title: Clinical and epidemiological profile of cases of deaths from stomach cancer in the National Cancer Institute, Brazil.
abstract: BACKGROUND
  Stomach cancer is the third most common cause of death worldwide, mainly affecting people with low socioeconomic status. In Brazil, we expect 20,390 new cases of stomach cancer in 2014, in both sexes, and according to the proportional distribution of the ten most prevalent types of cancer (except non-melanoma skin cancer) expected for 2014, this type of cancer was estimated to be the fourth most common in men and sixth in women.
  
  
  OBJECTIVE
  To investigate and analyse the clinical and epidemiological profile of deaths caused by stomach adenocarcinoma in patients enrolled in the National Cancer Institute, Brazil.
  
  
  METHODS
  Cross-sectional study, with samples which consisted of data from the medical records of deaths from stomach cancer, enrolled in the period from 1 February 2009 to 31 March 2012 and who had died as of 30 April 2012.
  
  
  METHODS
  The Epi Info ®, version 7.
  
  
  RESULTS
  We included 264 cases, mostly male. The mean age was 61.7 years. They were smokers, drinkers, white, and married, with elementary education and an income of one minimum salary. They had advanced stage disease (E IV), with symptoms characteristic of this phase, and the majority died within six months.
  
  
  CONCLUSIONS
  The findings are similar to other studies. The advanced stage of the disease at the time of admission of the patients reflects the difficulty for users of the Unified Health System to access early diagnosis, demonstrating the need for efforts to identify groups and risk factors for the development of gastric cancer. Training of health professionals will facilitate planning and implementation of programmes for the prevention and control of disease, considering socioeconomic conditions, as seen in the sample, which is common among most users.
authors.affiliation: Coordenadora de Enfermagem do Banco Nacional de Tumores e DNA/INCA, Mestre em Enfermagem/UNIRIO, Praça Cruz Vermelha, nº 23, Térreo, Centro-RJ, CEP 20230-130, Brazil.
authors.forename: Maria Teresa Dos Santos
authors.initials: MT
authors.lastname: Guedes
authors.affiliation: Médico cirurgião e Chefe da Seção de Cirurgia Abdominopélvica do HC I/INCA, Brazil.
authors.forename: José Paulo
authors.initials: JP
authors.lastname: de Jesus
authors.affiliation: Médico cirurgião da Seção de Cirurgia Abdominopélvica do HC I/INCA, Doutorando da Universidade de São Paulo, Brazil.
authors.forename: Odilon
authors.initials: O
authors.lastname: de Souza Filho
authors.affiliation: Enfermeira, Mestre em Enfermagem pela Universidade Federal do Rio de Janeiro (UFRJ), Docente da Escola de Enfermagem Aurora de Afonso Costa da Universidade Federal Fluminense, Bolsista do Banco Nacional de Tumores e DNA/INCA, Brazil.
authors.forename: Raquel Malta
authors.initials: RM
authors.lastname: Fontenele
authors.affiliation: Enfermeira, Doutora em Ciências pela Fundação Oswaldo Cruz, Docente da Escola de Enfermagem Anna Nery da Universidade Federal do Rio de Janeiro (UFRJ), Brazil.
authors.forename: Ana Inês
authors.initials: AI
authors.lastname: Sousa
keywords: adenocarcinoma; cross-sectional studies; medical oncology; stomach neoplasms
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