{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:17:34Z","timestamp":1787023054480,"version":"build-2736575974"},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:p>A redu\u00e7\u00e3o recente na mortalidade por c\u00e2ncer de mama em pa\u00edses de alta renda \u00e9 atribu\u00edda \u00e0 detec\u00e7\u00e3o precoce e melhorias no tratamento. O c\u00e2ncer de mama \u00e9 o tipo mais frequente de c\u00e2ncer feminino no Brasil, e, desde 2004, o governo recomenda o exame cl\u00ednico anual das mamas para mulheres a partir dos 40 anos e rastreio mamogr\u00e1fico bienal entre 50 e 69 anos. Este artigo investiga o n\u00edvel de implementa\u00e7\u00e3o dessas recomenda\u00e7\u00f5es usando os dados dos sistemas de informa\u00e7\u00f5es do SUS de 2010 por macrorregi\u00e3o e grupo et\u00e1rio. Evidenciou-se uma cobertura baixa de mamografia entre a popula\u00e7\u00e3o alvo (32%: 50-59 anos; 25%: 60-69 anos). A propor\u00e7\u00e3o de mulheres com achados radiol\u00f3gicos anormais submetidas \u00e0 bi\u00f3psia tamb\u00e9m foi baixa (27%: 50-59 anos; 63%: 60-69 anos). O n\u00famero de cirurgias para c\u00e2ncer de mama foi maior do que o n\u00famero de casos detect\u00e1veis pela mamografia, mas muito inferior ao n\u00famero estimado de casos incidentes para 2010. Existem marcadas desigualdades regionais no acesso \u00e0 detec\u00e7\u00e3o precoce e \u00e0 cirurgia, sendo o acesso mais baixo na Regi\u00e3o Norte e mais alto na Regi\u00e3o Sul.<\/jats:p>","DOI":"10.1590\/0102-311x00156513","type":"journal-article","created":{"date-parts":[[2014,8,23]],"date-time":"2014-08-23T14:09:03Z","timestamp":1408802943000},"page":"1537-1550","source":"Crossref","is-referenced-by-count":46,"title":["Acesso \u00e0 detec\u00e7\u00e3o precoce do c\u00e2ncer de mama no Sistema \u00danico de Sa\u00fade: uma an\u00e1lise a partir dos dados do Sistema de Informa\u00e7\u00f5es em Sa\u00fade"],"prefix":"10.1590","volume":"30","author":[{"given":"Gulnar","family":"Azevedo e Silva","sequence":"first","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Teresa","family":"Bustamante-Teixeira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estela M. L.","family":"Aquino","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeane Glaucia","family":"Tomazelli","sequence":"additional","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"dos-Santos-Silva","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S141","DOI":"10.1590\/S0036-36342009000800003","article-title":"Global trends in breast cancer incidence and mortality","volume":"51","author":"Porter PL.","year":"2009","journal-title":"Salud P\u00fablica Mex"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1016\/S0140-6736(11)61351-2","article-title":"Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis","volume":"378","author":"Forouzanfar MH","year":"2011","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/S1470-2045(12)70211-5","article-title":"Global cancer transitions according to the Human Development Index (2008-2030): a population-based study.","volume":"13","author":"Bray F","year":"2012","journal-title":"Lancet Oncol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.canep.2012.02.007","article-title":"The descriptive epidemiology of female breast cancer: an international comparison of screening, incidence, survival and mortality.","volume":"36","author":"Youlden DR","year":"2012","journal-title":"Cancer Epidemiol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"2772","DOI":"10.1002\/1097-0142(197706)39:6<2772::AID-CNCR2820390665>3.0.CO;2-K","article-title":"Evidence on screening for breast cancer from a randomized trial","volume":"39","author":"Shapiro S.","year":"1977","journal-title":"Cancer"},{"key":"ref6","first-page":"227","article-title":"The National Study of Breast Cancer Screening Protocol for a Canadian Randomized Controlled trial of screening for breast cancer in women","volume":"4","author":"Miller AB","year":"1981","journal-title":"Clin Invest Med"},{"key":"ref7","first-page":"65","article-title":"Selection, follow-up, and analysis in the Health Insurance Plan Study: a randomized trial with breast cancer screening.","volume":"67","author":"Shapiro S","year":"1985","journal-title":"Natl Cancer Inst Monogr"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.1016\/S0140-6736(12)61611-0","article-title":"The benefits and harms of breast cancer screening: an independent review.","volume":"380","year":"2012","journal-title":"Lancet"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"2359","DOI":"10.1002\/cncr.23834","article-title":"Breast cancer in Latin America: results of the Latin American and Caribbean Society of Medical Oncology\/Breast Cancer Research Foundation expert survey","volume":"113","author":"Cazap E","year":"2008","journal-title":"Cancer"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"77","DOI":"10.32635\/2176-9745.RBC.2004v50n2.2039","article-title":"Controle do c\u00e2ncer de mama \u2013 documento de consenso","volume":"50","year":"2004","journal-title":"Rev Bras Cancerol"},{"key":"ref11","article-title":"Portaria n<sup><underline>o<\/underline><\/sup> 779\/08 de 31 de dezembro de 2008. 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Publica a Tabela de Procedimentos, Medicamentos, \u00d3rteses, Pr\u00f3teses e Materiais Especiais \u2013 OPM do Sistema \u00danico de Sa\u00fade.","year":"2007","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o"},{"key":"ref18","series-title":"Magnitude do c\u00e2ncer no Brasil: incid\u00eancia, mortalidade e tend\u00eancia","year":"2012"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1590\/S0100-39842007000300008","article-title":"Breast Imaging Reporting and Data System \u2013 BI-RADS: valor preditivo positivo das categorias 3, 4 e 5. 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