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Colorectal cancer in Portugal

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Abstract

Increasing diagnosis and deaths caused by colorectal cancer (CRC) warrant closer examination of affected patients and focus on management of CRC in Portugal. In order to assess the extent and quality of the information available in Portugal, we first analyse Portuguese cancer registries and then the management of CRC by discussing the diagnostic process and medical care provided, especially pharmaceuticals. Other cancer indications are mentioned in order to illustrate current approaches of cancer in Portugal. Current national data on cancer patients are scarce and there are divergencies in methods of data collection and treatment amongst regional cancer registries. However, the available data is sufficient enough to understand the dimension of CRC, with age-standardised incidence of 37 per 100,000 and mortality of 31 per 100,000 annually. An ongoing project is restructuring health services to improve efficiency and quality, however, some problems exist. The regional inequity of access to health care facilities and long waiting times for diagnostic examinations and surgery are major examples. Despite the non-availability of clinical guidelines, a pilot screening programme started at the beginning of 2009 in the Centre Region of the country. It is hoped that this overview will provide the basis for discussion on improvements in CRC management in Portugal and lead to better outcomes.

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Notes

  1. Some financial support was also provided by The Office of the High Commission for Health [Alto Comissariado da Saúde], an institution of the Ministry of Health. Some of its main objectives are technical support, follow-up and evaluation of the policies implemented by the Ministry.

  2. Legal documents applicable are Decree-Law no. 118/92 of 25 June; Decree-Law nr 305/98 of 7 October; Decree-Law no. 176/2006 of 30 August; and Decree-Law no. 195/2006 of 3 October.

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The authors do not report any conflict of interest associated with this paper.

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Authors and Affiliations

  1. Instituto Superior de Economia e Gestão, R Miguel Lupi 20, 1249-078, Lisbon, Portugal

    Carlos Gouveia Pinto

  2. Research Centre on the Portuguese Economy (CISEP), R Miguel Lupi 20, 1249-078, Lisbon, Portugal

    Ana Teresa Paquete

  3. Instituto de Medicina Preventiva, Av. Prof. Egas Moniz, 1649-028, Lisbon, Portugal

    Irene Pissarra

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  1. Carlos Gouveia Pinto
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  2. Ana Teresa Paquete
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  3. Irene Pissarra
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Correspondence to Carlos Gouveia Pinto.

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Pinto, C.G., Paquete, A.T. & Pissarra, I. Colorectal cancer in Portugal. Eur J Health Econ 10 (Suppl 1), 65–73 (2010). https://doi.org/10.1007/s10198-009-0187-9

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  • DOI: https://doi.org/10.1007/s10198-009-0187-9

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