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| Author(s): |
Marcello Vannucci Tedardi
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Medicina Veterinária e Zootecnia (FMVZ/SBD) |
| Defense date: | 2015-03-12 |
| Examining board members: |
Maria Lucia Zaidan Dagli;
Bruno Cogliati;
Maria do Rosario Dias de Oliveira Latorre
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| Advisor: | Maria Lucia Zaidan Dagli |
| Abstract | |
Cancer Registries are flexible, multicentric and standardized systems to collect data from patients with neoplasia, allowing the epidemiological registry of high quality data, at low cost. They can be classified as population-based, covering all cases in a defined geographical area, allowing incidence and survival calculation, or, hospital-based, collecting data about the patient for research, continuing education and improvement of care. Those approaches started in Veterinary Medicine in the 60’s, with the Kansas Animal Tumor Registry (1961) and the California Animal Tumor Registry (1963). Since then, other similar initiatives have emerged in United States, Canada, Norway, Denmark, Sweden, Italy and United Kingdom. Those registries, concentrated in North Hemisphere, were absent in Latin America up to now. This study aimed to assess the feasibility of implementing an Animal Cancer Registry in Sao Paulo, SP, Brazil. A pilot cancer registry system was developed to allow understanding its feasibility, in large scale, as a Health Information System. An identity, logo, admission and follow-up forms were developed, and a specialized software, the SIRCA-SP, for Sao Paulo Animal Cancer Registry (RCA-SP) operation was standardized. An information flow was planned, so that the collection could be performed in a multicentric, standardized and confidential way. Preliminary analysis of the data allowed the understanding of local cancer distribution characteristics and the RCA-SP potential. The feasibility study was perform using parameters defined by the Centers for Disease Control, Atlanta, USA. The RCA-SP, created in 2013, is a hospital-based cancer registry, which collects information about dogs and cats diagnosed with cancer since January 2012 in hospitals, clinics and veterinary autonomous services in Sao Paulo, SP, Brazil. The SIRCA-SP was designed to optimize and ensure the quality of data collection, consolidation and storing by RCA-SP. The system has a friendly interface and can be access via Internet. The forms were standardized and generate data comparable to other cancer registries in animals and humans. Preliminary survey data shows predominance, in the 645 cases, of dogs (96.58%) and females (80.15%). The most common cancer location were mammary gland (63.88%), skin (17.98%) and genitals (5.43%). The system proved to be simple, flexible, well accepted, timely and useful. As a pilot study, its representativeness is still small, but tends to increase with the accession of new reporting sources. The system has no assurance mechanisms of their completeness. Some solutions such, as the pre-verification tool, designed to avoid duplicated entries, and the electronic medical records integration with the standard epidemiological fields, share the fields to assist in the distribution of registry responsibilities to users and, consequently, decrease operating costs. The implementation of an Animal Cancer Registry in São Paulo proved to be feasible, and the multicentric collection is ready to be carried out continuously and uninterruptedly (AU) | |
| FAPESP's process: | 12/10957-8 - FEASIBILITY STUDY OF ANIMAL CANCER REGISTRY IMPLANTATION IN SAO PAULO, SP, BRAZIL |
| Grantee: | Marcello Vannucci Tedardi |
| Support Opportunities: | Scholarships in Brazil - Master |