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Evidence shows that socioeconomic inequities may interfere with the survival of breast cancer patients. The profile and overall survival (OS) and relapse-free survival (RFS) were assessed between patients treated in the public and private systems, through the analysis of records of 526 patients submitted to surgical treatment of breast cancer, stage from Ia to IIIc, attended at School Hospital of the central region of RS (BR) and in private clinic of the municipality. Retrospective secondary cross-sectional study with follow-up information of 60 and 120 months. It was verified that there are differences between the OS and RFS curves of both groups. Stage I and II did not present statistical significance, only difference in stage III (log-rank = 0.036) was observed, with lower OS in patients in the public system compared to the private patients (74.6% Vs 90.9% at 60 months and 49.7% vs 69.0% at 120 months). The RFS also presented difference only in stage III, lower in the public group, 54.6% vs 76.9% in 60 months and 30.3% vs 65.1% in 120 months (log-rank = 0.001). It was concluded that the difference between OS and RFS in stage III was especially related to the time between diagnosis and initiation of treatment, compromising the therapy instituted in the public system, and possibly to social inequities that interfere in the adequate follow-up after treatment.

archives of health

Análise de sobrevivência de pacientes com câncer de mama na região central do estado do Rio Grande do Sul, Brasil: comparação entre o sistema público e o privado