents studied started treatment within 30 days, and the factors associated with this higher prevalence ratio were: younger age, neoplasms in situ or of uncertain behavior, patients who required surgery as a therapeutic modality. and who were diagnosed in the South and Midwest. The difference in time between Brazilian regions is highlighted, which is associated with the heterogeneity of the distribution of reference services in Oncology. It was also seen that the patient's sex does not present significant interference. CONCLUSION: The impact of the organization of health services on meeting population demands and facilitating the path to the therapeutic institution was noted, as well as the need for further studies regarding the time until the start of treatment.