Sara Isabel Pimentel de Carvalho Schuab, Wesley Rocha Grippa, Rapahel Manhães Pessanha, Larissa Soares Dell’Antônio, Cristiano Soares Dell’Antonio, Márcia Valéria de Souza Almeida, Luís Carlos Lopes-Júnior

Abstract

Objective: to analyze the completeness of epidemiological variables of RHCs related to cases of cervical neoplasia in the Oncology Care Network of the state of Espírito Santo, Brazil.

Method: retrospective time series study, based on secondary data from the cervical cancer database of the RHCs of the state of Espírito Santo (ES). Records extracted from the Tumor Registration Forms of all hospitals that make up the RAO of ES, in the period between 2000 and 2020, were used. The analysis of the incompleteness of the variables was performed based on the proportion of unfilled fields, being classified according to the following criteria: Excellent (E): 50%. The Mann–Kendall test was used to evaluate the temporal trends between the years, and the Friedman test to evaluate the quality classifications of the historical series.

Results: between 2000 and 2022, a total of 10,140 cases of cervical cancer were recorded in the RHCs of the Espírito Santo RAO. There was a statistically significant trend towards reduced completeness over time for the variables history of alcohol consumption (p = 0.001), history of tobacco consumption (p = 0.007) and disease status at the end of the first treatment in the hospital (p < 0.001), Federative Unit (UF) of residence (p = 0.034), origin (p = 0.034), year of first diagnosis (p = 0.016), relevant tests for the diagnosis and therapeutic planning of the tumor (p < 0.001), marital status (p = 0.020), year of screening (p = 0.005), most important basis for tumor diagnosis (p = 0.005), occurrence of more than one primary tumor (p = 0.009), year of treatment start (p = 0.005), first treatment received in the hospital (p = 0.047), occupation (p < 0.001), date of diagnosis (p = 0.016), date of screening (p = 0.005) and date of start of treatment (p = 0.042).

Conclusion: the completeness of the variables related to cervical neoplasia recorded in the RHC records of the state of Espírito Santo was classified as excellent in most cases. However, variables of clinical relevance for patient care, such as TNM staging (clinical and pathological), the state of the disease at the end of the first hospital treatment, and family history of cancer, presented high rates of incompleteness throughout the analyzed period.

Keywords: Cervical Cancer, Oncology, Epidemiology, Hospital Cancer Registry, Cancer Surveillance and Control.

FULL TEXT

Portuguese