Navegando por Assunto "Colorectal neoplasms"

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Acesso aberto (Open Access)
Mortalidade por câncer colorretal no Brasil e medidas inerciais baseadas em smartphones durante o teste do degrau de Chester como preditor de tempo de internação no pós-operatório de câncer abdominopélvico
(Universidade Federal do Pará, 2023-03-24) NASCIMENTO, Ananda Quaresma; MELO NETO, João Simão de; http://lattes.cnpq.br/1547661999153615; https://orcid.org/0000-0002-4681-8532
INTRODUCTION: Cancers involving the abdominal and pelvic regions are among the main causes of mortality in Brazil, among which the colorectal type (CRC) is the third leading cause of death in the world. OBJECTIVE: To analyze the social and demographic factors that predict higher mortality from colorectal cancer and worse survival rates, as well as to verify whether screening, diagnosis and treatment procedures have an impact on mortality reduction. In addition, to evaluate whether the Chester Step Test (CST), through work, estimated VO2max and analysis of movement through the gyroscope, is a predictor of postoperative hospital stay of cancer patients undergoing abdominopelvic surgeries. METHOD: Secondary and open access data from the Department of Information and Informatics of the SUS and the IBGE Automatic Recovery System were analyzed. 51 cancer patients were also evaluated in the preoperative period of abdominopelvic surgery through CST associated with a smartphone gyroscope. RESULTS: In Brazil, CRC mortality increased after 45 years of age. The highest adjusted mortality rates were found among whites and in the South of the country. A higher risk of death was observed among single, married and widowed people in the North and Northeast than those legally separated in the South. Lower survival rates were observed among brown individuals, those legally separated and residents of the North region. High mortality in the North was associated with an increase in rates of first-line chemotherapy and a decrease in second-line chemotherapy, and in the South, with second-line chemotherapy and abdominoperineal resection of the rectum. For patients in the preoperative period of abdominopelvic surgery, the length of stay 30 days after the operation was longer when those who underwent CST level 1 had less mobility and greater energy expenditure. In addition, the work rate increased with the progression of the test from level 3 onwards. High VO2max is a predictor of length of stay for those who completed levels 3 and 4 of the test. CONCLUSION: Regional differences in sociodemographic and clinical factors can serve as guidelines for adjusting public health policies. In addition, the use of the gyroscope was more accurate in detecting lower mobility and higher energy expenditure. VO2max was able to predict longer postoperative hospital stays and the work variable was less sensitive in assessing patients' physical capacity.
Acesso aberto (Open Access)
Os sentidos do adoecimento pelo câncer colorretal: estudo etnográfico
(Universidade Federal do Pará, 2019-04-27) CORREA JÚNIOR, Antonio Jorge Silva; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932
Colorectal neoplasms affect the colon and rectum causing changes in intestinal habit, anemia, fatigue, rectal bleeding, obstruction, among others. According to the National Cancer Institute, the diagnosis of 17,380 new cases of colon and rectum cancer in men and 18,980 in women is expected in 2018/2019 for each year, approximately 190 cases will be diagnosed among men and 310 among women in the state of Pará making 500 cases, of these 240 will occur in the capital of Belém. The surgical treatment makes a new path for fecal elimination (estomy), the colostomy to be performed in the large intestine or the ileostomy to be performed in the small intestine temporarily or permanently. The purpose of this study was to interpret the meanings attributed by people to the experience of colorectal cancer and surgical treatment with stomization. This is an ethnographic study supported by the sociology of health in the oncological surgical clinic of the Ophir Loyola Hospital and the Chemotherapy Outpatient Clinic in Belém between August 2018 and February 2019, with companions and patients suffering from colorectal cancer. It counted on the techniques of participant observation, nonparticipant, field diary and semistructured interview in depth of the interpretative type, structuring from the narratives of the deponent and subsequent thematic analysis of Braun and Clarke. Fourteen patients were studied, and the caregivers were joined by twentytwo people, namely: eight sickcouple companions (sixteen people) and contacts with six sick people who felt comfortable answering the interview questions without assistance at the end. The senses were seized from a sample that in its totality used only the SUS public service, seven men and seven women, mostly pardos, studied until elementary school and possessed up to 1 minimum wage on average. As results, nine senses were obtained: (1) The history of sickness interrupted by difficulties; (2) Impressions on the public health service; (3) Estomization: future needs and paradoxical feelings towards "socializing"; (4) Losses in the patienceresilience process; (5) Corrected, fortified and constructed bonds: care as a fundamental coefficient; (6) Opinions about nursing; (7) Socialreligious and spiritual behavior; (8) Behavioral etiologies that trigger colorectal cancer, traditional knowledge and forms of treatment; (9) The immediate dream and the future prospects; being categorized into four units: Accessibility to SUS; Estomization: duality of experiences; The strategy of coping with the relationship with Nursing professionals; Socioreligiousspiritual repercussions of colorectal cancer stomization and future expectations. The senses of the experience of being stomped are ambiguous in the postoperative, converging to new ways of socializing, seeking resilience and future perspectives of life. It is noted that the symptoms and the intricate pathway in primary care were intervening factors for discrediting the public health service, however, the built links, the nursing care and the religious faith were factors referenced as beneficial in this course.