NAGIOS: RODERIC FUNCIONANDO

Spatial-temporal analysis of hospitalizations with death caused by oral cancer in Brazil and its correlation with the expansion of healthcare coverage

Repositori DSpace/Manakin

IMPORTANT: Aquest repositori està en una versió antiga des del 3/12/2023. La nova instal.lació está en https://roderic.uv.es/

Spatial-temporal analysis of hospitalizations with death caused by oral cancer in Brazil and its correlation with the expansion of healthcare coverage

dc.contributor.author	Lima, Hassan Lavalier de Oliveira	es
dc.contributor.author	Costa, Elisa Miranda	es
dc.contributor.author	de Andrade, Luciano	es
dc.contributor.author	Thomaz, Érika B.A.F.	es
dc.date.accessioned	2023-06-16T08:36:52Z
dc.date.available	2023-06-16T08:36:52Z
dc.date.issued	2023	es
dc.identifier.citation	Lima, HL., Costa, EM., Andrade, Ld., & Thomaz, EB. (2023). Spatial-temporal analysis of hospitalizations with death caused by oral cancer in Brazil and its correlation with the expansion of healthcare coverage. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e1-e8). Medicina Oral, S.L. https://doi.org/10.4317/medoral.25470	es
dc.identifier.uri	https://hdl.handle.net/10550/88166
dc.description.abstract	Oral cancer (OC) is a growing public health problem worldwide. In Brazil, the National Oral Health Policy, implemented in 2004, expanded access to oral health services and prioritized OC care. However, it is not known whether this expansion resulted in a reduction in hospital admissions with death. This study aimed to analyze the proportion of hospital admissions who progressed to death due to OC in Brazil from 2007 to 2019 and its correlation with the coverage of health services. This study is an ecological, longitudinal, and analytical study of hospital admissions with death due to OC recorded in the Brazilian Hospital Information System. The following analyses were performed: descriptive, spatial (choropleth maps and Moran index), and negative binomial regression, with a hierarchical approach, estimating crude and adjusted regression coefficients (?) and respective 95% confidence intervals (95% CI) (alpha=5%). In 2019, Moran's index (I) of spatial autocorrelation showed a negative association between hospital admissions with death and dentist surgeon/inhabitant rate (I=-0.176), physician/inhabitant rate (I=-0.157), family health strategy (FHS) coverage (I=-0.080), oral health team (OHT) coverage (I= -0.129), dental specialty centers (DSC)/inhabitant rate (I= -0.200), and oncology bed/inhabitant rate (I= -0.101). In the adjusted regression analysis, the proportion of hospitalizations with deaths caused by OC was higher in Brazilian states with a lower medical /inhabitant ratio (?= -0.014; p=0.040), a lower dentists/inhabitant ratio (?= -0.720; p=0.045), a lower number of DSC (?= -0.004; p<0.000), a lower amount paid per hospitalization (?= -10.350; p<0.001), and a lower number of biopsies (?= -0.00008; p=0.010). The proportion of hospitalizations that progressed to death showed a positive association with the number of days of hospitalization (?= 0.00002; p=0.002). Increased health care coverage has decreased serious hospital admissions with deaths caused by OC in Brazil.	es
dc.subject	celiac disease	es
dc.subject	molar incisor hypomineralization	es
dc.subject	oral ulcer	es
dc.subject	dental caries	es
dc.subject	saliva	es
dc.title	Spatial-temporal analysis of hospitalizations with death caused by oral cancer in Brazil and its correlation with the expansion of healthcare coverage	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.25470	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805332/