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Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017

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Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017

dc.contributor.author	Raymundo, Maria-Letícia-Barbosa	es
dc.contributor.author	Freire, Aldelany Ramalho	es
dc.contributor.author	Gomes-Freire, Deborah E W	es
dc.contributor.author	Silva, Rennis O	es
dc.contributor.author	de Araújo, Elza-Cristina-Farias	es
dc.contributor.author	Ishigame, Renato T P	es
dc.contributor.author	de Sousa, Silmone-Alves	es
dc.contributor.author	de Lucena, Edson Hilan Gomes	es
dc.contributor.author	Cavalcanti, Yuri-Wanderley	es
dc.date.accessioned	2023-06-16T08:36:37Z
dc.date.available	2023-06-16T08:36:37Z
dc.date.issued	2021	es
dc.identifier.citation	Raymundo, ML., Freire, AR., Gomes-Freire, DE., Silva, RO., Araújo, EC., Ishigame, RT., Sousa, SA., Lucena, EH., & Cavalcanti, YW. (2021). Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e78-e83). Medicina Oral, S.L. https://doi.org/10.4317/medoral.24009	es
dc.identifier.uri	https://hdl.handle.net/10550/87996
dc.description.abstract	This study aimed to analyze the trend in the number of hospitalized cases of oral cancer in Brazil, according to the coverage of oral health services in public health system, and also investigate the influence of healthcare and clinical characteristics on the severity of oral cancer cases. This retrospective study considered the period between 2009 and 2017. Data from the Hospital Registry of Cancer from the National Cancer Institute were used, considering the primary locations C00 to C06. Detailed information including sex, age, alcohol and tobacco use, year of first consultation, and the clinical stage of the cases were also collected. The frequency of hospitalized cases was correlated with the coverage of Primary Care Oral Health Teams (ESB) and the number of Dental Specialty Centers (CEO). It was also estimated the chance of advanced oral cancer cases, according to healthcare and clinical characteristics. Data were analyzed using Tweedie's multiple regression and multiple binary logistic regression (?<0.05). There was an increasing trend in the number of hospitalized cases of oral cancer in Brazil between 2009 and 2017 (B=0.043, p<0.001, PR=1.044). The increase in ESB coverage was associated with small increase in the number of hospitalized cases of oral cancer (B=0.001, p=0.003, PR=1.001). The increase in the number of CEO was associated with decrease in the number of hospitalized cases of oral cancer (B=-0.085, p<0.001, PR =0.918). The increase of ESB (OR=0.998) and CEO (OR=0.974) contributed for reducing the number of stage IV cases, whilst the history of alcohol and tobacco use (OR=1.574) was associated with an increase in the number of stage IV cases. Although an increasing trend was detected, the expansion of the public health system reduced the number of hospitalized cases and the frequency of advanced oral cancer cases in Brazil.	es
dc.subject	oral squamous cell carcinoma (oscc)	es
dc.subject	cervical lymph node metastasis	es
dc.subject	histologic differentiation	es
dc.subject	locally advanced disease	es
dc.title	Trend of hospitalized cases of oral cancer in Brazil and its relationship with oral health coverage in public health system between 2009 and 2017	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.24009	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7806343/