PENILE CANCER CARE IN BRAZIL: NATIONAL PATTERNS OF OUTPATIENT AND INPATIENT SERVICE USE
Author(s)
Cintia Parellada, PhD1, Zira M. Da Silva, Other1, Andre Della Santa, BSc1, Ana Luiza Bierrembach, PhD2, Rodrigo Gonçalves Queijo, BSc2, Paula Pungartnik, MD1.
1MSD Brazil, São Paulo, Brazil, 2Precision Data, São Paulo, Brazil.
1MSD Brazil, São Paulo, Brazil, 2Precision Data, São Paulo, Brazil.
OBJECTIVES: To describe outpatient and inpatient healthcare utilization patterns for penile cancer in Brazil in 2023.
METHODS: Secondary data from the Brazilian public healthcare system were analyzed in a retrospective observational study. Outpatient information system (SIA) and inpatient information system (SIH) records for penile cancer were identified using ICD-10 codes, with analyses stratified by age group and regional patterns assessed at the state level. Crude rates per 100,000 population and age-standardized rates (ASRs) were calculated based on the WHO World Standard Population.
RESULTS: In 2023, Brazil recorded 4,790 outpatient consultations (ASR: 4.1/100,000) and 2,341 hospitalizations (ASR: 2.0/100,000) related to penile cancer. Rates increased with age in both care settings, with measurable utilization observed from ages 30-39 years (outpatient: 2.0; inpatient: 0.8/100,000), rising steadily and peaking among men aged ≥60 years (outpatient: 18.8; inpatient: 9.5/100,000). Utilization was also notable among middle-aged men, particularly those aged 40-49 years (outpatient: 4.0; inpatient: 2.1/100,000) and 50-59 years (outpatient: 9.6; inpatient: 4.5/100,000). Geographic variation was evident across states. The highest outpatient ASRs were observed in the North and Southeast regions, particularly in Rondônia (10.9/100,000), Minas Gerais (10.0), and Amazonas (6.7). For inpatient care, the highest ASRs were reported in Rondônia (4.3), Mato Grosso do Sul (3.8), and Rio Grande do Norte (3.1).
CONCLUSIONS: Penile cancer-related healthcare utilization in Brazil was concentrated among older men, particularly those aged ≥60 years, but was also observed in younger and middle-aged adults. Outpatient care predominated across age groups, while hospital-based care remained substantial, especially from midlife onward. Marked variation across states and regions suggests heterogeneous patterns of penile cancer service use within the Brazilian public healthcare system.
METHODS: Secondary data from the Brazilian public healthcare system were analyzed in a retrospective observational study. Outpatient information system (SIA) and inpatient information system (SIH) records for penile cancer were identified using ICD-10 codes, with analyses stratified by age group and regional patterns assessed at the state level. Crude rates per 100,000 population and age-standardized rates (ASRs) were calculated based on the WHO World Standard Population.
RESULTS: In 2023, Brazil recorded 4,790 outpatient consultations (ASR: 4.1/100,000) and 2,341 hospitalizations (ASR: 2.0/100,000) related to penile cancer. Rates increased with age in both care settings, with measurable utilization observed from ages 30-39 years (outpatient: 2.0; inpatient: 0.8/100,000), rising steadily and peaking among men aged ≥60 years (outpatient: 18.8; inpatient: 9.5/100,000). Utilization was also notable among middle-aged men, particularly those aged 40-49 years (outpatient: 4.0; inpatient: 2.1/100,000) and 50-59 years (outpatient: 9.6; inpatient: 4.5/100,000). Geographic variation was evident across states. The highest outpatient ASRs were observed in the North and Southeast regions, particularly in Rondônia (10.9/100,000), Minas Gerais (10.0), and Amazonas (6.7). For inpatient care, the highest ASRs were reported in Rondônia (4.3), Mato Grosso do Sul (3.8), and Rio Grande do Norte (3.1).
CONCLUSIONS: Penile cancer-related healthcare utilization in Brazil was concentrated among older men, particularly those aged ≥60 years, but was also observed in younger and middle-aged adults. Outpatient care predominated across age groups, while hospital-based care remained substantial, especially from midlife onward. Marked variation across states and regions suggests heterogeneous patterns of penile cancer service use within the Brazilian public healthcare system.
Conference/Value in Health Info
2026-11, ISPOR Europe 2026, Vienna, Austria
Value in Health, Volume 29, Issue 12S
Code
EPH32
Topic
Epidemiology & Public Health
Topic Subcategory
Public Health
Disease
Reproductive & Sexual Health