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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSORPRESO, Isabel Cristina Esposito
dc.contributor.authorFIGUEIREDO, Francisco Winter dos Santos
dc.contributor.authorSILVA, Adna Thaysa Marcial da
dc.contributor.authorZANGIROLAMI-RAIMUNDO, Juliana
dc.contributor.authorSILVA, Bharbara Karolline Rodrigues
dc.contributor.authorADAMI, Fernando
dc.contributor.authorZUCHELO, Lea Tami Suzuki
dc.contributor.authorBARACAT, Edmund Chada
dc.contributor.authorSOARES JUNIOR, Jose Maria
dc.contributor.authorABREU, Luiz Carlos de
dc.identifier.citationREVISTA DA ASSOCIACAO MEDICA BRASILEIRA, v.66, n.8, p.1036-1042, 2020
dc.description.abstractOBJECTIVE: The association between gynecological diagnoses and their distribution across healthcare sectors benefits health promotion and the identification of topics for continued education of gynecological care. This study aimed to identify healthcare diagnoses and referral flow in climacteric women. METHODS: This is a cross-sectional study conducted at the Women's Health Clinic of the University Hospital, University of Sao Paulo, with a reference to gynecology and training for Residents of Family and Community Medicine, between 2017 and 2018. The medical records of 242 women whose sociodemographic and clinical information, gynecological diagnoses, and distribution of healthcare services (primary, secondary, and tertiary) had been processed were collected. Statistical analysis included the chi-square test and odds ratio. RESULTS: Smoking (OR = 2.27, 95% 01.05-4.89; p = 0.035) was associated with the referral of climacteric women to higher complexity services. Considering the distribution of non-oncological diagnoses in climacteric patients, the chance of women being referred to medium- and high-complexity health services presented a 2-fold increase in cases of breast diseases, a 2.35-fold increase in cases of noninflammatory disorders of the female genital tract, and a 3-fold increase in cases of inflammatory diseases of the pelvic organs. CONCLUSION: Climacteric women aged over 55 years, postmenopausal women, and smoking women were most frequently referred to medium- and high-complexity outpatient surgery.eng
dc.relation.ispartofRevista da Associacao Medica Brasileira
dc.subjecthealth serviceseng
dc.subjectwomen's healtheng
dc.subjecthealth care levelseng
dc.subjecthealth systemseng
dc.subject.otherincreased menstrual losseng
dc.titleDiagnosis and referral flow in the single health system for climacteric womeneng
dc.rights.holderCopyright ASSOC MEDICA BRASILEIRAeng
dc.subject.wosMedicine, General & Internaleng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Bharbara Karolline Rodrigues:Ctr Univ Saude ABC FMABC, Lab Epidemiol & Anal Dados, Santo Andre, SP, Brazil, Fernando:Ctr Univ Saude ABC FMABC, Lab Epidemiol & Anal Dados, Santo Andre, SP, Brazil, Luiz Carlos de:Ctr Univ Saude ABC FMABC, Lab Delineamentos Estudos & Escrita Cient, Santo Andre, SP, Brazil; Escola Super Ciencias Santa Casa de Misericordia, Vitoria, ES, Brazil
hcfmusp.publisher.citySAO PAULOeng
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Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MOG
Departamento de Obstetrícia e Ginecologia - FM/MOG

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/58
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular

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