CONECTANDO HOMENS AOS CUIDADOS EM SAÚDE: LACUNAS ATUAIS E CAMINHOS PARA A INOVAÇÃO COM FERRAMENTAS TECNOLÓGICAS
DOI:
https://doi.org/10.56238/arev7n8-245Palavras-chave:
Urologia, Inteligência Artificial, Auto Triagem, Saúde MasculinaResumo
A saúde masculina no Brasil enfrenta altas taxas de morbimortalidade em comparação com as mulheres e exacerbadas por uma baixa procura por serviços de saúde devido a estereótipos de masculinidade e falhas sistêmicas. Condições urológicas como LUTS, disfunção erétil, infertilidade, ITUs e diversos cânceres (próstata, pênis, bexiga, testículo) são prevalentes e, frequentemente, com diagnósticos tardios. Este estudo buscou mapear o estado da arte de aplicativos em saúde urológica masculina para identificar lacunas e subsidiar o desenvolvimento de um produto tecnológico focado na experiência do usuário, promovendo a autotriagem diagnóstica e facilitando o acesso a especialistas. Realizou-se um estudo de mapeamento sistemático de 2019 a 2024, segundo Petersen et al. As fontes incluíram SCOPUS, PUBMED, bases de patentes (INPI, PATENTSCOPE, SPB, SPACENET) e lojas de aplicativos (App Store, Play Store). Foram analisados 40 artigos e/ou produtos tecnológicos relevantes. A saúde masculina brasileira é marcada por alta mortalidade e prevalência de doenças urológicas com barreiras socioculturais e falhas sistêmicas que atrasam diagnósticos. Existem ferramentas digitais de autoavaliação gerais (ex: Ada Health), mas uma aplicação abrangente de autotriagem diagnóstica, especificamente para condições urológicas masculinas, é uma lacuna notável. Verificadores de sintomas on-line (OSCs) demonstraram potencial como ferramentas de triagem e apoio à decisão capazes de gerar múltiplas hipóteses diagnósticas (alta acurácia no Top 5) e orientar a busca por ajuda profissional. A implementação da IA em Urologia ainda enfrenta obstáculos de controle de qualidade e validação. Os desafios na saúde urológica masculina exigem intervenções inovadoras. O desenvolvimento de uma ferramenta computacional centrada no usuário para autotriagem urológica masculina é crucial para reduzir barreiras de acesso, desconstruir estereótipos e catalisar o diagnóstico precoce e o encaminhamento especializado, melhorando a qualidade de vida dos homens.
Downloads
Referências
ASTOLFI, Rafael Haddad et al. Current scenario of endourological treatment of kidney stones in brazil: results of a national survey. International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology, v. 46, n. 3, p. 400–408, 20 fev. 2020.
BRAGA, Sonia Faria Mendes et al. Prostate Cancer Survival and Mortality according to a 13-year retrospective cohort study in Brazil: Competing-Risk Analysis. Revista Brasileira de Epidemiologia, v. 24, p. e210006, 6 jan. 2021.
BRODERICK, Gregory A. et al. Development of a new Peyronie’s disease self-assessment screening app. Translational Andrology and Urology, v. 13, n. 11, p. 2617624–2612624, 30 nov. 2024.
CHEN, Jian et al. Current status of artificial intelligence applications in urology and their potential to influence clinical practice. BJU International, v. 124, n. 4, p. 567–577, 2019.
ĆIRKOVIĆ, Aleksandar. Evaluation of Four Artificial Intelligence–Assisted Self-Diagnosis Apps on Three Diagnoses: Two-Year Follow-Up Study. Journal of Medical Internet Research, v. 22, n. 12, p. e18097, 4 dez. 2020.
CRISPIN-RIOS, Yuleizy et al. Testicular cancer mortality in Latin America and the Caribbean: trend analysis from 1997 to 2019. BMC Cancer, v. 23, p. 1038, 27 out. 2023.
DE ABREU, João; FERREIRA, Sebastião Rodrigues. Influence of climate on the number of hospitalizations for nephrolithiasis in urban regions in Brazil. Jornal Brasileiro de Nefrologia, v. 42, n. 2, p. 175–181, 2020.
DE MATOS, Widson Davi Vaz et al. Vulnerabilidades e estereótipos masculinos nas representações sociais das causas do adoecimento por câncer de próstata. Cadernos de Saúde Pública, v. 40, n. 9, p. e00175123, 2024.
DIAS, Aderivaldo Cabral et al. Presentation delay, misdiagnosis, inter-hospital transfer times and surgical outcomes in testicular torsion: analysis of statewide case series from central Brazil. International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology, v. 46, n. 6, p. 972–981, 2 set. 2020.
DILIXIATI, Diliyaer et al. The association between sexual dysfunction and prostate cancer: a systematic review and meta-analysis. The Journal of Sexual Medicine, v. 20, n. 2, p. 184–193, 14 fev. 2023.
Editorial: a importância de abordar a masculinidade e a saúde dos homens para avançar rumo à saúde universal e à igualdade de gênero - OPAS/OMS | Organização Pan-Americana da Saúde. Disponível em: <https://www.paho.org/pt/noticias/25-2-2019-editorial-importancia-abordar-masculinidade-e-saude-dos-homens-para-avancar-rumo>. Acesso em: 24 jan. 2025.
ESPÓSITO, Regina Carmen et al. Blue November Campaign as an annual male self-care strategy for healthy aging. The Aging Male, v. 23, n. 5, p. 865–872, 4 dez. 2020.
EVANGELISTA, Flávio de Macêdo et al. Incidence, mortality and survival of prostate cancer in two municipalities with a high human development index in Mato Grosso, Brazil. Revista Brasileira de Epidemiologia, v. 25, p. e220016, 24 jun. 2022.
GELLERT, George A. et al. The potential of virtual triage AI to improve early detection, care acuity alignment, and emergent care referral of life-threatening conditions. Frontiers in Public Health, v. 12, 13 maio 2024.
GOLDSTEIN, Irwin et al. The association of erectile dysfunction with productivity and absenteeism in eight countries globally. International Journal of Clinical Practice, v. 73, n. 11, p. e13384, 2019.
GOLDSTEIN, Irwin et al. Epidemiology Update of Erectile Dysfunction in Eight Countries with High Burden. Sexual Medicine Reviews, v. 8, n. 1, p. 48–58, 1 jan. 2020.
HAJEBRAHIMI, Sakineh et al. Population-Based Survey of Urinary Incontinence, Overactive Bladder, and Other Lower Urinary Tract Symptoms in Five Developing Countries: Results of the BEBIC Study. Neurourology and Urodynamics, v. 44, n. 2, p. 294–304, 2025.
HOZ, Franklin José Espitia De La. Disfunción eréctil, prevalencia y factores asociados, en hombres con diabetes tipo 2, en el Eje Cafetero, Colombia, 2016-2019. Revista Urología Colombiana / Colombian Urology Journal, v. 30, p. 091–097, 29 mar. 2021.
ISER, Daniel Albrecht et al. Prostate cancer mortality in Brazil 1990-2019: geographical distribution and trends. Revista da Sociedade Brasileira de Medicina Tropical, v. 55, n. Suppl 1, p. e0277-2021, [S.d.].
JUDSON, Timothy J. et al. Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19. Journal of the American Medical Informatics Association : JAMIA, v. 27, n. 6, p. 860–866, 13 maio 2020.
KAUL, Vivek; ENSLIN, Sarah; GROSS, Seth A. History of artificial intelligence in medicine. Gastrointestinal Endoscopy, v. 92, n. 4, p. 807–812, 1 out. 2020.
KIJIMA, Felipe Jun et al. Prevalence and quality of life associated with erectile dysfunction and lower urinary tract symptoms: a cross-sectional study. Sao Paulo Medical Journal, v. 143, p. e2024045, 20 dez. 2024.
KIM, Eui-Sun; EUN, Sung-Jong; YOUN, Seunghyun. The Current State of Artificial Intelligence Application in Urology. International Neurourology Journal, v. 27, n. 4, p. 227–233, dez. 2023.
KIMMINS, Sarah et al. Frequency, morbidity and equity — the case for increased research on male fertility. Nature Reviews Urology, v. 21, n. 2, p. 102–124, fev. 2024.
KORKES, Fernando et al. Penile cancer trends and economic burden in the Brazilian public health system. einstein (São Paulo), v. 18, p. eAO5577, 6 nov. 2020.
LIMA, Carlos Anselmo et al. Trends in prostate cancer incidence and mortality to monitor control policies in a northeastern Brazilian state. PLoS ONE, v. 16, n. 3, p. e0249009, 25 mar. 2021.
LIMA, Cleubiane de Sousa; AGUIAR, Ricardo Saraiva. Acesso dos homens aos serviços de atenção primária à saúde: uma revisão integrativa. Research, Society and Development, v. 9, n. 4, p. e157943027–e157943027, 22 mar. 2020.
LOZANO-ORTEGA, Greta et al. Management of Patients with Overactive Bladder in Brazil: A Retrospective Observational Study Using Data From the Brazilian Public Health System. Advances in Therapy, v. 37, n. 5, p. 2344–2355, 2020.
LUIZAGA, Carolina Terra de Moraes et al. Trends in prostate cancer mortality in the state of São Paulo, 2000 to 2015. Revista de Saúde Pública, v. 54, p. 87, [S.d.].
MARCHINI, Giovanni S. et al. Comparing public interest on stone disease between developed and underdeveloped nations: are search patterns on google trends similar? International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology, v. 47, n. 5, p. 989–996, [S.d.].
MINISTÉRIO DA SAÚDE DO BRASIL. Mortalidade – desde 1996 pela CID-10 – DATASUS. Tabnet, , 2024. Disponível em: <https://datasus.saude.gov.br/mortalidade-desde-1996-pela-cid-10/>. Acesso em: 17 mar. 2025
MORAIS, Roberta Laíse Gomes Leite et al. CONHECIMENTO DOS HOMENS SOBRE O CÂNCER DE PRÓSTATA: A VIRILIDADE E O ESTIGMA DA DOENÇA. Revista Saúde.com, v. 16, n. 2, 2020.
MORI, Rafael Ribeiro et al. Prostate cancer screening among elderly men in Brazil: should we diagnose or not? International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology, v. 46, n. 1, p. 34–41, 13 jan. 2020.
MOURÃO, Thiago Camelo et al. Epidemiology of Urological Cancers in Brazil: Trends in Mortality Rates Over More Than Two Decades. Journal of Epidemiology and Global Health, v. 12, n. 3, p. 239–247, 1 set. 2022.
NEGRI, Mariana et al. Prevalence and antimicrobial resistance profile of pathogens isolated from patients with urine tract infections admitted to a university hospital in a medium-sized Brazilian city. Revista do Instituto de Medicina Tropical de São Paulo, v. 66, p. e3, [S.d.].
Novembro Azul 2023. Disponível em: <https://www.gov.br/inca/pt-br/assuntos/campanhas/2023/novembro-azul/outubro-rosa-2023>. Acesso em: 3 mar. 2025.
PATEL, Rutul D.; SWANTON, Amanda R.; GROSS, Martin S. Online Symptom Checkers are Poor Tools for Diagnosing Men’s Health Conditions. Urology, v. 170, p. 124–131, 1 dez. 2022.
PELOSI, Giovana et al. Study on the prevalence of neurogenic bladder in Brazilians with traumatic and non-traumatic spinal cord injury. The Journal of Spinal Cord Medicine, v. 46, n. 4, p. 677–681, [S.d.].
PETERSEN, Kai et al. Systematic Mapping Studies in Software Engineering. Proceedings of the 12th International Conference on Evaluation and Assessment in Software Engineering, v. 17, 26 jun. 2008.
PITTA, Rafael Mathias et al. What are the Main Risk Factors Associated with Erectile Dysfunction in the Elderly? A Cross-Sectional Study of 2436 Brazilian Elderly Men. Clinical Interventions in Aging, v. 18, p. 1047–1054, 8 jul. 2023.
PITTA, Rafael Mathias et al. The association between erectile dysfunction and depression: a cross-sectional study of 21,139 Brazilian men. einstein (São Paulo), v. 22, p. eAO1063, 16 dez. 2024.
RENNA JUNIOR, Nelson Luiz; AZEVEDO E SILVA, Gulnar de. Socioeconomic status and cancer survival in Brazil: Analysis of population data from the municipalities of Aracaju and Curitiba, 1996–2012. Cancer Epidemiology, v. 85, p. 102394, 1 ago. 2023.
RIBEIRO, Thainá Souza et al. Effects of age, period, and cohort on mortality by prostate cancer among men in the state of Acre, in the Brazilian Western Amazon. Ciência & Saúde Coletiva, v. 29, p. e14782022, 26 ago. 2024.
SHAH, Nikhil et al. Current advances in the use of artificial intelligence in predicting and managing urological complications. International Urology and Nephrology, v. 56, n. 11, p. 3427–3435, 1 nov. 2024.
SOARES, Andrey et al. Penile cancer: a Brazilian consensus statement for low- and middle-income countries. Journal of Cancer Research and Clinical Oncology, v. 146, n. 12, p. 3281–3296, 2020.
TEIXEIRA JÚNIOR, Antonio Augusto Lima et al. A comprehensive analysis of penile cancer in the region with the highest worldwide incidence reveals new insights into the disease. BMC Cancer, v. 22, n. 1, p. 1063, 15 out. 2022.
TIMOTEO, Frederico et al. Bladder cancer trends and mortality in the brazilian public health system. International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology, v. 46, n. 2, p. 224–233, 10 jan. 2020.
VASCONCELLOS, Vitor Florin et al. Clinical Characteristics and Treatment Outcomes of Patients With Advanced Germ Cell Tumor Treated at a Tertiary Cancer Center in Brazil. Journal of Global Oncology, v. 5, p. JGO.18.00170, 19 fev. 2019.
VIEIRA, Ciro Bezerra et al. Profile of patients with penile cancer in the region with the highest worldwide incidence. Scientific Reports, v. 10, n. 1, p. 2965, 19 fev. 2020.
ZAFAR, Yumna. An Exploration of Metaverse Applications in the Health Sector and Their Limitations. In: 2023 IEEE ENGINEERING INFORMATICS. 2023 IEEE Engineering Informatics. nov. 2023. Disponível em: <https://ieeexplore.ieee.org/document/10520643/?arnumber=10520643>. Acesso em: 1 mar. 2025
