Abstract
Background
Breast cancer is the most incident, prevalent and the leading cause of female cancer death worldwide. In Brazil is the most commonly diagnosed female cancer, except in the North region.
Objective
To evaluate coverage, quality and adequacy to the technical guidelines of breast cancer control actions indicators in women residing in the Metropolitan Region (MR) or in the Inland Towns of São Paulo, Brazil, between 2010 and 2012.
Method
Descriptive study based on SISMAMA data from 2010 to 2012 was carried out.
Results
MR did not reach the recommended target for the mammography ratio in 2011 and 2012, which presented a considerable percentage of mammogram beyond the recommended age range, increased the waiting time for access to diagnostic mammography and for obtain this result, and reduced the capacity diagnostic confirmation for lesions suspected of malignancy during the triennium. Inland towns achieved the recommended target for the mammography ratio over the period and improved biopsy coverage in 2012.
Conclusion
The results highlighted requirement for adjustments in the screening actions in the state of São Paulo that allow the practice of early detection actions more effective, reinforce the relevance of the available Information Systems and their continuous improvement, as well as contribute to stimulate the evaluation practice and of the reviewing of the National Cancer Prevention and Control Policy.
Keywords:
breast neoplasms; mass screening; mammography; health services research; early detection of cancer
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