Hospitalizations and length of stay of cancer patients: a cohort study in the brazilian public health system

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dc.creatorFláviafeliciana Silva
dc.creatorGisele Macedo da Silva Bonfante
dc.creatorIlka Afonso Reis
dc.creatorHugo André da Rocha
dc.creatorAgner Pereira Lana
dc.creatorMariangela Leal Cherchiglia
dc.date.accessioned2023-11-09T19:39:22Z
dc.date.accessioned2025-09-08T23:14:29Z
dc.date.available2023-11-09T19:39:22Z
dc.date.issued2020
dc.format.mimetypepdf
dc.identifier.doi10.1371/journal.pone.0233293
dc.identifier.issn19326203
dc.identifier.urihttps://hdl.handle.net/1843/60722
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofPLOS ONE
dc.rightsAcesso Aberto
dc.subjectDelivery of Health Care
dc.subjectHospitalizations
dc.subjectLength of Stay
dc.subject.otherPublic Health System
dc.subject.otherHospitalizations
dc.subject.otherLength of Stay
dc.titleHospitalizations and length of stay of cancer patients: a cohort study in the brazilian public health system
dc.typeArtigo de periódico
local.citation.epage13
local.citation.issue5
local.citation.spage1
local.citation.volume15
local.description.resumoThe hospitalizations are part of cancer care and has been studied by researchers worldwide. A better understanding about their associated factors may help to achieve improve ments on this area. The aims of this study were to investigate the association between demographic and clinical characteristics and hospitalizations, as well as between thesecharacteristics and the length of stay (LOS), within the first year of outpatient treatment, forthe most incident cancers in the Brazilian population. In this cohort study, we investigated 417,477 patients aged 19 years or more, who started outpatient cancer treatment, from2010–2014, for breast, prostate, colorectal, cervix, lung and stomach cancers. The out comes evaluated were: i) Hospitalizations within the first year of outpatient cancer treatment; and ii) LOS of the hospitalized patients. It was performed a binary logistic regressionto evaluate the association between the explanatory variables and the hospitalizations and a negative binomial regression to evaluate their influence on the length of hospital stay. The hospitalizations occurred for 34% of patients, with a median of LOS of 6 days (IQR: 2–15).Female patients were 16% less likely to be hospitalized (OR: 0.84; 95% CI: 0.82–0.86), with lower average of LOS (AR: 0.98; 95% CI: 0.97–0.99), each additional year of age reduced in 2% the hospitalization odds (OR: 0.98; 95% CI: 0.98–0.99) and in 1% the average of LOS (AR: 0.99; 95% CI: 0.98–0.99), patients from South region had twice more chances of hospi talization than from North region (OR: 2.01; 95% CI: 1.93–2.10) and patients with colorectal cancer had greater probability of hospitalization (OR: 4.42; 95% CI: 4.27–4.48), with the highest average of LOS (AR: 1.37; 95% CI: 1.35–1.40). In view of our results, we consider that the government must expand the policies with potential to reduce the number of hospitalizations.
local.publisher.countryBrasil
local.publisher.departmentICX - DEPARTAMENTO DE ESTATÍSTICA
local.publisher.departmentMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
local.publisher.initialsUFMG
local.url.externahttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233293

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