Age and stage of with breast cancer. Public Hospitals. Córdoba 1998/2003
DOI:
https://doi.org/10.31052/1853.1180.v13.n1.7107Keywords:
breast cancer, womwn´s health, female cancerAbstract
The present investigation intends to fill a gap in the limited number of epidemiological studies carried out in Córdoba to date. The American Cancer Society recommends starting the detection of mammary pathology at the age of 40. We have found that in our hospital patients, this pathology is present at an earlier age than those current in foreign statistics and is diagnosed at a more advanced stage. This was our reason for studying mammary cancer in the city of Córdoba.
Objectives: to asses characteristics related to age and staging of women with mammary cancer assisted in public hospitals of the city of Córdoba for the period 1998-2003.
Materials and methods: this is a descriptive epidemiological, explicatory, retrospective, transversal and analytical study,. Out of a total of 1031 cases, only 961 cases were studied, based on a systematic random sample. The study included the analysis of a subgroup of women under 45 years of age, for which all cases were studied.
The dependent variable is the woman with mammary cancer. The records and central archives of the pathological anatomy services of four Córdoba hospitals for the period 1998-2003 were scrutinized, having previously obtained the necessary authorizations.
1031 cases of mammary cancer were found, but only 931 cases were studied due to deficiencies in the clinical records; these were analyzed according to the objectives stated.
Results: the mean for ages was 56 years ± 0.43. The risk of mammary cancer starts at 36. 21% of the malignant pathology cases was found in women under 45 years of age. Early detection of this pathology in the public hospitals of the city of Córdoba has come out as quite ineffective, since 70.70% of the cases are assisted in stages II, III and IV, a percentage that applies to both the general random sample and the total of the age subgroup under 45.
Conclusions:
-Mammary cancer appears at an earlier age than those current in international statistics.
-Detection of the initial pathology in patients assisted in public hospitals is quite ineffective, independent of age.
-Epidemiological research in public hospitals is impaired by deficiencies in the statistical system employed by those hospitals.
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Copyright (c) 2014 Escuela de Salud Pública y Ambiente. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba
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