Willian Lorentz

Introduction: Self-care is an important strategy for military firefighters to preserve their health in a work activity involving daily insecurity and stress. Objective: To identify military firefighters' perceptions about their work's health repercussions. Methodology:This is qualitative research, conducted in the framework of the Convergent Care Research developed through participant observation, focus groups, workshops, and collective interviews with 34 military firefighters from a battalion located in Southern Brazil. The data obtained were subjected to thematic analysis. Results: There were three final themes: “Strategies for self-care and health promotion for professional firefighters” and “Repercussions of work on self-care”. The analysis of the data from the collective interviews included the theme “Points of convergence: research as a promoter of self-care”. Conclusion: Although participants are aware of the strategies that contribute to their self-care, they also emphasize the negative repercussions that work has had on their health.

Objective: To analyze the relationship between financial toxicity and the sociodemographic/clinical characteristics of people with cancer undergoing systemic antineoplastic therapy. Method: A cross-sectional study conducted between May and October 2023 at a hospital that is a reference for cancer treatments in southern Brazil. The sample was comprised by 100 participants and the data were collected from clinical records and interviews, using the Comprehensive Score for Financial Toxicity instrument. Data analysis included descriptive statistics, Student’s t test, Pearson’s correlation and Multiple linear regression. Results: A mild impact was mostly identified for financial toxicity (66%), noticing that the patients’ income represented a predictor of financial toxicity (β=0.253; p<0.05). Conclusion: The importance of evaluating this factor in cancer care is noted, aiming at better treatment adherence and well-being in the patients.

RESUMO Objetivo: Analisar a relação entre a toxicidade financeira e as características sociodemográficas e clínicas de pessoas com câncer em terapia antineoplásica sistêmica. Método: Estudo transversal, realizado entre maio e outubro de 2023 em hospital de referência no tratamento oncológico no sul do Brasil. A amostra foi composta por 100 participantes e os dados foram coletados através de prontuários clínicos e entrevistas, utilizando o instrumento Comprehensive Score for Financial Toxicity. A análise dos dados incluiu estatística descritiva, teste t de Student, Correlação de Pearson e Regressão linear múltipla. Resultados: Foi identificado impacto leve, majoritariamente, para toxicidade financeira (66%), sendo observado que a renda própria se manteve como preditor de toxicidade financeira (ß=0,253; p<0,05). Conclusão: Destaca-se a importância da avaliação desse fator no cuidado oncológico, visando a melhor adesão ao tratamento e bem-estar dos pacientes.

RESUMEN Objetivo: Analizar la relación entre la toxicidad financiera y las características sociodemográficas y clínicas de personas con cáncer en terapia antineoplásica sistémica. Método: Estudio transversal, realizado entre mayo y octubre de 2023 en un hospital de referencia para tratamiento oncológico en el sur de Brasil. La muestra se compuso con 100 participantes y la compilación de datos se Ilevó a cabo mediante historias clínicas y entrevistas, utilizando el instrumento COmprehensive Score for Financial Toxicity. El análisis de datos incluyó estadística descriptiva, prueba t de Student, correlación de Pearson y regresión lineal múltiple. Resultados: Se identificó un impacto leve, en su mayoría, para toxicidad financiera (66%), observándose que los ingresos propios se mantienen como predictor de toxicidad financiera (β=0,253; p<0,05). Conclusión: Se destaca la importancia de evaluar este factor en la atención oncológica, con el objetivo de lograr una mejor adhesión al tratamiento y el bienestar de los pacientes.

Introdução: No Brasil, o manejo do câncer nos diferentes níveis de atenção aponta para que os estabelecimentos de saúde habilitados como Centros de Alta Complexidade em Oncologia (Cacon) ou Unidades de Alta Complexidade em Oncologia (Unacon) possam fazer o acolhimento e o tratamento. Objetivo: Identificar a organização dos serviços de saúde que ofereceram atendimento para o tratamento de câncer em crianças, adolescentes e adultos jovens pertencentes ao Departamento Regional de Saúde de Campinas-SP (DRS 7), nos últimos 21 anos (2000 a 2020), e descrever os aspectos clínicos e epidemiológicos da população atendida. Método: Estudo transversal retrospectivo, de natureza exploratória e descritiva. Para a análise documental, foram consultados o Plano Estadual de Saúde do Estado de São Paulo 2020-2023 (PES-SP), e demais documentos norteadores das Redes Regionais de Atenção à Saúde no Estado de São Paulo. O tabulador é de domínio público fornecido pelo Sistema de Registro Hospitalar de Câncer (SisRHC). Resultados: Foram identificados seis hospitais habilitados em atendimento especializado para o câncer. Identificaram-se 6.503 Registros Hospitalares de Câncer de crianças, adolescentes e adultos jovens, dos quais 54,67% eram do sexo masculino. A leucemia linfoblástica de células precursoras e a leucemia mieloide aguda apresentaram maior incidência. Conclusão: A Política Nacional de Atenção Oncológica, ao adotar uma distribuição regional estratégica, posiciona São Paulo como referência no tratamento do câncer. O DRS 7 Campinas se destaca pela oferta de atendimento a pacientes de todo o país, com registros de câncer que seguem padrões semelhantes aos de outras Regiões do Brasil.

Introduction: In Brazil, cancer management at different levels of care indicates that facilities certified as High Complexity Oncology Centers (Cacon) or High Complexity Oncology Units (Unacon) are responsible for providing care and treatment. Objective: To identify the organization of health services that provided cancer treatment for children, adolescents, and young adults within the Regional Health Department of Campinas-SP (DRS 7) over the past 21 years (2000 to 2020), and to describe the clinical and epidemiological aspects of the population served. Method: Retrospective cross-sectional, exploratory and descriptive study. The analysis included the State Health Plan of São Paulo 2020-2023 (PES-SP) and other guiding documents for Regional Health Networks in São Paulo. The data was tabulated using a public domain tool provided by the Hospital Cancer Registry System (SisRHC). Results: Six hospitals specializing in cancer care were identified. A total of 6,503 Hospital Records for Cancer cases among children, adolescents, and young adults were reviewed, with 54.67% of patients being male. The highest incidence was observed in lymphoblastic leukemia and acute myeloid leukemia. Conclusion: The National Oncology Care Policy, by adopting a strategic regional distribution, positions São Paulo as a reference for cancer treatment. DRS 7 Campinas stands out for providing care to patients from across the country, with cancer registries that align with the patterns observed in other regions of Brazil.

Introducción: En el Brasil, la gestión del cáncer en los diferentes niveles de atención indica que los establecimientos de salud habilitados como Centros de Alta Complejidad en Oncología (Cacon) o Unidades de Alta Complejidad en Oncología (Unacon) pueden realizar la recepción y el tratamiento. Objetivo: Identificar la organización de los servicios de salud que ofrecieron atención para el tratamiento de cáncer en niños, adolescentes y adultos jóvenes pertenecientes al Departamento Regional de Salud de Campinas-SP (DRS 7) en los últimos 21 años (2000 a 2020), y describir aspectos clínicos y epidemiológicos de la población atendida. Método: Estudio transversal retrospectivo, de naturaleza exploratoria y descriptiva. Para el análisis documental se consultaron el Plan Estatal de Salud del Estado de São Paulo 2020-2023 (PES-SP) y otros documentos orientadores de las Redes Regionales de Atención a la Salud en el Estado de São Paulo. El tabulador es de dominio público proporcionado por el Sistema de Registro Hospitalario de Cáncer (SisRHC). Resultados: Se identificaron seis hospitales habilitados en atención especializada para el cáncer. Se identificaron 6503 registros hospitalarios de cáncer en niños, adolescentes y adultos jóvenes, de los cuales el 54,67% era de sexo masculino. La leucemia linfoblástica de células precursoras y la leucemia mieloide aguda presentaron mayor incidencia. Conclusión: La Política Nacional de Atención Oncológica, al adoptar una distribución regional estratégica, posiciona a São Paulo como referencia en el tratamiento del cáncer. El DRS 7 Campinas se destaca por ofrecer atención a pacientes de todo el país, con registros de cáncer que presentan patrones similares a los de otras regiones del Brasil.

Introduction: Self-care is an important strategy for military firefighters to preserve their health in a work activity involving daily insecurity and stress. Objective: To identify military firefighters' perceptions about their work's health repercussions. Methodology:This is qualitative research, conducted in the framework of the Convergent Care Research developed through participant observation, focus groups, workshops, and collective interviews with 34 military firefighters from a battalion located in Southern Brazil. The data obtained were subjected to thematic analysis. Results: There were three final themes: “Strategies for self-care and health promotion for professional firefighters” and “Repercussions of work on self-care”. The analysis of the data from the collective interviews included the theme “Points of convergence: research as a promoter of self-care”. Conclusion: Although participants are aware of the strategies that contribute to their self-care, they also emphasize the negative repercussions that work has had on their health.