MASTECTOMIA E RECONSTRUÇÃO MAMÁRIA NO SUS: EXPLORANDO DISPARIDADES NO BRASIL E NA PARAÍBA

Abstract

Breast reconstruction aims to reduce the physical and psychological impacts on women who have undergone mastectomies, lumpectomies, or quadrantectomies. The objective of this study is to quantitatively analyze the difference between the number of breast cancer treatment surgeries and reconstructive surgeries in Brazil and the state of Paraíba from 2018 to 2022. Method: This is an ecological, retrospective study, using data provided by DATASUS on Hospital Admission Authorizations in Brazil and Paraíba from 2018 until 2022. Results: In Brazil, 145,358 breast cancer treatment surgeries were performed, and 84,687 reconstructive surgeries were performed. In Paraíba, 4,896 breast cancer treatment surgeries were performed, and 655 reconstructive surgeries were performed. The breast reconstruction rate in Brazil was 58%, and the post-mastectomy breast augmentation (with implants) rate was 13%. In Paraíba, these numbers were 13% and 1%, respectively. Conclusions: Despite the considerable increase in 2022, the rates of breast reconstructions in Paraíba remains well below the national average, posing a significant health problem for women affected by breast cancer.