COST-EFFECTIVENESS OF BREAST CANCER INTERVENTIONS IN PANAMA

Myrna McLaughlin-Anderson

Enviado agosto 1, 2021

Publicado 2021-07-31

Artigos de Investigação

v. 29 n. 25 (2021): Enfoque

CUSTO-EFETIVIDADE DAS INTERVENÇÕES DO CÂNCER DE MAMA NO PANAMÁ

Myrna McLaughlin-Anderson⁺⁻

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DOI: ND

Publicado: 2021-07-31

Como Citar

McLaughlin-Anderson, M. (2021). CUSTO-EFETIVIDADE DAS INTERVENÇÕES DO CÂNCER DE MAMA NO PANAMÁ. Enfoque, 29(25), 55–88. Recuperado de https://revistas.up.ac.pa/index.php/enfoque/article/view/2331

Declaração de Direito Autoral

Resumo

Objetivos: Este estudo explorou o custo-efetividade das intervenções realizadas para detectar o câncer de mama em mulheres com menos de 40 anos no Panamá e métricas de utilidade aplicada, como o EQoL5D3L e o Health Utility Index. Essas medidas forneceram escores de utilidades que foram utilizados como pesos para calcular os anos de vida ajustados pela qualidade.

Métodos: O custo econômico foi determinado pela medição do índice de serviços de saúde, QALYs e índice incremental de custo-efetividade. A avaliação da qualidade de vida das 125 mulheres com menos de 40 anos participantes desta pesquisa foi realizada utilizando-se as métricas Euro Quality of Life and Health Utility Index Mark 2 e Mark 3. Foram comparadas as seguintes intervenções: (a) mamografia, (b) exame clínico da mama, (c) ultrassom, (d) autoexame mamário e (e) biópsia.

Resultados: Aproximadamente 50,4% do grupo de estudo utilizou o autoexame das mamas como método diagnóstico. As conclusões deste único estudo fornecem informações para orientar a política de saúde pública sobre a educação essencial sobre os fatores de risco do câncer de mama. A maioria das mulheres (73%) apresentado com a doença nos Estágios 3-4. Muitos participantes (32%) apresentaram tumores triplos negativos, e 24,05% dos participantes apresentaram ER+PR+HER 2-. Este estudo revelou aspectos, como a dor, que afetam a qualidade de vida e resultam em uma diminuição da capacidade de realizar tarefas cotidianas. No total, 74% dos participantes relataram dor física, 58% dos participantes apresentaram comprometimento cognitivo e 62% dos participantes tiveram impactos emocionais.

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