Opportunistic mammography screening by the Brazilian Unified Health System in 2019

Authors

Keywords:

breast neoplasms, mass screening, mammography, Brazilian Unified Health System, Brazil

Abstract

Introduction: Mammography screening has been the best method for detecting early tumors and reducing breast cancer mortality according to different studies. In Brazil, the number of women who undergo mammography tests by the Brazilian Unified Health System (SUS) has been far below international recommendations. Objective: To describe the number of mammographies, mammography coverage, and the amount spent on this exam during 2019 by SUS, in Brazil. Method: Ecological study with data from the Department of Informatics of the Brazilian Unified Health System and the Brazilian Institute for Geography and Statistics in order to verify the number of mammographies performed by the SUS concerning the Brazilian female population in Brazil, in the age group of 50 to 69 years, in the states and in macro-regions during 2019. Results: In 2019, 2,660,469 mammographies were performed in the country out of the expected total of 12,154,979, accounting for a 21.9% mammography coverage by SUS at the cost of BRL 117,841,231.97. The lowest coverage rates were verified in the states of Amapá (0.6%) and the Federal District (4.9%), whereas the best rates were found in the states of Paraná (29.7%) and Alagoas (29.6%). Conclusions: The number of mammographies performed in Brazil in 2019 by SUS corresponded to almost ¼ of the country’s need, with mammography coverage far below the target and being widely different among the many Brazilian states.

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Author Biography

Ruffo Freitas-Junior, Universidade Federal de Goiás

Breast Cancer Program, Hospital das Clínicas, Universidade Federal de Goiás, Brazilian Breast Cancer Research Network

References

Dibden A, Offman J, Duffy SW, Gabe R. Worldwide Review and Meta-Analysis of Cohort Studies Measuring the Effect of Mammography Screening Programmes on Incidence-Based Breast Cancer Mortality. Cancers. 2020;12(4):976. http://doi.org/10.3390/cancers12040976

Gøtzsche PC, Jørgensen KJ. Screening for breast cancer with mammography. Cochrane Database Syst Rev. 2013;6:CD001877. http://doi.org/10.1002/14651858.CD001877.pub5

Dos-Santos-Silva I, De Stavola BL, Renna-Junior NL, Nogueira MC, Aquino EML, Bustamante-Teixeira MT, et al. Ethnoracial and social trends in breast cancer staging at diagnosis in Brazil, 2001- 14: a case only analysis. Lancet Glob Health. 2019;7(6):e784-e797. https://doi.org/10.1016/s2214-109x(19)30151-2

Pauwels EK, Foray N, Bourguignon MH. Breast Cancer Induced by X-Ray Mammography Screening? A Review Based on Recent Understanding of Low-Dose Radiobiology. Med Princ Pract. 2016;25(2):101-9. https://doi.org/10.1159/000442442

Goossens M, De Brabander I, De Grève J, Van Ongeval C, Martens P, Van Limbergen E, et al. BMC Cancer. Flemish breast cancer screening programme: 15 years of key performance indicators (2002-2016). 2019;19:1012. https://doi.org/10.1186/s12885-019-6230-z

Freitas-Junior R, Rodrigues DCN, Corrêa RS, Peixoto JE, Oliveira HVCG, Rahal RMS. Contribution of the Unified Health Care System to mammography screening in Brazil, 2013. Radiol Bras. 2016;49(5):305-10. https://doi.org/10.1590/0100-3984.2014.0129

Gonzaga CMR, Freitas-Junior R, Souza MR, Curado MP, Freitas NMA. Disparities in female breast cancer mortality rates between urban centers and rural areas of Brazil: Ecological time-series study. Breast. 2014;23(2):180-7. https://doi.org/10.1016/j.breast.2014.01.006

Gonzaga CMR, Freitas-Junior R, Curado MP, Sousa ALL, Souza-Neto JA, Souza MR. Temporal trends in female breast cancer mortality in Brazil and correlations with social inequalities: ecological time-series study. BMC Public Health. 2015;15:96. https://doi.org/10.1186/s12889-015-1445-7

Rodrigues DCN, Freitas-Junior R, Rahal RMS, Silveira Corrêa R, Gouveia PA, Peixoto JE, et al. Temporal changes in breast cancer screening coverage provided under the Brazilian National Health Service between 2008 and 2017. BMC Public Health. 2019;19(1):959. https://doi.org/10.1186/s12889-019-7278-z

Brasil. Ministério da Saúde. Departamento de Informática do SUS – DATASUS. Informações de Saúde (TABNET). Demográficas e Socioeconômicas [Internet]. Brasília: Ministério da Saúde; 2019 [acessed on Apr. 14, 2019]. Available at: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?ibge/cnv/popuf.def

Brasil. Instituto Brasileiro de Geografia e Estatística. Diretoria de Pesquisas. Coordenação de População e Indicadores Sociais. Gerência de Estudos e Análises da Dinâmica Demográfica. Projeção da população do Brasil e Unidades da Federação por sexo e idade para o período 2000-2030 [Internet]. Brasília: Ministério da Saúde [acessed on Apr. 14, 2019]. Available at: http://www.ibge.gov.br/home/estatística/população/

Brasil. Ministério da Saúde. Parâmetros técnicos para o rastreamento do câncer de mama: recomendações para gestores estaduais e municipais [Internet]. Rio de Janeiro: INCA; 2009 [acessed on Apr. 30, 2019]. Available at: http://bvsms.saude.gov.br/bvs/publicacoes/parametros_rastreamento_cancer_mama.pdf

Urban LABD, Chala LF, Bauab SDP, Schaefer MB, Dos Santos RP, Maranhão NMA, et al. Breast cancer screening: updated recommendations of the Brazilian College of Radiology and Diagnostic Imaging, Brazilian Breast Disease Society, and Brazilian Federation of Gynecological and Obstetrical Associations. Radiol Bras. 2017;50(4):244-9. https://doi.org/10.1590/0100-3984.2017-0069

Rodrigues DCN, Freitas-Junior R, Rahal RMS, Correa RS, Peixoto JE, Ribeiro NV, et al. Difficult Access and Poor Productivity: Mammography Screening in Brazil Asian Pac J Cancer Prev. 2019;20(6):1857-64. https://doi.org/10.31557/apjcp.2019.20.6.1857

Moss SM, Wale C, Smith R, Evans A, Cuckle H, Duff SW. Effect of mammographic screening from age 40 years on breast cancer mortality in the UK Age trial at 17 years’ follow-up: a randomised controlled trial. Lancet Oncol. 2015;16(9):1123-32. https://doi.org/10.1016/s1470-2045(15)00128-x

Corrêa RS, Freitas-Junior R, Peixoto JE, Netto-Rodrigues DC, Lemos MEF, Dias CM, et al. Effectiveness of a quality control program in mammography for the Brazilian National Health System. Rev Saúde Pública. 2012;46(5):769-76. http://dx.doi.org/10.1590/S0034-89102012000500002

Soares LR, Rahal RMS, Queiroz VCJ, Aquino EC, Correa RS, Rodrigues DCN, et al. Clinical quality Control of mammograms evaluated in a Brazilian tertiary Hospital. Mastology. 2018;28(Suppl. 1):6. http://dx.doi.org/10.29289/259453942018V28S1008

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Published

2020-04-12

How to Cite

Freitas-Junior, R., Netto Rodrigues, D. C., Corrêa, R. S., Oliveira, L. F. P., Couto, L. S., Urban, L. A. B. D., & Rahal, R. M. S. (2020). Opportunistic mammography screening by the Brazilian Unified Health System in 2019. Mastology, 30, 1–4. Retrieved from https://revistamastology.emnuvens.com.br/revista/article/view/936

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Original Articles