ArticleRevista de saude publica2019
Clinical pathways of breast cancer patients treated in the Federal District, Brazil.
Article in Revista de saude publica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health seeking behaviours and private sector delivery of care for non-communicable diseases in low- and middle-income countries: a systematic review.BMC health services research · 2024Pooled it
- Educational, Racial, and Geographic Inequalities in Breast Cancer Screening and Diagnosis among Brazilian Women.Journal of racial and ethnic health disparities · 2026Article
- Article
- Impact of educational level and travel burden on breast cancer stage at diagnosis in the state of Sao Paulo, Brazil.Scientific reports · 2022Article
- Practical considerations for expediting breast cancer treatment in Brazil.Lancet regional health. Americas · 2021Review
- Challenge of Incorporating New Drugs for Breast Cancer in Brazil: A Proposed Framework for Improving Access to Innovative Therapies.JCO global oncology · 2021Review
- Temporal changes in breast cancer screening coverage provided under the Brazilian National Health Service between 2008 and 2017.BMC public health · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify the clinical pathways of women with breast cancer treated in public hospitals, and to analyze the factors that influence the time interval between the first appointment and the start of therapy.
methodsA cross-sectional study was conducted with 600 women with breast cancer treated in nine public hospitals in the Brazilian Federal District. Patients were interviewed between September 2012 and September 2014. Simple and multiple logistic regression models were adjusted to evaluate the variables associated with the time interval studied. The most frequent pathway was the one that started in primary care with following care in the therapy service (28.9%). In the multiple adjustment, factors associated to a longer time interval between the first appointment and therapy were: lower family income (OR = 1.89; 95%CI 1.32-2.68), the first appointment in public services (OR = 1.78; 95%CI 1.20-2.64), care in more than two health services in the clinical pathway (OR = 1.71; 95%CI 1.19-2.44); and obtaining the anatomopathological analysis of the biopsy in public services instead of private health services (OR = 1.87; 95%CI 1.29-2.71). Independently, the implementation of specialist appointment scheduling, with care regulation, was associated with a shorter time interval between first appointment and therapy (OR = 0.33; 95%CI 0.16-0.65).
conclusionsWe observed that multiple pathways were covered by women with breast cancer treated in public services of the Federal District. Socioeconomic iniquities and several aspectos of the pathways covered were associated with a longer time interval between the first appointment and the start of breast cancer therapy.
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