{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:48:22Z","timestamp":1793717302898,"version":"4.6.1"},"reference-count":52,"publisher":"FapUNIFESP (SciELO)","issue":"5","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"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>Resumo: A detec\u00e7\u00e3o precoce \u00e9 uma das estrat\u00e9gias para o controle do c\u00e2ncer de mama e, para tanto, \u00e9 fundamental garantir o acesso \u00e0 investiga\u00e7\u00e3o dos casos suspeitos para continuidade do cuidado e tratamento oportuno. Este estudo tem por objetivo estimar a necessidade de procedimentos para detec\u00e7\u00e3o precoce dessa neoplasia e avaliar a sua adequa\u00e7\u00e3o no atendimento \u00e0s mulheres rastreadas e sintom\u00e1ticas no Sistema \u00danico de Sa\u00fade (SUS), no ano de 2019. Foi realizado um estudo descritivo transversal para analisar a oferta de exames de detec\u00e7\u00e3o precoce do c\u00e2ncer de mama, comparando a necessidade estimada com os procedimentos realizados no SUS. Foram utilizados os par\u00e2metros disponibilizados pelo Instituto Nacional de C\u00e2ncer para estimar a popula\u00e7\u00e3o e a necessidade de exames para a detec\u00e7\u00e3o precoce. No Sistema de Informa\u00e7\u00f5es Ambulatoriais do SUS, obteve-se o n\u00famero de procedimentos realizados em 2019. Observou-se um d\u00e9ficit de mamografias de rastreamento no pa\u00eds (-45,1%), variando entre -31,4% na Regi\u00e3o Sul a -70,5% na Regi\u00e3o Norte. Se a oferta desse exame fosse direcionada para a popula\u00e7\u00e3o-alvo do rastreamento, o d\u00e9ficit no pa\u00eds reduziria para -14,8% e haveria sobreoferta no Sul (6,2%). Os procedimentos de investiga\u00e7\u00e3o diagn\u00f3stica apresentaram varia\u00e7\u00f5es entre as regi\u00f5es, com maiores d\u00e9ficits de pun\u00e7\u00e3o por agulha grossa (-90,8%) e bi\u00f3psia\/ex\u00e9rese de n\u00f3dulo da mama (-80,6%) observados no Centro-oeste, e o maior d\u00e9ficit de exames anatomopatol\u00f3gicos no Norte (-88,5%). A compara\u00e7\u00e3o entre a produ\u00e7\u00e3o e a necessidade de procedimentos para detec\u00e7\u00e3o precoce do c\u00e2ncer de mama no Brasil identificou d\u00e9ficits e inadequa\u00e7\u00f5es que devem ser melhor conhecidos e equacionados em n\u00edvel estadual e municipal.<\/jats:p>","DOI":"10.1590\/0102-311xpt139723","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T10:40:52Z","timestamp":1716201652000},"source":"Crossref","is-referenced-by-count":10,"title":["Adequa\u00e7\u00e3o da oferta de procedimentos para a detec\u00e7\u00e3o precoce do c\u00e2ncer de mama no Sistema \u00danico de Sa\u00fade: um estudo transversal, Brasil e regi\u00f5es, 2019"],"prefix":"10.1590","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5847-9830","authenticated-orcid":false,"given":"Maria Beatriz Kneipp","family":"Dias","sequence":"first","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7137-9471","authenticated-orcid":false,"given":"M\u00f4nica de","family":"Assis","sequence":"additional","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6747-0184","authenticated-orcid":false,"given":"Renata Oliveira Maciel dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer,  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,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4861-2319","authenticated-orcid":false,"given":"Arn","family":"Migowski","sequence":"additional","affiliation":[{"name":"Instituto Nacional de C\u00e2ncer,  Brazil; Instituto Nacional de Cardiologia,  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,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.","volume":"71","author":"Sung H","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"ref2","series-title":"Global breast cancer initiative implementation framework: assessing, strengthening and scaling-up of services for the early detection and management of breast cancer","year":"2023"},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.1590\/1980-549720180021","article-title":"Implementing clinical guidelines a need to follow recommendations based on the best evidence available","volume":"21","author":"Stein AT","year":"2018","journal-title":"Rev Bras Epidemiol"},{"key":"ref4","article-title":"Diretrizes para detec\u00e7\u00e3o precoce do c\u00e2ncer de mama no Brasil II - Novas recomenda\u00e7\u00f5es nacionais, principais evid\u00eancias e controv\u00e9rsias","volume":"34","author":"Migowski A","year":"2018","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s40985-018-0080-0","article-title":"Cancer screening recommendations: an international comparison of high income countries","volume":"39","author":"Ebell MH","year":"2018","journal-title":"Public Health Rev"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1056\/NEJMp2307229","article-title":"The new USPSTF mammography recommendations - a dissenting view","volume":"389","author":"Woloshin S","year":"2023","journal-title":"N Engl J Med"},{"key":"ref7","series-title":"Breast cancer screening and diagnosis. 1.2021. 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