Outcomes of Breast Cancer in Brazil Related to Health Care Coverage: A Retrospective Cohort Study

• DOI: 10.1158/1055-9965.epi-13-0693
• Publication Date: 2013-10-29T02:48:57Z
• Authors: Pedro E.R. Liedke; Dianne M. Finkels...; Jackie Szymonifka; Carlos H. Barrios; Yanin Chavarri-Gu...; José Bines; Cláudia Vasconcelos; Sérgio D. Simon; Paul E. Goss
• Keywords: Adult; Aged, 80 and over; Insurance, Health; Public Sector; Adolescent; National Health Programs; Breast Neoplasms; Health Care Costs; Health Status Disparities; Middle Aged; Survival Analysis; Disease-Free Survival; Insurance Coverage; 3. Good health; Cohort Studies; 03 medical and health sciences; 0302 clinical medicine; Humans; Female; Private Sector; Brazil; Aged; Retrospective Studies

Breast cancer is the most common malignancy in women Brazil. Differences between patients with public versus private healthcare coverage about general characteristics, disease presentation, treatment of primary tumors, and clinical outcomes have not been fully investigated.A national, retrospective cohort 3,142 drawn from a representative sample Brazilian medical centers was selected. Clinical demographic data type were retrieved by chart review. Groups compared using χ(2) test. The log-rank test used for comparison disease-free survival (DFS), postrelapse, overall (OS). Multivariate Cox regression modeling adjustment patient characteristics stage at diagnosis performed. All P values are two sided.Patients health presented more advanced (P < 0.001). DFS OS presenting 0-II did differ according to coverage, whereas significant difference seen III-IV = 0.002 0.008, respectively). In multivariate analysis, no association found either or OS, but there an postrelapse 0.001).In Brazil, breast present disease, this possibly explains worse when those coverage.Earlier could improve