CERVICAL CANCER DIAGNOSTIC JOURNEY: COMPARISON BETWEEN THE BRAZILIAN PUBLIC AND SUPPLEMENTARY SYSTEMS

Authors

DOI:

https://doi.org/10.18554/reas.v13i3.6873

Abstract

Objective: To compare the diagnostic journey of women with cervical cancer who used the Unified Health System (SUS) and the Supplementary Health System (SSS). Method: Cross-sectional study carried out in two Brazilian oncology centers. 391 women with cervical cancer with up to 18 months of treatment were interviewed. Demographic, clinical and time (days) of the diagnostic process were collected. Result: Most SUS women had low education, squamous cell histology and advanced staging (p <0.05). Also, this group had a longer time of the total diagnostic journey (p <0.0001), between the first symptoms until the biopsy (p <0.0001) and between the biopsy and the first consultation with the specialist (p = 0.003). Conclusion: Women who used the SUS had a longer diagnostic journey to access treatment than those who used the SSS, in all its stages, converging in higher proportions of tumors with advanced stage.

Descriptors: Uterine Cervical Neoplasms, Diagnosis, Public Health, Early Detection of Cancer.

Author Biographies

  • Lívia Loamí Ruyz Jorge Paula, Hospital de Cancer de BarretosA.C. Camargo Cancer Center

    Enfermeira. Pos-Doutoranda em Economia em Saúde pela Faculdade de Economia, Administração e Contabilidade da USP-RP. Doutora em Oncologia pelo hospital A.C. Camargo Cancer Center. Mestre em ciências pelo Departamento de Enfermagem Materno-Infantil e Saúde Pública da Escola de Enfermagem de Ribeirão Preto - USP. Especialista em Saúde da Família pela UNIARA. Tem experiência na área de Pesquisa Clínica, Oncologia, Inovação e Economia em Saúde.

  • Mateus Frederico Paula, Barretos Cancer Hospital

    Especialista. Farmaceutico. Coordenador de Projetos de Inovação. Hospital de Câncer de Barretos

  • Levon Badiglian-Filho, A.C. Camargo Cancer Center

    Doutor. Medico. Cirurgião no Departamento de Ginecologia Oncológica do A.C. Camargo Cancer Center

Published

2025-01-13

Issue

Section

Artigos Originais

How to Cite

CERVICAL CANCER DIAGNOSTIC JOURNEY: COMPARISON BETWEEN THE BRAZILIAN PUBLIC AND SUPPLEMENTARY SYSTEMS. JOURNAL OF NURSING AND HEALTH CARE, [S. l.], v. 13, n. 3, 2025. DOI: 10.18554/reas.v13i3.6873. Disponível em: https://seer.uftm.edu.br/revistaeletronica/index.php/enfer/article/view/6873. Acesso em: 18 may. 2025.