Cancer Health Disparities Among Patients With Early-Stage Estrogen Receptor–Positive Breast Cancer: Impact of Public Versus Private Health Care on Diagnosis-to-Treatment Interval in Brazil
Our study revealed significant disparities in cancer care between patients with stage I to III ER+ breast cancer treated in public versus private health care systems in Brazil. Law 12.732/2012 has proven ineffective for patients treated in the public sector and is not being adequately observed or enforced by Brazilian authorities.
Authors
- Renata Arakelian (ORCID: https://orcid.org/0000-0002-6216-6327)
- Amanda Guimarães Castro Custódio
- Poliana Albuquerque Signorini (ORCID: https://orcid.org/0000-0003-1369-1034)
- Brittany Bychkovsky (ORCID: https://orcid.org/0000-0001-7969-0603)
- Dalâyne Lopes dos Santos (ORCID: https://orcid.org/0009-0002-3578-029X)
- Daniela Jessica Pereira (ORCID: https://orcid.org/0000-0002-1011-0014)
- Daniela Dornelles Rosa (ORCID: https://orcid.org/0000-0002-6196-1919)
- Maria Cristina Figueroa Magalhães (ORCID: https://orcid.org/0000-0001-7748-8399)
- Heloísa Resende (ORCID: https://orcid.org/0000-0003-4692-3743)
- Carlos Eduardo Paiva (ORCID: https://orcid.org/0000-0002-7934-1451)
- Yuri Cardoso Rodrigues Beckedorff Bittencourt (ORCID: https://orcid.org/0000-0002-0591-128X)
- Daniele Xavier Assad (ORCID: https://orcid.org/0000-0001-9722-0904)
- Romualdo Barroso‐Sousa (ORCID: https://orcid.org/0000-0002-1825-9876)
- Andrea Kazumi Shimada (ORCID: https://orcid.org/0000-0001-7221-3054)
- Fernanda Cesar Moura
- Cristiano de Pádua Souza (ORCID: https://orcid.org/0000-0002-6412-8041)
- Anna Luiza Zapalowski Galvão (ORCID: https://orcid.org/0000-0002-6456-5401)
- Monalisa Ceciliana Freitas Moreira de Andrade (ORCID: https://orcid.org/0000-0002-7333-4955)
- Sulene Cunha Sousa Oliveira (ORCID: https://orcid.org/0000-0002-2947-0247)
- Bruno Santos Wance de Souza
- Angélica Nogueira‐Rodrigues (ORCID: https://orcid.org/0000-0002-3405-8310)
Institutions
- Harvard University (US)
- Instituto Nacional de Pesquisas da Amazônia (BR)
- Hospital de Base (BR)
- Hospital Moinhos de Vento (BR)
- Centro Brasileiro de Estudos em Dermatologia (BR)
- Hospital de Câncer de Barretos (BR)
- Hospital de Clínicas de Porto Alegre (BR)
- Centro Universitário de Volta Redonda (BR)
- Hospital Universitário Evangélico de Curitiba (BR)
- Dana-Farber Cancer Institute (US)
- Grupo Santa Casa de Belo Horizonte (BR)
- Hospital Universitário de Brasília (BR)
- University Center of Brasília (BR)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- Cancer Genetics (United States) (US)
- Hospital Sírio-Libanês (BR)
- Centro de Pesquisas Oncológicas (BR)
Publication Details
- Journal
- JCO Global Oncology
- Published
- 2025-10-01
- DOI
- https://doi.org/10.1200/go-25-00012
- Citations
- 1
- Primary Topic
- Global Cancer Incidence and Screening
- Type
- article
- Field-Weighted Citation Impact
- 1.05