Estudo dos dados do Sistema de Informação do Câncer do Colo de Útero do Departamento Regional de Saúde de Franca-SP, nos anos de 2007 e 2008.

Abstract

It is a transversal, retrospective study of quantitative approach that aimed at studying the data of Information System of Endometrial Uterine Cancer (SISCOLO), of Regional Health Department VIII (DRS) of Franca/SP, relative to the years 2007 and 2008. It was studied the data of 16 cities of DRS VIII that fulfilled the criteria for inclusion on the research. The material was composed of 28.066 and 27.044 records of oncotic cytology in the years of 2007 and 2008, respectively. With the information of SISCOLO it was identified the proportion and the regional coverage of the oncotic cytology exam among women of 25 to 59 years old; characterized their age range and the school degree, the frequency of the results of cytology and the percentage of satisfactory and unsatisfactory samples. The research was approved by Committee of Ethics in Research of Federal University of Triângulo Mineiro (UFTM), under protocol nb 1358/2009. It was made a worksheet on the Excel® program and the data were transported to the software Statistical Package for the Social Sciences (SPSS), version 17.0. It was done descriptive analysis of the variables: age range, school degree, results of exams and quality of samples and it was calculated the proportion and the regional coverage of the oncotic cytology exams. In 2007, the proportion and the coverage of the exams done at age range from 25 to 59 years old were of 0.16 and 16.4%, respectively. In 2008, there was a reduction of 0.15 exam/woman/year and the coverage was of 16.4%. The regional proportion is below alleged by Health Ministry. The age range from 25 to 59 considered priority for endometrial uterine cancer prevention was responsible for 70.9% and 70.8% of oncotic cytology of collect samples in 2007 and 2008, respectively. However, the age range with higher percentage of samples collected was from 20 to 29 years old. The data related to school degree could no be analyzed, thus this information was not recorded in 98.6% of the analysis in 2007 and 99.8% in 2008. The most of the results were within the normal thresholds (62.3% in 2007 and 59.5% in 2008). Referring to microbiology, it detected higher percentage of non specific category, defined as ‗others (51.6% in 2007 and 54.0% in 2008). The alterations in epithelial squamous cells represented 0.2% and 0.4% of the results in 2007 and 2008, respectively, and the alterations in gland epithelial cells were of 0.2% in 2007 and 2008. Referring to adequation of oncotic cytology samples in 2007, 0.6% were considered unsatisfactory and, in 2008, 1.4%, meaning an increase of 137.7% in the number of unsatisfactory samples. After the study of the information given by SISCOLO it is remarkable the necessity of actions that implement the program for Endometrial Uterine Cancer Prevention of DRS VIII, Franca/SP.