Estudo do tempo entre o diagnóstico e o início do tratamento de crianças com câncer em um centro de referência da Paraíba

Abstract

This dissertation it is a retrospective descriptive study, with a quantitative approach, by analyzing medical records and database Hospital Napoleon Laureano, reference in the treatment of cancer in Paraíba. The population consists of all cases of children from 0 to 18 years, with a diagnosis of cancer. This study aims to assess the time between diagnosis and early treatment of children with cancer in the state in Paraíba, from June / 2013 to June / 2017, as well as the fulfillment of Law No. 12,732 for cancer pediatric patients. As the time interval between diagnosis and early treatment, we decided to separate patients into two groups: hematological malignancies (leukemias and lymphomas) and solid tumors (other) corresponding to children 104 and 112, respectively. Children with hematological tumors had an average of 6.1 days (± 9.5) with a median of 2 days (Percentiles 0-07) with a minimum value of 0 days and maximum of 37 days. The children with solid tumors had an average of 18.6 days (16.6 ±) between diagnosis and start of treatment, median 14 days (Percents 07-26) with a minimum value of 0 days and 77 days. We observed in our study that 98% of the children started their treatment before 60 days. Based on these results and the peculiar characteristics of childhood and adolescence cancer, it is suggested to reduce the maximum time of beginning of the treatment recommended by Law 12,732 for this group of patients.