COMPARATIVE STUDY OF THE EPIDEMIOLOGICAL PANEL OF CERVICAL CANCER MORTALITY AND ONCOTIC COLPOCYTOLOGY RATES IN THE STATE OF PERNAMBUCO: AN ECOLOGICAL RESEARCH

Abstract

Cervical cancer associated with Human Papilloma Virus (HPV) infection represents the fourth cause of death among women in Brazil and the second most common cancer in the Northeast region. Oncotic colpocytology is the main screening strategy for the early detection and diagnosis of colon cancer. The objective of this study was to analyze the relationship between the rates of oncotic colpocytology tests performed and the mortality rates from cervical cancer in the state of Pernambuco, aiming to identify potential gaps in the prevention and early diagnosis of the disease. This is an ecological, descriptive and retrospective study, based on data from the Mortality Information System (SIM) and the Cancer Information System (SISCAN), from 2013 to 2023. Results: The total deaths in the state of Pernambuco due to Colon Cancer was 1732. Most victims were mixed race 62.24%, predominance in the age group of 50-59 years representing 23.44% and the variation in the number of cytopathological exams carried out between different cities directly influenced the detection and mortality rate observed when we compared the capital of Pernambuco with a total of 661,056 exams in relation to Dormentes with a total of 881 exams in 10 years. A worrying prevalence of cervical cancer was distributed in Pernambuco, with an overall mortality rate of 9.25 per 100 thousand inhabitants. Conclusion: It is important to highlight that there is a need to level screening coverage so that areas of vulnerable populations and low socioeconomic status have easier access to this exam, through effective health policies and strategies, allowing an early diagnosis of cervical cancer.