2009, Number 6
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Rev Med Inst Mex Seguro Soc 2009; 47 (6)
Oral Autopsy in Dead Women from Breast Cancer
González-López JJ, Valles-Medina AM, Zonana-Nacach A, Ortiz-Soto I, Gómez-Torres ME, Aguirre-Conde G
Language: Spanish
References: 17
Page: 591-595
PDF size: 43.21 Kb.
ABSTRACT
Objective: to discover the primary characteristics of
patients who have died of breast cancer (BCa)
through the use of verbal autopsies.
Methods: it was reviewed 105 death certificates
where BCa was registered as the cause of death
in a year period. A verbal autopsies instrument
was designed for BCa, it was validated through
expert consultation. A test-retest and Spearman
coefficient were applied. The instrument explored
sociodemographic, biological, life-style and health
services variables. Data was obtained from patients’
relatives. Any patient whose family could
not be localized or declined to participate was excluded
from the study.
Results: eighty one verbal autopsies were applied
(77 %). The mean age at the time of death was
53 ± 15. There was a direct family history of BCa
in 25 %; and in 31 % there were overweight or
obese. Only 17 % of the tumors were discovered
by health care workers, and the mean survival
after diagnosis was 2.3 ± 2 years.
Conclusion: the verbal autopsy for BCa is a useful
tool. It showed that 83 % of the deceased women
identified the tumor by themselves. The health services
must reinforce programs for BCa early detection.
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