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Jornal de Pediatria
On-line version ISSN 1678-4782
SILVA, Denise Bousfield da; PIRES, Maria Marlene de Souza and NASSAR, Silvia Modesto. Pediatric cancer: analysis of hospital records. J. Pediatr. (Rio J.) [online]. 2002, vol.78, n.5, pp.409-414. ISSN 1678-4782. http://dx.doi.org/10.1590/S0021-75572002000500012.
Objective: to analyze pediatric cancer hospital records regarding the occurrence of new cases; to verify the relation between sex, age, race, origin and the disease clinical extension; to describe the mortality of children with cancer; to explore the association of new cases with proposed demographic variables, disease clinical extension and vital status. Methods: observational, descriptive, longitudinal study in children up to 14 years old, from Santa Catarina. Three hundred and seventy-one new cases of cancer were treated in a regional reference outpatient clinic (1994-98) and recorded according to the International Classification of Childhood Cancer. Multiple Correspondence Analysis was applied to evaluate the categorical variables. Results: three-hundred and seventy-one new cases of cancer were recorded with constant distribution in each year. Cancer affected preschoolers (41.5%) and males (55.8%). Leukemia was observed in 36.6% of the cases. Non-localized stage on the diagnosis occurred in 55.7%. The death occurred in 55.7% of the cases with non-localized disease and 16.3% with localized disease. At the end of the study 58.8% of the children were alive. Conclusions: we observed more cases of cancer at pre-school age and among male subjects. Leukemia is the most frequent type of cancer. Non-localized disease predominates on the diagnosis. The death frequency is higher in the group with non-localized disease. There is direct association with non-localized disease, living vital status, school age, adolescent age, female, and for non-localized disease with death vital status, infant age, pre-school age and male.
Keywords : neoplasia; pediatrics; hospital records; descriptive epidemiology; descriptive and exploratory analysis.