ANDRE DE SOUZA BEZERRA
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Artigo IPEN-doc 28506 Characterization of patients with prostate cancer care at a reference hospital in the state of Tocantins, suitable for brachytherapy2021 - BEZERRA, ANDRE de S.; ZEITUNI, CARLOS A.; ROSTELATO, MARIA E.C.M.Observation and identification of predictive factors for results and morbidity are essential in the ideal selection of patients who can use brachytherapy as a treatment modality for prostate cancer. Thus, the objective of this research is to characterize the population of patients with prostate cancer treated at the General Public Hospital of Palmas in 2015, in the state of Tocantins. The method used was quantitative, with the characteristics of a retrospective, transversal and descriptive analysis. Held in the largest state health unit, the General Public Hospital of Palmas that, despite its large dimensions, lives with the main problems of the Unified Health System, such as overcrowding and shortages. It was found that most of the patients seen corresponded to the age of 70 to 79 years, making 45%, followed by patients aged between 60 and 69 years, with 33%. Most of the individuals attended were from the state of Tocantins, but some lived in an adjacent city in the state of ParĆ”. Data related to the Gleason score showed that there was a predominance of levels 6 and 7 indicating intermediate grade tumors, considering that the most of the observed population was older. It was concluded that the analyzed patients had a predominant staging of CaP II and III, thus most of the individuals, 23 of the 35 analyzed, were not able to undergo brachytherapy due to the high degree of disease staging.DissertaĆ§Ć£o IPEN-doc 28027 CaracterizaĆ§Ć£o dos pacientes portadores de cĆ¢ncer de prĆ³stata, atendidos em hospital de referĆŖncia do estado do Tocantins2021 - BEZERRA, ANDRE de S.A observaĆ§Ć£o e identificaĆ§Ć£o dos fatores preditores de resultados e morbidade sĆ£o essenciais na seleĆ§Ć£o ideal de pacientes que podem utilizar a braquiterapia como modalidade de tratamento do cĆ¢ncer de prĆ³stata. Ć capaz de melhorar o controle tumoral, aliviar os sintomas associados Ć doenƧa e, com isso, melhora a qualidade de vida de pacientes. O estado do Tocantins nĆ£o oferece essa modalidade terapĆŖutica, disponibiliza apenas tratamento por cirurgia, terapia hormonal ou radioterapia externa convencional, sem conseguir atender toda a demanda. O objetivo desta pesquisa Ć© analisar a populaĆ§Ć£o de pacientes portadores de cĆ¢ncer de prĆ³stata atendidos no Hospital Geral PĆŗblico de Palmas no ano de 2015, verificar quantos estariam aptos Ć braquiterapia e analisar o impacto caso ela pudesse ser ofertada. O mĆ©todo empregado foi quantitativo, com as caracterĆsticas de uma anĆ”lise retrospectiva, transversal e descritiva. Realizado na maior unidade de saĆŗde estadual, o Hospital Geral PĆŗblico de Palmas, apesar de suas grandes dimensƵes, convive com os principais problemas do Sistema Ćnico da SaĆŗde, como superlotaĆ§Ć£o e desabastecimento. Verificou-se que a maior parte dos pacientes atendidos correspondia Ć idade de 70 a 79 anos, perfazendo um total de 45%. Predominantemente eram do estado do Tocantins, mas alguns moravam em outros estados (ParĆ”). Os dados relacionados ao escore de Gleason mostraram que houve uma predominĆ¢ncia dos nĆveis 6 e 7, indicando tumores de grau baixo/intermediĆ”rio. Os pacientes analisados apresentaram estadiamento predominante II e III do CaP, e que 36,11% deles estavam aptos Ć braquiterapia. A aplicaĆ§Ć£o deste mĆ©todo impactaria positivamente reduzindo a demanda por leitos, internaƧƵes e consultas ambulatoriais, possibilitando mais 52 dias/leito disponĆveis ao HGPP ao ano, reduziria os custos com tratamento fora de domicĆlio, permitiria a reabilitaĆ§Ć£o precoce, alĆ©m de contribuir para a descentralizaĆ§Ć£o do serviƧo.Artigo IPEN-doc 27910 Analysis of patients with prostate cancer care at a reference hospital in the state of Tocantins, suitable for brachytherapy2021 - BEZERRA, ANDRE de S.; ZEITUNI, CARLOS A.; ROSTELATO, MARIA E.C.M.Observation and identification of predictive factors for results and morbidity are essential in the ideal selection of patients who can use brachytherapy as a treatment modality for prostate cancer. Thus, the objective of this research is to analyze the population of patients with prostate cancer treated at the General Public Hospital of Palmas in 2015, in the state of Tocantins. The method used was quantitative, with the characteristics of a retrospective, transversal and descriptive analysis. Held in the largest state health unit, the General Public Hospital of Palmas that, despite its large dimensions, lives with the main problems of the Unified Health System, such as overcrowding and shortages. It was found that most of the patients seen corresponded to the age of 70 to 79 years, making 45%, followed by patients aged between 60 and 69 years, with 33%. Most of the individuals attended were from the state of Tocantins, but some lived in an adjacent city in the state of ParĆ”. Data related to the Gleason score showed that there was a predominance of levels 6 and 7 indicating intermediate grade tumors, considering that the most of the observed population was older. It was concluded that the analyzed patients had a predominant staging of CaP II and III, thus most of the individuals, 23 of the 35 analyzed, were not able to undergo brachytherapy due to the high degree of disease staging.