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DOI: 10.1055/s-0044-1798036
ANALYSIS OF THE PUBLIC SCENARIO OF THE SURGICAL APPROACH TO PROSTATE CANCER IN AN AMAZONIAN CAPITAL
Authors
Prostate cancer is the second most common male in Brazil. In 2018, there are 68,220 new cases registered. Diagnosis is made by clinical examination with rectal touch, PSA increase and histopathological analysis of prostate biopsy, being graded according to the Gleason score (GS), which assesses primary and secondary tumor patterns on a scale of 1-5. , for each respectively. In 2016, the International Society for Urological Pathology recommended a new classification where GS 9 and 10 scores represent aggressive tumors. When indicating treatment or the doctor should point out that no treatment offers advantages over the others. However, in patients with high-risk tumor and life expectancy over 10 years, a radical prostatectomy becomes indicated as part of multimodal treatment. When performing the procedure together with other therapies on hold, if there is a reduction in PSA values. The present study aims to analyze the associated costs, length of stay and mortality and remission rates after prostatectomy and radical prostatovesiculectotomy procedures in prostate cancer oncology among the population of Pará, from 2008 to 2018. Epidemiological and descriptive analysis of data available in 2019. Cost records, average length of stay, number of hospitalizations and mortality rates associated with prostate malignancies were analyzed. Data were organized in Microsoft Excel and compared to information on the same themes, considering the Brazilian territory. Between 2007 and 2018, there were 221 deaths and 593 hospitalizations related to malignant prostate cancer in the state of Pará. The average cost between 4725.28 reais shows the values related to expenses with internal procedures, of 3133 , 81 in 2007 to 5278.28 in 2018. The reflex is a smaller number of post-procedure deaths than 0.62 deaths per thousand inhabitants. from 3.03 in 2011 to 1.72 in 2018, with a reduction of 2.1 in average days of hospitalization. Nationally, a mortality rate in the same period is 0.37 and the average hospitalization days is 6 days. Despite having its entries within the region, the surgical scenario has positive outcomes and is a very effective alternative, with rates and numbers related to mortality and survival increasing with the passage of years.
No conflict of interest has been declared by the author(s).
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Publication History
Article published online:
23 October 2019
© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Afonso Moraes Melo Júnior, Daniel Mendonça de Almeida, Hendy Sheiijy Taniyama Dantas, Raissa Souza de Oliveira, Luiz Felipe Macena de Avelar, Maria Luiza Alves Cobiniano de Melo, Thalita da Rocha Bastos. ANALYSIS OF THE PUBLIC SCENARIO OF THE SURGICAL APPROACH TO PROSTATE CANCER IN AN AMAZONIAN CAPITAL. Brazilian Journal of Oncology 2019; 15.
DOI: 10.1055/s-0044-1798036