Jul 2026· Revista ft· Vol 30, pp. 01-15· 0 citations
TL;DR
Hospital admissions, outpatient PSA testing, and healthcare costs related to prostate cancer increased in Brazil, alongside persistent regional and socioeconomic inequalities, which highlight the need to expand access to diagnosis and promote equity in cancer care.
Abstract
Objective: To analyze hospital admissions, outpatient prostate-specific antigen (PSA) testing, mortality, healthcare costs, and regional and sociodemographic inequalities related to prostate cancer in Brazil.
Methods: An ecological time-series study was conducted from 2015 to 2025. Data were obtained from DATASUS (SIM, SIH, and SIA) and the Brazilian Institute of Geography and Statistics (IBGE). Men aged 55–69 years diagnosed with malignant neoplasm of the prostate (ICD-10 C61) were included. Variables analyzed comprised hospital admissions, mortality, the deaths-to-admissions ratio, PSA testing, healthcare costs, and sociodemographic characteristics. Descriptive analyses were performed with temporal assessment and comparisons across age groups and Brazilian regions.
Results: A total of 161,628 hospital admissions were recorded, increasing from 12,322 in 2015 to 20,165 in 2025. The most affected age group was 65–69 years, accounting for 74,308 admissions. A total of 62,780,036 outpatient PSA tests were performed, with a decline in 2020 followed by subsequent recovery. The Southeast region showed the highest healthcare service volume, whereas the Northeast presented the highest mortality rate in 2024 (23.65/100,000 inhabitants). Higher mortality was observed among individuals with lower educational attainment, and reduced access to PSA testing was identified in vulnerable municipalities.
Conclusion: Hospital admissions, outpatient PSA testing, and healthcare costs related to prostate cancer increased in Brazil, alongside persistent regional and socioeconomic inequalities. These findings highlight the need to expand access to diagnosis and promote equity in cancer care.
This study aimed to describe the epidemiological profile and geographical distribution of suicide mortality in the Decentralized Health Area (ADS) of Crateús, Ceará, Brazil, from 2013 to 2023. It is a descriptive, retrospective epidemiological study based on data from the Mortality Information System (SIM/DATASUS - Sistema de Informações sobre Mortalidade in Portuguese), including deaths due to suicide (ICD-10 X60–X84) in the 11 municipalities of the region. Analyses included sociodemographic characteristics, circumstances of death, municipality, year, and the calculation of average rates. Higher frequencies were observed among men, particularly adults aged 30–49 years and individuals with lower educational levels, with most deaths occurring at home, mainly by hanging. Poranga and Quiterianópolis presented the highest average rates, while the regional average rate was 10.7 per 100,000 inhabitants. Comparison between the pre-pandemic (2013–2019) and pandemic (2020–2022) periods showed increased suicide rates in 9 municipalities, notably Ipaporanga and Poranga, indicating relevant territorial inequalities.
Rayanne Gabrielle Torquato de Freitas, Francisco Edimar Do Nascimento, Adriana Rodrigues de Sousa· Cadernos ESP· 0 citations
Introduction: Breast cancer is the most common type of cancer among women and one of the leading causes of death. Genetic factors, including BRCA1 and BRCA2 mutations, significantly increase the risk, highlighting the importance of evaluating this issue in communities with limited access to healthcare services.
Methods: Observational, cross-sectional, descriptive study was conducted, including 134 women aged 35 to 85 years registered at a rural health center in Catalina. A survey and the Breast Cancer Risk Assessment Tool were used to estimate breast cancer risk. Data was collected by the authors and analyzed using Excel. Study quality was ensured by controlling possible errors.
Results: The average risk of breast cancer was 0.80% over five years and 6.24% over a lifetime, lower than what has been reported in other countries. Based on reproductive and family history, the studied sample was classified as a low-risk group, considering that the sociodemographic profile suggests potential barriers to early detection.
Conclusions: The study showed a low risk of breast cancer, associated with protective factors and a vulnerable sociodemographic profile. Limitations include its cross-sectional design, single-center sample, and potential information bias due to the data collection tool used.
Ian Bernal, J. Medina, Micar Rosario et al.· Ciencia y Salud· 0 citations
ABSTRACT Objectives: To analyze the profile of deaths from malignant neoplasms of bones and articular cartilage in the pediatric population of Minas Gerais (2015–2024), considering sociodemographic, clinical, epidemiological, and regional aspects. Methods: Epidemiological, documentary, descriptive, and retrospective study with a census design, including deaths of individuals aged 0–19 years residing in Minas Gerais (ICD-10 C40–C41) registered in SIM/DATASUS. Variables analyzed included sex, age, race/color, municipality, place of death, length of hospital stay, and hospital costs. Descriptive statistics were used with frequencies, percentages, and mortality rates. Results: There were 3,883 hospitalizations and 79 deaths, predominating male patients (57.7% of hospitalizations; 59.5% of deaths), adolescents aged 10–19 years, and individuals of mixed race/color (pardo). Belo Horizonte accounted for most hospitalizations and deaths, while Juiz de Fora had high hospitalization rates but low mortality. Longer hospital stays were observed in female patients and those under 1 year; the highest costs were among adolescents aged 10–14 years. Hospitalizations decreased over time, but mortality remained stable. Conclusions: Findings highlight the need for early detection, access to specialized therapies, and reduction of regional inequalities to improve clinical outcomes and equity in pediatric oncology care. Level of Evidence IV; Retrospective cohort study.
Alvaro Inacio de Moura, Rafael Moreno Chaves, Fhilipe Hollanda Cavalcanti Soares· Acta Ortopédica Brasileira· 0 citations
Objective: to analyze evidence on risk-based screening, early detection of kidney abnormalities and organization of chronic kidney disease (CKD) care in Primary Health Care (PHC), with emphasis on risk groups and the Brazilian Unified Health System (SUS). Method: integrative literature review guided by the Whittemore and Knafl method, with the study selection process reported using an adaptation of PRISMA 2020. Searches were conducted in MEDLINE/PubMed, LILACS, BVS, SciELO and BDENF for publications from January 2016 to 13 August 2026. The guiding question was organized using the PICo strategy. A total of 422 records were identified, 96 duplicates were removed, 326 titles and abstracts were screened, 69 full texts were assessed, and 15 studies were included. Results: evidence was concentrated among people with hypertension, diabetes and other risk factors and was heterogeneous regarding CKD definitions, confirmation of chronicity, eGFR equations and albuminuria measurement. Some studies identified kidney abnormalities at a single assessment, which is not equivalent to confirmed CKD. Gaps remain in the combined use of eGFR and albuminuria, repeat testing after abnormal results, professional knowledge, process indicators and coordination with nephrology. Conclusion: the findings support risk-based screening and continuity of care, but do not support universal population screening or causal claims that screening reduces kidney replacement therapy.
Laila Thamares Ribeiro Rodrigues, Ivo Eduardo Amaral Vignardi, N. D. de Freitas et al.· REMUNOM· 0 citations
This study aimed to analyze mortality from transport accidents in Foz do Iguaçu, Paraná, between 1996 and 2024, considering its magnitude, victim profile, distribution according to ICD-10 groups, temporal evolution, and differences between men and women. This is an ecological, descriptive, and time-series study conducted using data from the Mortality Information System and population estimates from DATASUS/IBGE. Absolute and relative frequencies, proportional mortality, crude rates, and age-standardized rates using the direct method were calculated, utilizing the 2010 population of Foz do Iguaçu as the standard. The years 1996 and 2024 were also compared. During the period, external causes accounted for 19.75% of deaths in the municipality, and transport accidents represented 25.58% of these deaths. A total of 2,215 deaths from transport accidents were recorded, with a predominance of males (79.73%) and the age group of 20 to 39 years (45.33%). Pedestres, car occupants, and motorcyclists stand out among the identified groups. Standardized rates were higher among men throughout the entire series. It is concluded that, although there was a reduction in mortality over the period, transport accidents remain an important external cause of death in the municipality, with a greater impact on men and young adults.
Mileide Souza Menezes, Jhule Michele Lopes Nascimento, Viviane Navarro dos Santos et al.· RECIMA21 - Revista Científic...· 0 citations
Changing magnitude and sociodemographic and territorial inequalities reveal changing magnitude and sociodemographic and territorial inequalities, supporting cause-specific prevention, timely diagnosis, comprehensive care, and improved mortality information.
Getúlio Antônio de Freitas, Alana Coêlho Maciel, Karla Danielly Xaveiro da Silva et al.· Revista de Estudos Interdisc...· 0 citations
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