MOBILIDADE INTERESTADUAL PARA TRATAMENTO DE CÂNCER DE PELE NA REGIÃO CENTRO-OESTE DO BRASIL: UM ESTUDO ECOLÓGICO DE SÉRIE TEMPORAL.

This study aims to characterize the clinical, health assistance and demographic, of residents from midwest region of Brazil diagnosed with skin cancer. The goal is to understand the interstate trips made to receive the first treatment in the Unified Health System (SUS). An ecological analytical time-series study was conducted, analyzing population care characteristics from 2008 to 2018, using the Hospital Cancer Records and Mortality Information System database. Measures of association between variables were determined using Fisher and Chi-square tests. Of the registered cases, 42.2% were referred to another Federative Unit (UF) to undergo the first treatment. Specifically, 77.9% of cases registered in Goiás began treatment in another UF, while almost all cases in the DF underwent their first treatment in the same UF. Goiás (77.3%) and Mato Grosso (42.5%) were the states that sent the most users to another UF, with São Paulo receiving the highest number of users. Mortality from skin cancer increased by 44% during this period, particularly in Goiás and Mato Grosso do Sul. The results highlight variables associated with deficiencies in oncological care in the region, emphasizing the need for strategies to improve accessibility to treatments. [ABSTRACT FROM AUTHOR]