{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T16:46:08Z","timestamp":1793292368182,"version":"4.5.0"},"reference-count":47,"publisher":"FapUNIFESP (SciELO)","issue":"7","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Este estudo teve como objetivo analisar a realiza\u00e7\u00e3o de exames de rastreamento e diagn\u00f3stico para o c\u00e2ncer de colo do \u00fatero entre mulheres de 25 e 64 anos, bem como o atraso para o in\u00edcio do tratamento no Brasil e suas regi\u00f5es geogr\u00e1ficas no per\u00edodo de 2013 a 2020. As informa\u00e7\u00f5es sobre os procedimentos e as estimativas populacionais foram obtidas nos sistemas de informa\u00e7\u00f5es do Sistema \u00danico de Sa\u00fade (SUS) e da Ag\u00eancia Nacional de Sa\u00fade Suplementar (ANS). Foram calculados indicadores de cobertura do exame de Papanicolau, os percentuais de exames citopatol\u00f3gicos e histopatol\u00f3gicos alterados, e o percentual de mulheres com diagn\u00f3stico de c\u00e2ncer do colo do \u00fatero tratadas com mais de 60 dias. Houve grande varia\u00e7\u00e3o na cobertura do exame de Papanicolau entre as regi\u00f5es brasileiras com tend\u00eancia de decl\u00ednio a partir de 2013, agudizada de 2019 para 2020. O n\u00famero registrado de exames citopatol\u00f3gicos alterados foi 40% inferior ao estimado e a diferen\u00e7a entre o n\u00famero registrado de diagn\u00f3sticos de c\u00e2ncer e o estimado menor que 50%. O percentual das mulheres com diagn\u00f3stico de c\u00e2ncer invasivo do colo do \u00fatero que iniciaram o tratamento ap\u00f3s 60 dias variou entre 50% na Regi\u00e3o Sul a 70% na Regi\u00e3o Norte, com diminui\u00e7\u00e3o a partir de 2018. Em 2020, houve retra\u00e7\u00e3o do n\u00famero de exames de rastreamento e de seguimento com diminui\u00e7\u00e3o da propor\u00e7\u00e3o de mulheres com atraso para o in\u00edcio do tratamento nas regi\u00f5es Norte, Sudeste e Sul. A queda na cobertura do rastreamento e o seguimento inadequado de mulheres com resultados alterados indicam a necessidade de aprimorar as estrat\u00e9gias de detec\u00e7\u00e3o precoce da doen\u00e7a e estabelecer mecanismos de avalia\u00e7\u00e3o e monitoramento constante das a\u00e7\u00f5es.<\/jats:p>","DOI":"10.1590\/0102-311xpt041722","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T12:42:37Z","timestamp":1658839357000},"source":"Crossref","is-referenced-by-count":28,"title":["Avalia\u00e7\u00e3o das a\u00e7\u00f5es de controle do c\u00e2ncer de colo do \u00fatero no Brasil e regi\u00f5es a partir dos dados registrados no Sistema \u00danico de Sa\u00fade"],"prefix":"10.1590","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8734-2799","authenticated-orcid":false,"given":"Gulnar Azevedo e","family":"Silva","sequence":"first","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2309-6976","authenticated-orcid":false,"given":"Luciana Leite de Mattos","family":"Alcantara","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2472-3444","authenticated-orcid":false,"given":"Jeane Glaucia","family":"Tomazelli","sequence":"additional","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2690-5791","authenticated-orcid":false,"given":"Caroline Madalena","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8690-9893","authenticated-orcid":false,"given":"Vania Reis","family":"Girianelli","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6956-6139","authenticated-orcid":false,"given":"\u00c9dnei Cesar","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6435-3302","authenticated-orcid":false,"given":"Itamar Bento","family":"Claro","sequence":"additional","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1676-3574","authenticated-orcid":false,"given":"Patty Fidelis de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0640-8387","authenticated-orcid":false,"given":"Luciana Dias de","family":"Lima","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"3262","DOI":"10.1016\/j.ejca.2013.04.024","article-title":"Worldwide trends in cervical cancer incidence impact of screening against changes in disease risk factors","volume":"49","author":"Vaccarella S","year":"2013","journal-title":"Eur J Cancer"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global cancerstatistics 2020: GLOBOCAN estimates of incidence and 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