ANÁLISE EPIDEMIOLÓGICA DAS TAXAS DE MORTALIDADE DE CÂNCER DE PRÓSTATA EM UM PERÍODO DE 10 ANOS NO PARANÁ

Abstract

Prostate cancer represents a significant public health challenge in Brazil and is the second leading cause of cancer-related mortality among men. This study aimed to analyze the epidemiological profile of hospital admissions and deaths due to malignant neoplasm of the prostate in the state of Paraná from 2013 to 2022. A descriptive, retrospective study was conducted using secondary data from the Hospital Information System (SIH/SUS) and the Mortality Information System (SIM), available on DATASUS. A total of 20,642 hospital admissions and 9,730 deaths were analyzed, considering variables such as age group, race/skin color, and educational level. The results showed a 33.7% increase in admissions during the period, with in-hospital mortality rising from 7.86% to 10.94%. The disease predominantly affected elderly men, with 71% of admissions occurring in the 60-79 age group and the highest in-hospital mortality (19.12%) among patients aged 80 years or older. There was a predominance of admissions among white individuals (75.6%), while the analysis by educational level revealed that most deaths (75.1%) occurred among those with up to seven years of schooling. The discrepancy between in-hospital deaths (2,092) and total deaths suggests that most patients died outside the hospital setting. In conclusion, prostate cancer in Paraná shows an unequal distribution, influenced by social and demographic determinants. These findings highlight the need for health policies that promote individualized screening, considering the risks and benefits for each patient, avoiding overtreatment and overdiagnosis, and focusing on reducing inequities in access to specialized care.