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Thyroid cancer in Brazil: a descriptive study of cases held on hospital-based cancer registries, 2000-2016* * Manuscript based on the Ph.D. thesis entitled ‘Thyroid cancer: a study of the age-period-cohort effect on incidence, analysis of the oncology care profile in the Brazilian National Health System and survival of a hospital cohort in Rio de Janeiro’, submitted by Anne Karin da Mota Borges to the Public Health and Environment Postgraduate Program, Sergio Arouca National Public Health School/Oswaldo Cruz Foundation (ENSP/Fiocruz), in 2017.

Abstract

Objective

To describe the clinical and epidemiological profile of primary thyroid cancer hospital cases in Brazil.

Methods

This is a descriptive study of cases held on hospital cancer records who had their first consultation for treatment in the period 2000-2016 and who were monitored by the hospitals providing those records.

Results

Of the 52,912 cases, 83.4% were female and 96.9% were differentiated carcinoma cases. The median time to diagnosis was shorter for anaplastic cases (11 days) and for those living in Brazil’s Southern region (5 days). Treatment was initiated within 60 days in 88.8% of cases that arrived at the hospitals without diagnosis and in 34.9% of those who arrived with diagnosis.

Conclusion

The findings are consistent with thyroid cancer epidemiology, with a predominance of female cases and differentiated carcinomas. Analysis of time-to-treatment suggests access difficulties for those who already had diagnosis when they arrived at the hospitals.

Thyroid Neoplasms; Health Information Systems; Health Profile; Epidemiology, Descriptive; Time-to-Treatment

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