A epidemiologia dos pacientes com câncer de pênis atendidos em um serviço de referência do Espírito Santo
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Data
2014-09-01
Autores
Souza, Marco Antônio Comper de
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Universidade Federal do Espírito Santo
Resumo
Introduction: Cancer of the penis is a rare malignant tumor in developed countries, contrary to what occurs in areas of low socioeconomic standard. Objectives: Determine the sociodemographic and clinical profile, associating clinical staging and analyze the survival of patients with penile cancer in a referral service. Methodology: This is a retrospective study of patients diagnosed with penile cancer who were registered in the Hospital Cancer Registry of the Santa Rita de Cássia Hospital/Education Association Against Cancer, in the city of Vitória, ES, Brazil during the period from 2000 to 2011. Was analyzed 18 variables as sociodemographic and clinical profile. We analyzed the data using the Statistical Package for Social Sciences (SPSS) version 18.0. For variables that showed statistical significance, we calculated the crude odds ratio and adjusted by multivariate logistic regression model. For estimating survival, we used the Kaplan-Meier method and comparison of survival curves was applied to the log-rank test. Results: Of 108 patients, predominant age group up to 60 years (58.38%). The race / mulatto proved the most common with 64% of cases. 43 (54%) were men and 64 rural workers (59%) of the interior of the Holy Spirit. Not rural occupation showed median survival of 42.14 months (p = 0.036). From region metropolitan of the Vitória (36) with a mean survival of 26.03 months (p = 0.004). Presence of lymph node (37) patients had a mean survival of 30.59 months (p = 0.001). Alter multivariate analysis, metastasis variable remained statistically significant (HR = 5.18, 95% CI: 2.42 to 11.09). Conclusion: Should be recognized those more likely with higher mortality and lower survival, so there is more specific approach. The variables that characterize these patients should be determined from the beginning of the service, to ensure better access to health care and effective treatment.
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Penile cancer , Survival analysis , Men's health , Public policy , Mortality , Câncer de pênis , Análise de sobrevida , Saúde do homem , Políticas públicas