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Association between socioeconomic factors and origin of hospital referrals among patients with oral cancer

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Association between socioeconomic factors and origin of hospital referrals among patients with oral cancer

dc.contributor.author	Raymundo, Maria-Letícia-Barbosa	es
dc.contributor.author	Ferreira, Leonardo de Freitas	es
dc.contributor.author	Gomes-Freire, Deborah E W	es
dc.contributor.author	Freire, Aldelany R	es
dc.contributor.author	Silva, Rennis O	es
dc.contributor.author	de Araújo, Elza-Cristina-Farias	es
dc.contributor.author	de Lucena, Edson Hilan Gomes	es
dc.contributor.author	Cavalcanti, Yuri-Wanderley	es
dc.date.accessioned	2023-06-16T08:36:50Z
dc.date.available	2023-06-16T08:36:50Z
dc.date.issued	2022	es
dc.identifier.citation	Raymundo, ML., Ferreira, Ld., Gomes-Freire, DE., Freire, AR., Silva, RO., Araújo, EC., Lucena, EH., & Cavalcanti, YW. (2022). Association between socioeconomic factors and origin of hospital referrals among patients with oral cancer. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e476-e479). Medicina Oral, S.L. https://doi.org/10.4317/medoral.25478	es
dc.identifier.uri	https://hdl.handle.net/10550/88146
dc.description.abstract	The Brazilian Unified Health System (SUS) is responsible for offering free assistance to more than 100 million Brazilians, including treatment of oral cancer lesions. Considering that the Brazilian public system aids the most vulnerable population, this study analyzed whether the origin of hospital referrals of patients with oral cancer is associated with socioeconomic factors. A cross-sectional study was carried out from cancer hospital records of the National Cancer Institute (RHC-INCA), considering the primary locations (C00 to C06) diagnosed between 2016 and 2019. Data on gender, skin color (white and non-white), education (no schooling, incomplete or complete elementary education; high school; incomplete and complete higher education) and origin of referral (SUS and non-SUS) were analyzed by multiple logistic regression (p<0.05). Higher referral rates by the SUS were observed in 2017 (OR=1.27; 95% CI=1.098-1.480) and 2018 (OR=1.28; 95% CI=1.101-1.490); no differences were found between the years 2016 and 2019. Regarding gender, men were 40% more likely to have the SUS as the source of referral (OR=1.40; 95% CI=1.233-1.600). Non-white individuals were 34% more likely to have the SUS as the source of the referral (OR=1.34; 95% CI=1.190-1.512). Illiterate individuals or individuals who only attended elementary school were 6.38 times more likely to be referred by the SUS than individuals with higher education (OR=6.38; 95% CI=5.228-7.796). It is concluded that the origin of hospital referrals via SUS of patients with oral cancer is associated with socioeconomic factors.	es
dc.subject	oral lichen planus	es
dc.subject	immunohistochemistry	es
dc.subject	biomarkers	es
dc.subject	malignant transformation	es
dc.subject	pcna	es
dc.subject	p21	es
dc.subject	p53	es
dc.subject	bcl-2	es
dc.title	Association between socioeconomic factors and origin of hospital referrals among patients with oral cancer	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.25478	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445609/