Expenses on oncological treatments during the covid-19 pandemic in Ceará, northeast Brazil
DOI:
https://doi.org/10.21527/2176-7114.2026.51.16700Keywords:
Healthcare expenses, Neoplasms, Coronavirus, TherapeuticsAbstract
Objective: To analyze expenses related to cancer treatment during the Covid-19 pandemic in the state of Ceará. Method: A descriptive study using expense records from the Ceará Hospital Information and High Complexity Procedure Authorization System, developed in 2022. The data were synthesized using Microsoft Excel 2019®. The following measures were used for descriptive analysis: means, standard deviation, minimums, maximums, and an estimate of the mean treatment cost. Results: A reduction in expenses was identified in 2020 (R$ 3,879,505.41) and 2021 (R$ 3,088,822.14) compared to 2019. In 2020, the reduction occurred in May (R$ 2,739,116.44) and June (R$ 2,633,173.82). In 2021, the months included February (R$ 3,193,095.98), April (R$ 3,093,272.64), and May (R$ 3,093,272.64). Surgery reduced the mean values per procedure in 2020 and 2021 (R$ 3,626,046.22; R$ 3,545,102.89), followed by radiotherapy in 2020 (R$ 166,656.00) and chemotherapy (R$ 76,320.89) in 2020, with "adjuvant" treatment being reduced in both years (R$ 95,256.00; R$ 60,710.50). Conclusion: There was a slight reduction in expenses per procedure compared to pre-pandemic levels, but with a relevant assessment considering possible unmet demand during the pandemic.
References
1 Araujo SE, Leal A, Centrone AF, Teich VD, Malheiro DT, Cypriano AS, Neto MC, Klajner S. Impacto da COVID-19 sobre o atendimento de pacientes oncológicos: experiência de um centro oncológico localizado em um epicentro Latino-Americano da pandemia. Einstein (São Paulo). 2021; (19): 1-8. DOI: 10.31744/einstein_journal/2021AO6282
2 Ribeiro CM, Atty AT de M. Efeitos da Covid-19 na Atenção ao Câncer no Brasil: Impactos do Rastreamento ao Tratamento. Rev. Bras. Cancerol. [Internet]. 3º de fevereiro de 2025 [citado 6º de abril de 2025];71(1):e-074848. DOI: 10.32635/21769745.RBC.2025v71n1.4848
3 Neal R, Tharmanathan P, France B, Din NU, Cotton S, Fallon-Ferguson J et al. Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review. Br J Cancer. 2015; 112 (Suppl 1):92-107. DOI: doi.org/10.1038/bjc.2015.48
4 World Organization Health (WHO). Doenças Não Transmissíveis. [internet]. 2020. Available in: https://www.who.int/es/news-room/fact-sheets/detail/noncommunicable-diseases. Access in: 20 jan. 2023.
5 Rosas TV, Cazap E, Delgadom L, Ismael J, Bejarano S, Castro C, Castro H, Muller B, Gutierrez-Delgado F, Santini LA, Sologuren CV. Social Distancing and Economic Crisis During COVID-19 Pandemic Reduced Cancer Control in Latin America and Will Result in Increased Late-Stage Diagnoses and Expense. JCO Glob Oncol [serial on the internet]. 2021;7:694-703. DOI: 10.1200/GO.21.00016
6 Banco Central do Brasil. Calculadora do Cidadão. Correção de Valores. [citado em 2023 jan 20]. Disponível em: https://www3.bcb.gov.br/CALCIDADAO/publico/exibirFormCorrecaoValores.do?method=exibirFormCorrecaoValores. Acesso em: 20 jan. 2023.
7 Fundação Getúlio Vargas. Instituto Brasileiro de Economia. (FGV IBRE). Índice Geral de Precos – Mercado. [internet] 2020. Disponível em: https://portalibre.fgv.br/igp?utm_source=portal-ibre&utm_medium=menu-eu-quero&utm_campaign=portal-ibre-menu-eu-quero. Acesso em: 20 jan. 2023.
8 Gomes HMS, Nascimento JCHB, Sousa ARC, Almeida ANM. Gastos do Sistema Público de Saúde com Tratamento em Oncologia. RAHIS. 2021; 18(2):74-89. DOI: 10.21450/rahis.v18i2.6877
9 Santos HLPC, Maciel FBM, Oliveira RS. Internações Hospitalares por Neoplasias no Brasil, 2008-2018: Gastos e Tempo de Permanência. Rev. bras. Cancerol [periódico na internet]. 2020; 66(3): e-04992. DOI: 10.32635/2176-9745.RBC.2020v66n3.992
10 Lana AP, Perelman J, Andrade ELG, Acúrcio F, Guerra Junior AA, Cherchiglia ML. Cost Analysis of Cancer in Brazil: A Population-Based Study of Patients Treated by Public Health System From 2001-2015. Value Health Reg Issues. 2020; 23:137-147. DOI: 10.1016/j.vhri.2020.05.008
11 Medici AC. Custos do tratamento do câncer no Brasil: Como Melhorar o Foco. 2018. Disponível em: https://www.researchgate.net/publication/323879334_Custo_do_Tratamento_do_Cancer_no_Brasil_Como_Melhorar_o_Foco. Acesso em: 20 jan. 2023.
12 Melo N, Almeida AB, Fedozzi F, Simão FCS, Joseffi JR. Observatório de Oncologia. Custo do Câncer no Sus. 2024 maio. Disponível em: https://observatoriodeoncologia.com.br/estudos/tratamento-em-oncologia/2024/custo-do-cancer-no-sus/?utm_source=akna&utm_medium=email&utm_campaign=Observatorio-de-Oncologia-Newsletter-Custo-do-cancer-no-SUS. Acesso em: 16 jul. 2024.
13Astigueta-Pérez J, Abad-Licham M, Chávez-Chirinos C, Beraun-Milla L, Lachos-Dávila A, Diaz-Pérez E, et al. Progressão e morte da doença por câncer durante a pandemia de COVID-19: uma análise multidisciplinar para o cenário peruano. Ecancermedicalscience. 2020;14:1098. Epub 20200908. DOI: 10.3332/ecancer.2020.1098.
14União Internacional para o Controle do Câncer (UICC). Cúpula Mundial de Líderes do Câncer, 2014. The Economics of Cancer Prevention & Control Data Digest [citado 2022 jan 14]. Disponível em: https://www.uicc.org/sites/main/files/atoms/files/WCLS2014_economics_of_cancer_FINAL.pdf. Acesso em: 04 maio 2022.
15 Lago AD, Bordin R. Impacto da pandemia de covid-19 no perfil de Internações por neoplasias no brasil, 2018-2020. In: Bordin R, Camara GD. Gestão em saúde no Rio Grande do Sul: casos, análises e práticas. v. 4. Porto Alegre: Evangraf; 2022, p. 150-160.
16 Fonseca GA, Normando PG, Loureiro LVM, Rodrigues REF, Oliveira VA, Melo MDT, Santana IA. Reduction in the Number of Procedures and Hospitalizations and Increase in Cancer Mortality During the COVID-19 Pandemic in Brazil. JCO Glob Oncol [serial on the internet]. 2021 Jan [cited 2023 jan 20];7:4-9. DOI: https://doi.org/10.1200/GO.20.0047
17 Jazieh AR, Akbulut H, Curigliano G, Rogado A, Alsharm AA, Razis ED, Mulla-Hussain L, Errihani H, Guzman RB, Mathias C, Alkayat MOF, Jradi H, Rolfo C. Impact of the COVID-19 Pandemic on Cancer Care: A Global Collaborative Study. JCO Glob Oncol. 2020 Sep;6: 1428-1438. DOI: https://doi/10.1200/GO.20.00351
18 Degeling K, Baxter NN, Emery J, Jenkins MA, Franchini F, Gibbs P, Mainn GB, McArthur G, Solomon BJ, Ijzerman MJ. An inverse stage-shift model to estimate the excess mortality and health economic impact of delayed access to cancer services due to the COVID-19 pandemic. Asia Pac J Clin Oncol. 2021;17(4):359-367. DOI: 10.1111/ajco.13505
19 Barcellos C, Xavier DR. As diferentes fases, os seus impactos e os desafios da pandemia de covid-19 no Brasil. Reciis (online). 2022;16(2):221-226. DOI: 10.29397/reciis.v16i2.3349
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