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Authors

DOI:

https://doi.org/10.70368/gecs.v3i1.15989

Keywords:

Cervical neoplasms, Spatial analysis, Women's health, Health Management

Abstract

Introduction: Cervical cancer is the third most common malignant tumor in women, behind only breast cancer and colorectal cancer. In 2018, it was the most commonly diagnosed cancer in 28 countries, mostly in disadvantaged areas, where the incidence exceeds 40 cases per 100,000 inhabitants. Objective: To describe the temporal pattern and spatial distribution of deaths from cervical neoplasia in the state of Ceará between 2012 and 2022. Methods: Ecological study, time series, and spatial analysis using secondary data from the Mortality Information System (SIM) of the Department of Information and Informatics of the Unified Health System (DATASUS). A descriptive analysis of the characteristics of the cases and the temporal and spatial pattern of the incidence of the disease was performed. Results: A total of 3,295 deaths from cervical cancer were reported in Ceará between 2012 and 2022, equivalent to an average of 300 deaths per year. The highest proportion of cases was among women aged

50-69 years, of brown race/color, with up to 3 years of schooling. The event showed similar proportions among married and single women. Most deaths occurred in the Fortaleza macro-region (54.9%), although Sobral had the highest mortality rate (9.39 deaths/100,000 inhabitants). Conclusion: Through this study, it was possible to see that despite the number of deaths in certain regions, the trend in the state is stable and that proposals need to be put forward to reduce the rates.

Author Biographies

João Vitor Teixeira de Sousa, Universidade Estadual do Ceará

Enfermeiro. Mestre em Saúde da Família – UFC. Doutorando em Cuidados Clínicos em Enfermagem e Saúde da Universidade Estadual do Ceará (UECE). 

Gleiciane Kelen Lima, https://orcid.org/0000-0001-9334-1936

Nurse. PhD candidate in Clinical Care in Nursing and Health (UECE). Master's degree in Nursing in Health Promotion from the Federal University of Ceará (UFC). Specialist in Public Health Management, Occupational Health, and Mental Health. Lecturer in the Nursing course at INTA University - UNINTA Itapipoca Campus. Employee of the Dr. José Frota Institute - Surgical Block and the Municipal Health Secretariat of Itapipoca (on leave). Professional experience in Surgical Centers, Public Health and Epidemiology, Primary Health Care, Tutoring, and Preceptorship in Continuing Education in Health. Member of the research group: Promotional Actions and Care for Human Groups in Mental Health and Collective Health (APASMC) and the Research Group on Patient Safety, Practices, and Technologies in Nursing and Health - GESPATE. She conducts studies in the areas of: Patient health and safety, Operating Room Nursing, Child and Adolescent Health, and Public Health.

 

Rhanna Emanuela Fontenele Lima de Carvalho, Universidade Estadual do Ceará

Professor in the undergraduate nursing program at the State University of Ceará. Coordinator of the Graduate Program in Clinical Care in Nursing and Health (PPCCLIS). Leader of the Patient Safety, Technology, and Clinical Care research group (SETECC - UECE). Member of the Brazilian Patient Safety Network (Ceará). Associate editor of the UFSM Nursing Journal. Reviewer for national and international journals. Visiting researcher (postdoctoral/CNPq) in the Department of Internal Medicine and Primary Care at Brigham and Women's Hospital, Boston, from February 2022 to February 2023. CNPq Research Productivity Fellow. Main areas of expertise: development and validation of technologies and patient safety.

Ana Valeska Siebra e Silva , Universidade Estadual do Ceará

PhD in Public Health from the University of São Paulo (USP), Master's degree in Public Health from the Federal University of Ceará. Currently an adjunct professor at the State University of Ceará (UECE), working mainly on the following topics: Epidemiology of child health, Health of newborns, children, and adolescents, perinatology, perinatal mortality, pediatric oncology, methodological studies, and vascular and infusion therapy. Professor in the Academic Master's Program in Clinical Care at the State University of Ceará (UECE) and Professional Master's Program in Child and Adolescent Health (UECE). Nurse at the State Health Secretariat, assigned to the Albert Sabin Children's Hospital, where she serves as coordinator of the Vascular Access Team (TAV). She coordinates the Postgraduate Program in Pediatric and Neonatal Nursing at UNIFAMETRO. Vice President of the Brazilian Nursing Association - Ceará Section, Director of Teaching and Research at the Brazilian Association of Vascular Access - ABRAVA, and member of the State Committee on Pediatric Oncology.

George Jó Bezerra Sousa, Universidade Estadual do Ceará

PhD in Clinical Nursing Care in Health from the State University of Ceará (UECE). Master's degree in Clinical Nursing Care and Health. Specialist in Health Informatics (UNIFESP). Bachelor's degree in Nursing. Recipient of a scholarship from the Coordination for the Improvement of Higher Education Personnel (CAPES) through the Science Without Borders (CsF) program at James Cook University (JCU), Australia. He is part of the Clinical Research and Epidemiology of Infectious and Parasitic Diseases Group (CEDIP) at UECE and the Laboratory of Education, Information, and Communication in Health (ECoS) at the University of Brasília (UnB). He is an associate editor of the JMIR Public Health and Surveillance journal and a review editor for Frontiers in Public Health. Reviewer for several national and international journals in the field of nursing and public health. He is interested in infectious and parasitic diseases (leprosy, tuberculosis, HIV), epidemiology, observational and ecological studies, statistics, temporal and spatial analysis, health informatics, big data, and machine learning.

Francisco Renan Galdino do Monte , Centro Universitário Inta - UNINTA

Nurse, graduated from Estácio de Sá University. He has a postgraduate degree in Urgent Care, Emergency Care, and Intensive Care Unit - Ateneu University Center, Stomatherapy - Minas Gerais College, and is currently pursuing a postgraduate degree in Family Health - University of International Integration of Afro-Brazilian Lusophony (UNILAB). He works as a field preceptor at the Inta University Center - UNINTA, Itapipoca campus, in the bachelor's degree program in Nursing, in the Supervised I discipline, at a Basic Health Unit in Itapipoca-Ce. He worked as a nurse in the Emergency, Medical Clinic, and Normal Delivery Center sectors at the Dr. Waldemar de Alcântara Municipal Hospital, Tururu-Ce, from 2020 to 2024. Research interests: Family and Community Health; Social Vulnerability; Health Management in Primary Care.

Joaquim Moacir Carneiro Neto, Universidade Federal do Ceará

Dental surgeon graduated from the University of Fortaleza (UNIFOR). Specialist in Family and Community Health in the Multiprofessional Residency program at the School of Public Health of Ceará. Postgraduate degree in Restorative Dentistry from the University of Fortaleza. Interested in the areas of dentistry/dental materials, dental prosthetics, implant dentistry, dental radiology, and public health.

References

ANSELIN, L. Exploring spatial data with GeoDaTM: a workbook. Center for spatially integrated social science, v. 1963, p. 157, 2005.

BERGMAN, H. et al. Comparison of different human papillomavirus (HPV) vaccine types and dose schedules for prevention of HPV‐related disease in females and males. Cochrane database of systematic reviews, v. 2019, n. 11, 1996.

BØNLØKKE, S. et al. Social factors and age play a significant role in cervical cancer and advanced-stage disease among Danish women. BMC cancer, v. 24, n. 1, p. 259, 2024.

BRASIL. Diretrizes brasileiras para o rastreamento do câncer do colo do útero. 2. ed. INCA: Ministério da Saúde, 2016.

BRASIL. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Dados e números sobre câncer de colo do útero. 2022.

BRASIL. Ministério da Saúde. Instituto Nacional do Câncer (INCA). Estimativa 2023: Incidência de Câncer no Brasil. Rio de Janeiro: INCA, 2022.

BRASIL. Ministério da Saúde. Nota Técnica para Organização da Rede de Atenção à Saúde com Foco na Atenção Primária à Saúde e na Atenção Ambulatorial Especializada – Saúde da Mulher no Rastreamento, no Diagnóstico e no Acompanhamento do Câncer do Colo Do Útero. / Sociedade Beneficente Israelita Brasileira Albert Einstein. São Paulo: Hospital Israelita Albert Einstein: Ministério da Saúde, 2023.

BRAY, F. et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians, v. 68, n. 6, p. 394-424, 2018.

CARVALHO, M. S.; SOUZA-SANTOS, R. Análise de dados espaciais em saúde pública: métodos, problemas, perspectivas. Cadernos de Saúde Pública, v. 21, n. 2, p. 361-378, 2005.

CEARÁ. Instituto de Pesquisa e Estratégia Econômica do Ceará - IPECE 2019. Índice de Desenvolvimento Municipal (IDM). Instituto de Pesquisa e Estratégia Econômica do Ceará (IPECE) / Fortaleza - Ceará: Ipece, 2019.

CEARÁ. Secretaria da Saúde do Estado do Ceará. Nota técnica. Prevenção e rastreamento do câncer de Mama e Colo do Útero. Secretaria da Saúde do Estado do Ceará, 2022. Fortaleza: Escola de Saúde Pública do Ceará, 2024.

FIDLER, M. M.; BRAY, F.; SOERJOMATARAM, I. The global cancer burden and human development: A review. Scandinavian journal of public health, v. 46, n. 1, p. 27-36, 2018.

GIRIANELLI, V. R.; GAMARRA, C. J.; AZEVEDO E SILVA, G. Os grandes contrastes na mortalidade por câncer do colo uterino e de mama no Brasil. Revista de saude publica, v. 48, p. 459-467, 2014.

INCA. Atlas da mortalidade. INCA - Instituto Nacional de Câncer. 2022.

KIM, H.J.; FAY, M.P.; FEUER, E.J.; MIDTHUNE, D.N. Permutation tests for joinpoint regression with applications to cancer rates. Stat Med.;19(3):335-351. 2000.

LEMP, J. M. et al. Lifetime prevalence of cervical cancer screening in 55 low-and middle-income countries. Jama, v. 324, n. 15, p. 1532-1542, 2020.

MALTA, D. C.; JORGE, A. O. Análise de tendência de citologia oncótica e mamografia das capitais brasileiras. Ciência e Cultura, v. 66, n. 1, p. 25-29, 2014.

MEIRA, K. C. et al. Inequalities in temporal effects on cervical cancer mortality in states in different geographic regions of Brazil: an ecological study. International journal of environmental research and public health, v. 19, n. 9, p. 5591, 2022.

OLIVEIRA SANTOS, M. et al. Estimativa de incidência de câncer no Brasil, 2023-2025. Revista Brasileira de Cancerologia, v. 69, n. 1, 2023.

OLIVEIRA, A. K. S. G. et al. Infecção pelo HPV: rastreamento, diagnóstico e conduta nas lesões HPV-induzidas. Femina, p. 166-172, 2021.

OLIVEIRA, N. P. D. Desigualdades no diagnóstico e mortalidade por câncer de mama e colo do útero no Brasil. 2020. [Tese de doutorado] – Universidade Federal do Rio Grande do Norte, Rio Grande do Norte (RN), 2020.

REIS, N. V. S. et al. The Global Burden of Disease Study estimates of Brazil’s cervical cancer burden. Annals of Global Health, v. 86, n. 1, p. 56, 2020.

RIBEIRO, C. M.; SILVA, G. A. Assessment of the production of cervical cancer care procedures in the Brazilian National Health System in 2015. Epidemiologia e Serviços de Saúde, v. 27, p. e20172124, 2018.

SILVA, G. A. et al. Avaliação das ações de controle do câncer de colo do útero no Brasil e regiões a partir dos dados registrados no Sistema Único de Saúde. Cadernos de Saúde Pública, v. 38, p. e00041722, 2022.

SILVA, G. A. et al. Mortalidade por câncer nas capitais e no interior do Brasil: uma análise de quatro décadas. Revista de saúde pública, v. 54, p. 126, 2020.

SILVA, M. J. S.; O’DWYER, G.; OSORIO-DE-CASTRO, C. G. S. Cancer care in Brazil: structure and geographical distribution. BMC cancer, v. 19, n. 1, p. 987, 2019.

SOBRAL NETO, J. F. et al. Análise espacial e temporal da mortalidade por câncer de colo do útero no Brasil, 2001-2020. Revista Brasileira de Epidemiologia, [S.l.], v. 23, n. 5, p. e12034, 2023.

SPOHR, A. S. R. et al. Mortalidade por câncer de colo de útero nas regiões brasileiras: um panorama dos anos 2009 a 2019. Research, Society and Development, v. 12, n. 7, p. e16712742602-e16712742602, 2023.

SUNG, H. et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians, v. 71, n. 3, p. 209-249, 2021.

THEME FILHA, M. M. et al. Regional and social inequalities in the performance of Pap test and screening mammography and their correlation with lifestyle: Brazilian national health survey, 2013. International Journal for Equity in Health, v. 15, n. 1, p. 136, 2016.

VALÉRIO, M. P. et al. Câncer de colo de útero: do diagnóstico ao tratamento/Cervical Cancer: From Diagnosis to Treatment. Brazilian Journal of Development, v. 8, n. 3, p. 20235-20241, 2022.

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Published

2024-11-10

How to Cite

SOUSA, J. V. T. de; LIMA, G. K.; FONTENELE LIMA DE CARVALHO, R. E.; SIEBRA E SILVA , A. V.; BEZERRA SOUSA, G. J.; GALDINO DO MONTE , F. R.; CARNEIRO NETO, J. M. Português . Gestão & Cuidado em Saúde, Fortaleza, v. 3, n. 1, p. e15989, 2024. DOI: 10.70368/gecs.v3i1.15989. Disponível em: https://revistas.uece.br/index.php/gestaoecuidado/article/view/15989. Acesso em: 9 jan. 2026.

Issue

Vol. 3 (2025)

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Review Articles

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Copyright (c) 2024 João Vitor Teixeira de Sousa, Gleiciane Kelen Lima, Rhanna Emanuela Fontenele Lima de Carvalho, Ana Valeska Siebra e Silva , George Jó Bezerra Sousa, Francisco Renan Galdino do Monte , Joaquim Moacir Carneiro Neto

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