Analysis of prevalence and mortality associated with cutaneous melanoma in patients treated at a referral center in the west of the state of Santa Catarina, Brazil, from 2002 to 2016

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Published: Dec 15, 2020
DOI: https://doi.org/10.21876/rcshci.v10i4.1018
Keywords:
Brazil, epidemiology, melanoma, mortality, prevalence, Unified Health System

Main Article Content

Marcelo Moreno
Federal University of Southern Frontier
https://orcid.org/0000-0003-0244-9138
Juliana Cristina Schmidt
Community University of Chapecó Region
https://orcid.org/0000-0002-0571-1456
Luiza Grosbelli
Community University of Chapecó Region
https://orcid.org/0000-0002-5906-5904
Maykel Dassi
Community University of Chapecó Region
https://orcid.org/0000-0001-9804-253X
Rafael Victor Mierzwa
Community University of Chapecó Region

Abstract

Objective: To determine the epidemiology and clinical characteristics of cutaneous melanoma (CM) in the western region of the state of Santa Catarina, Brazil. Methods: This cross-sectional and descriptive study evaluated the clinical behavior and epidemiological profile of CM in patients from 78 municipalities in the west of the state of Santa Catarina, Brazil, from 2002 to 2016, treated in the Unified Health System. The chi-square test was used for group analysis. For survival curve analysis, a period of 10 years was considered (Log Rank test). Results: Data from 1,146 patients were evaluated, and there was an average of 20 cases/100,000 inhabitants/year. Most patients (63.5%) were in stages I and II. The overall survival at 10 years of follow-up was 89% (95%CI 87.7% - 91.5%). Female patients had higher survival rates (94.5%; 95%CI 92.7% - 96.4% vs. 82.6%; 95%CI 78.9% - 86.3%; p < 0.001) and variables with a better prognosis. Conclusions: the west of the state of Santa Catarina had a high prevalence of CM. The clinical and epidemiological characteristics agree with those described in populations residing in equivalent geographical regions, but they differ from other Brazil regions. These differences, associated with the reference and counter-reference organization of the public health system, may explain the survival results.

Article Details

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1.
Moreno M, Schmidt JC, Grosbelli L, Dassi M, Mierzwa RV. Analysis of prevalence and mortality associated with cutaneous melanoma in patients treated at a referral center in the west of the state of Santa Catarina, Brazil, from 2002 to 2016. HSJ [Internet]. 2020Dec.15 [cited 2024May18];10(4):109-16. Available from: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1018
Issue
Vol 10 No 4 (2020): October to December 2020
Section
ORIGINAL ARTICLE
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Author Biographies

Marcelo Moreno, Federal University of Southern Frontier

PhD in Medicine from the Federal University of Rio de Janeiro (UFRJ). Full Professor of the Medical Course at the Federal University of Southern Frontier (UFFS). Chapecó, Santa Catarina, Brazil.

Juliana Cristina Schmidt, Community University of Chapecó Region

PhD in Genetics from the Federal University of Paraná (UFPR). Full Professor of the Medical Course at the Community University of the Chapecó Region (Unochapecó). Chapecó, Santa Catarina, Brazil

Luiza Grosbelli, Community University of Chapecó Region

Sixth year Medical Student of the Community University of the Region of Chapecó. Chapecó (Unochapecó). Santa Catarina, Brazil

Maykel Dassi, Community University of Chapecó Region

Sixth year Medical Student of the Community University of the Region of Chapecó (Unochapecó). Chapecó, Santa Catarina, Brazil

Rafael Victor Mierzwa, Community University of Chapecó Region

Sixth year Medical Student of the Community University of the Region of Chapecó (Unochapecó). Chapecó, Santa Catarina, Brazil

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