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BMC Women's Health
Published in: BMC Women's Health 1/2017

Open Access 01-12-2017 | Research article

The role of health policy in the burden of breast cancer in Brazil

Authors: Francisco Winter dos Santos Figueiredo, Tábata Cristina do Carmo Almeida, Débora Terra Cardial, Érika da Silva Maciel, Fernando Luiz Affonso Fonseca, Fernando Adami

Published in: BMC Women's Health | Issue 1/2017

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Abstract

Background

Breast cancer affects millions of women worldwide, particularly in Brazil, where public healthcare system is an important model in health organization and the cost of chronic disease has affected the economy in the first decade of the twenty-first century. The aim was to evaluate the role of health policy in the burden of breast cancer in Brazil between 2004 and 2014.

Methods

Secondary analysis was performed in 2017 with Brazilian Health Ministry official data, extracted from the Department of Informatics of the National Health System. Age-standardized mortality and the age-standardized incidence of hospital admission by breast cancer were calculated per 100,000 people. Public healthcare costs were converted to US dollars. Regression analysis was performed to estimate the trend of breast cancer rates and healthcare costs, and principal component analysis was performed to estimate a cost factor. Stata® 11.0 was utilized.

Results

Between 2004 to 2014, the age-standardized rates of breast cancer mortality and the incidence of hospital admission and public healthcare costs increased. There was a positive correlation between breast cancer and healthcare public costs, mainly influenced by governmental strategies.

Conclusions

Governmental strategies are effective against the burden of breast cancer in Brazil.
Literature
1.
Machado CV, Lima LD, Andrade CL. Federal funding of health policy in Brazil: trends and challenges. Cad Saude Publica. 2014;30(1):187–200.CrossRefPubMed
2.
Lewis M, Penteado E, Malik AM. Brazil's mixed public and private hospital system. World Hosp Health Serv. 2015;51(2):22–6.PubMed
3.
Anderson BO, Cazap E, El Saghir NS, Yip CH, Khaled HM, Otero IV, et al. Optimisation of breast cancer management in low-resource and middle-resource countries: executive summary of the breast health global initiative consensus, 2010. Lancet Oncol. 2011;12(4):387–98.CrossRefPubMed
4.
Cecilio AP, Takakura ET, Jumes JJ, Dos Santos JW, Herrera AC, Victorino VJ, et al. Breast cancer in Brazil: epidemiology and treatment challenges. Breast Cancer (Dove Med Press). 2015;7:43–9.
5.
Lee BL, Liedke PE, Barrios CH, Simon SD, Finkelstein DM, Goss PE. Breast cancer in Brazil: present status and future goals. Lancet Oncol. 2012;13(3):e95–e102.CrossRefPubMed
6.
Adami F, Figueiredo FW, LaS P, Sá TH, Santos EF, Martins BL, et al. Mortality and Incidence of Hospital Admissions for Stroke among Brazilians Aged 15 to 49 Years between 2008 and 2012. PLoS One. 2016;11(6):e0152739.CrossRefPubMedPubMedCentral
7.
8.
Ahmad OB, Boschi-Pinto C, Lopez AD, Murray CJ, Lozano R, Inoue M. Age standardization of rates: a new who standard. World Health Organization; 2001. p. 1–14.
9.
Butler RP, Cureton EE. Factor analysis of small group leadership behavior. J Soc Psychol. 1973;89(1):85–9.
10.
Koifman S, Koifman RJ. Environment and cancer in Brazil: an overview from a public health perspective. Mutat Res. 2003;544(2–3):305–11.CrossRefPubMed
11.
Kluthcovsky AC, Faria TN, Carneiro FH, Strona R. Female breast cancer mortality in Brazil and its regions. Rev Assoc Med Bras (1992). 2014;60(4):387–93.CrossRef
12.
13.
14.
Gonzaga CM, Freitas-Junior R, Curado MP, Sousa AL, Souza-Neto JA, Souza MR. Temporal trends in female breast cancer mortality in Brazil and correlations with social inequalities: ecological time-series study. BMC Public Health. 2015;15:96.CrossRefPubMedPubMedCentral
15.
Fonseca LA, Eluf-Neto J, Wunsch FV. Cancer mortality trends in Brazilian state capitals, 1980-2004. Rev Assoc Med Bras. 2010;56(3):309–12.CrossRefPubMed
16.
Azevedo E, Silva G, Bustamante-Teixeira MT, Aquino EM, Tomazelli JG, Dos-Santos-Silva I. Access to early breast cancer diagnosis in the Brazilian unified National Health System: an analysis of data from the health information system. Cad Saude Publica. 2014;30(7):1537–50.CrossRef
17.
Oliveira MM, Malta DC, Guauche H, Moura L, Silva GA. Estimated number of people diagnosed with cancer in Brazil: data from the National Health Survey, 2013. Rev Bras Epidemiol. 2015;18(Suppl 2):146–57.CrossRefPubMed
18.
Santos LM, Costa AM, Girardi SN. Mais medicos program: an effective action to reduce health inequities in Brazil. Cien Saude Colet. 2015;20(11):3547–52.CrossRefPubMed
19.
Brasil. INSTITUTO NACIONAL DE CÂNCER. Parâmetros técnicos para o rastreamento do câncer de mama. INSTITUTO NACIONAL DO CÂNCER. Parâmetros técnicos para o rastreamento do câncer de mama. Rio de Janeiro: 2009.
20.
de Souza JA, Hunt B, Asirwa FC, Adebamowo C, Lopes G. Global Health equity: cancer care outcome disparities in high-, middle-, and low-income countries. J Clin Oncol. 2016;34(1):6–13.CrossRefPubMed
21.
Holloway CM, Easson A, Escallon J, Leong WL, Quan ML, Reedjik M, et al. Technology as a force for improved diagnosis and treatment of breast disease. Can J Surg. 2010;53(4):268–77.PubMedPubMedCentral
22.
Krishnamurthy A, Soundara V, Ramshankar V. Preventive and risk reduction strategies for women at high risk of developing breast cancer: a review. Asian Pac J Cancer Prev. 2016;17(3):895–904.CrossRefPubMed
23.
Druesne-Pecollo N, Touvier M, Barrandon E, Chan DS, Norat T, Zelek L, et al. Excess body weight and second primary cancer risk after breast cancer: a systematic review and meta-analysis of prospective studies. Breast Cancer Res Treat. 2012;135(3):647–54.CrossRefPubMed
24.
de Menezes RF, Bergmann A, de Aguiar SS, Thuler LC. Alcohol consumption and the risk of cancer in Brazil: a study involving 203,506 cancer patients. Alcohol. 2015;49(7):747–51.CrossRefPubMed
25.
26.
27.
Francisco Winter dos Santos Figueiredo, Fernando Adami. Income inequality and mortality due to breast cancer: Evidence from Brazil. Clin Breast Cancer. 2017.
Metadata
Title
The role of health policy in the burden of breast cancer in Brazil
Authors
Francisco Winter dos Santos Figueiredo
Tábata Cristina do Carmo Almeida
Débora Terra Cardial
Érika da Silva Maciel
Fernando Luiz Affonso Fonseca
Fernando Adami
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2017
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-017-0477-9

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