Epidemiologia de pacientes com câncer colorretal submetidos à tratamento cirúrgico em hospital de referência público no período de 5 anos

Abstract

The survey and subsequent knowledge of the records of patients who underwent surgical treatment due to the colon and rectum tumor are fundamental to the knowledge of the epidemiological profile of this prevalent malignancy today. Thus, knowledge of such data are relevant for developing strategies for prevention and treatment of this disease in the population. Thus, the objective of the study was to evaluate the data of patients undergoing colectomy and rectosigmoidectomy by colorectal tumor at the University Hospital of Santa Maria (HUSM) in the period 2010 to 2014. This is a cross-sectional, descriptive study with data obtained from medical records on the demographic profile, length of stay, number and type of surgical procedure, stage, location and histological-pathological type of colon tumor among others. During the study period were performed 224 surgeries colectomy and rectosigmoidectomy in patients with colorectal cancer in HUSM. Most (52.7%) patients were female. The merits, 30.8% were from Santa Maria, 11.2% of São Sepe and 58.0% from another location of the Rio Grande do Sul state. The average age of patients was 63.2 years, and 97.7% were between 40 and 89 years and the most frequent age group 60-69 years (28.1%). Regarding the onset of symptoms time, time of diagnosis to surgical treatment, hospital stay and time to diagnosis of treatment related to staging there was no improvement in service levels over the years analyzed. Furthermore, in relation to Dukes classification there was no difference in clinical evolution during the study period. This study reveals the need for reevaluation of continuously service, so that we can develop alternatives in order to optimize the service to patient with the colon and rectum cancer, and mainly seek strategies for early diagnosis.