To elaborate an analysis of the character of mammograms performed in Brazil between 2013 and 2014 by the Unified Health System (SUS) in relation to the indication profile and the patients submitted to the examination in this period.
ANALYSIS OF THE CLINICAL INDICATIONS FOR MAMMOGRAMS IN BRAZIL
FROM 2013 TO 2014 BY THE UNIFIED HEALTH SYSTEM
Diogo T. de Lima; Gabriela F. Araújo; Fábio F. Marques; Guilherme N. Correa; Mateus F. O.
Vilela; Bráulio B. Rodrigues; Mirian P. Silva.
Centro Universitário – UniEvangélica
Objective: To elaborate an analysis of the character of mammograms performed in
Brazil between 2013 and 2014 by the Unified Health System (SUS) in relation to
the indication profile and the patients submitted to the examination in this period.
Methodology: The data from the study originated from the Department of
Informatics of the Unified Health System (DATASUS), in the database category of
the Breast Cancer Information System (SISMAMA). It is based on a retrospective
and quantitative cross-sectional study done in Brazil between 2013 and 2014 with
a population composed of women of all age groups who underwent mammography
during the evaluation period. Was used as analysis variables: the clinical
indications of the exam, the age groups of the patients involved and their declared
race. Results: In the study period, 4,041,101 mammograms were performed, of
which 2,315,907 were in women aged 50-54 years. Of the races analyzed in the
survey, only 642 women declare themselves indigenous, in contrast, 2,304,282
have relinquished this information. Of the total number of tests performed, 97.44%
had a screening character, while 2.56% were intended for diagnosis. Women
between the ages of 45 and 50 predominated with regard to diagnostic
mammograms in the year in question, while those with 50-54 years of age were
the majority on screening mammograms. Regarding the clinical indication of the
test, 931,994 women had no prior clinical examination with a complementary
indication, and 1,857,189 had never performed previous mammograms.
Conclusion: Strategies for the early detection of breast cancer are based on
premature diagnosis in symptomatic patients or screening in those who do not
present symptoms. Routine physical examination by a health care professional as
well as a detailed medical history are essential to perform the correct indications
for complementary examinations and careful evaluation of the risk factors related
to the neoplasia, and thus to reduce their false-positive and iatrogenic results
caused by them . Under SUS, therefore, it is imperative to perform the basic
physical examination of the breast to avoid unnecessary expenses with other
methods of tracking.
Key Words: Breast neoplasms, Unified Health System, Mammographies, Breast
Cancer screening
Referências Bibliográficas:
1. DATASUS
2. Diretrizes para a detecção precoce do câncer de mama no Brasil – Ministério da
Saúde Instituto Nacional do Câncer (INCA), Rio de Janeiro, 2015.