PROFILE OF HOSPITALIZATIONS FOR MALIGNANT NEOPLASMS IN WOMEN AGED 20 TO 49 YEARS IN BRAZIL: AN ECOLOGICAL TIME SERIES STUDY

Abstract

This study aimed to analyze the profile of hospitalizations for malignant neoplasms among women aged 20 to 49 years in Brazil. This is an ecological time series study, using data from the Hospital Information System of the Unified Health System (SIH/SUS), using Prais-Winsten regression. In the period from 2014 to 2023, 1,880,954 hospitalizations for malignant neoplasms were reported among women aged 20 to 49 years in Brazil, with a mortality rate of 3.4%. The annual coefficient increased in the country, from 386 cases per 100 thousand women in 2014 to 458 per 100 thousand in 2023, showing an increasing trend (9.1%; p=0.001). The hospitalization coefficient and the trend were increasing in all regions of the country, with the Northeast presenting the highest rates (576.3 cases/100 thousand) and the highest annual increase (14.9%; p= 0.001). The hospitalization rate was higher among women aged 40 to 49 years (922, 1 cases/100,000), but it was also increasing among younger women. Malignant neoplasms of the breast, cervix and colon were the most prevalent among the female population evaluated and showed annual growth in all age groups evaluated. Hospitalizations have provided the SUS with high costs, and these have increased every year. Therefore, it is of great relevance to improve public policies to raise awareness about the most prevalent malignant neoplasms among women, access to diagnosis and early treatment so that it is possible to reduce the number of hospitalizations, mortality, and hospital costs for these neoplasms.