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Advisor(s)
Abstract(s)
As doenças oncológicas são um grupo de doenças que afeta cada vez mais
população mundial e que, por vezes, apresenta uma taxa de mortalidade elevada quando
não diagnosticada e tratada a tempo.
Vários estudos indicam que a tendência para a incidência destas doenças irá
aumentar, estimando-se que, até 2030, 25% da população portuguesa venha a desenvolver
um cancro, sendo crucial um diagnóstico rápido e eficaz.
Os gastos com o diagnóstico e estadiamento destas doenças atualmente é bastante
elevado, atingindo valores de 1.146€ a 3.180€, por doente, num prazo de 5 anos, período
normal de controlo destas doenças.
O objetivo desta dissertação era apresentar uma técnica que permita baixar os
custos com a realização de exames de diagnóstico e estadiamento, permitindo melhores
condições para os doentes e menos custos para o estado.
A Medicina Nuclear, através da realização de exames PET-CT, permite num só
exame a obtenção de um diagnóstico e estadiamento para um determinado doente, onde
exista a suspeita da uma doença oncológica. Porém, estes exames apresentam um preço
elevado, em comparação com os restantes e o seu número e localização tornam esta
técnica limitada. Por outro lado, são necessários menos exames no período dos 5 anos,
sendo de 1000€ a 1200€ por doente, por ano.
Dada a escassez de serviços existentes, seria necessário um investimento inicial
elevado de forma a se obterem os valores médios europeus, porém verifica-se que o custo
inicial de abertura dos serviços seria colmatado com a poupança em saúde com o recurso
a esta técnica. A abertura destes serviços seria maioritariamente na região interior do país
e nas ilhas, onde não existe qualquer serviço.
Através desta dissertação, foi possível verificar que o custo de abertura de um
serviço com PET-CT é avultado, contudo verifica-se uma diminuição dos custos em
saúde com a realização destes exames em detrimento dos tradicionais.
Oncological diseases are a group of diseases that affect more and more world population and that sometimes have a mortality rate when not diagnosed and treated in time. Several studies indicate that the population can develop cancer, and a rapid and effective diagnosis is crucial. The costs of diagnosing and staging diseases are currently quite high, reaching values of €1,146 to €3,180, per patient, within a period of 5 years, the normal period of disease control. The objective of this dissertation was to present a technique that allows the costs of carrying out diagnostic tests and duration, allowing better conditions for patients to lower and lower costs for the state. Nuclear Medicine, through the performance of PET-CT exams, there is only one oncological exam for a diagnosis and treatment for a specific patient, where there is a chance of a specific disease. However, these exams offer a high price compared to the others and their number and make this technique limited. On the other hand, there are fewer exams in the 5-year period, ranging from €1000 to €1200 per patient, per year. Given the initial technique of an initial resource of services, it would be necessary to increase in the average values that the service of maintenance of series, however, it is verified, however, the cost of operation of the services updated with the economy in health with this. The opening of these services would be mainly in the interior region of the country and in the islands, where there is no service. This dissertation, it was possible to verify through the opening of a service with PET-CT is large, however there is an increase in health costs with the realization of these traditional exams from the traditional ones.
Oncological diseases are a group of diseases that affect more and more world population and that sometimes have a mortality rate when not diagnosed and treated in time. Several studies indicate that the population can develop cancer, and a rapid and effective diagnosis is crucial. The costs of diagnosing and staging diseases are currently quite high, reaching values of €1,146 to €3,180, per patient, within a period of 5 years, the normal period of disease control. The objective of this dissertation was to present a technique that allows the costs of carrying out diagnostic tests and duration, allowing better conditions for patients to lower and lower costs for the state. Nuclear Medicine, through the performance of PET-CT exams, there is only one oncological exam for a diagnosis and treatment for a specific patient, where there is a chance of a specific disease. However, these exams offer a high price compared to the others and their number and make this technique limited. On the other hand, there are fewer exams in the 5-year period, ranging from €1000 to €1200 per patient, per year. Given the initial technique of an initial resource of services, it would be necessary to increase in the average values that the service of maintenance of series, however, it is verified, however, the cost of operation of the services updated with the economy in health with this. The opening of these services would be mainly in the interior region of the country and in the islands, where there is no service. This dissertation, it was possible to verify through the opening of a service with PET-CT is large, however there is an increase in health costs with the realization of these traditional exams from the traditional ones.
Description
Keywords
doenças oncológicas incidência diagnóstico medicina nuclear custos em saúde fatores de risco