• Epidemiol Serv Saude · Jan 2017

    Assessment of actions for breast cancer early detection in Brazil using process indicators: a descriptive study with Sismama data, 2010-2011.

    • Jeane Glaucia Tomazelli, Arn Migowski, Caroline Madalena Ribeiro, Mônica de Assis, and Dolores Maria Franco de Abreu.
    • Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil.
    • Epidemiol Serv Saude. 2017 Jan 1; 26 (1): 61-70.

    Objectiveto assess actions for breast cancer early detection in the Brazilian National Health System using process indicators.Methodsthis is a descriptive study with secondary data from the Breast Cancer Information System (Sismama), for the period from 2010 to 2011.Results5,759,503 mammograms and 44,892 histopathological tests were assessed; screening mammography was predominant (96.2%), with annual interval (44.6%) and 51.2% of the patients were in the recommended age group (50 to 69 years); mammogram report was emitted in 30 days in 61.7% of the cases; among the 17,343 malignant lesions confirmed in the histopathological tests, 66.4% were detected through clinical examination.Conclusionscreening actions and early diagnosis in disagreement with the Ministry of Health's recommendations may compromise its effectiveness and entail greater risk to women; it is necessary to improve professional's adherence to screening guidelines, as well as enhance the control and assessment of the health services.

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