Claudia Medina Coeli

Federal University of Rio de Janeiro | UFRJ ·  Instituto de Estudos de Saúde Coletiva (IESC)

OBJECTIVE Evaluate the interaction between maternal age and education level in neonatal mortality, as well as investigate the temporal evolution of neonatal mortality in each stratum formed by the combination of these two risk factors. METHODS A nonconcurrent cohort study, resulting from a probabilistic relationship between the Mortality Informati...

Background: Unsuccessful tuberculosis outcomes are frequent; bold policies are needed to end the tuberculosis (TB) epidemic to attain the third Sustainable Development Goal (SDG) by 2030. We examined the effect of the Family Health Strategy (FHS) and its interactions with the conditional cash transfer programme (CTP) on TB outcomes in Rio de Janei...

Background This study tested the hypothesis that the birthweight paradox would not be observed when assessing the effect of maternal education on neonatal mortality in the presence of socioeconomic inequality in access to health care. Methods Non-concurrent cohort study. Passive follow-up of live-born infants using probabilistic record linkage of...

Objective: The aim of this study was to improve the quality of information and data completeness through probabilistic and deterministic record linkage between Population-based Cancer Registry of São Paulo (PBCR-SP) for incident cancer cases, death database and drugs/medical procedures database. Methods: We used the database of the PBCRP-SP compos...

Papanicolaou test screening remains an effective approach for the control of cervical cancer. However, for successful control of the disease, patients need to have access to the test results and complete the treatment. The aim of this study was to investigate the factors associated with lack of access to results from the most recent Papanicolaou te...

Background: The incidence of pediatric differentiated thyroid carcinoma (DTC) has been rising in recent years, and the main risk factors for recurrence are lymph node and distant metastasis at diagnosis. Other clinical features remain unclear, such as the impact of age, gender and puberty. Furthermore, until now, this population has been treated u...

OBJECTIVE To analyze the accuracy of deterministic and probabilistic record linkage to identify TB duplicate records, as well as the characteristics of discordant pairs. METHODS The study analyzed all TB records from 2009 to 2011 in the state of Rio de Janeiro. A deterministic record linkage algorithm was developed using a set of 70 rules, based o...

Aims: To investigate the hypothesis that the change from the female predominance of diabetes mellitus to a standard of equality or even male preponderance can already be observed in Brazilian mortality statistics. Methods: Data on deaths for which diabetes mellitus was listed as the underlying cause were obtained from the Brazilian Mortality Inf...

Background: An association between rapid repeat pregnancy (occurring within a birth interval of up to 24 months) and undesirable obstetric and perinatal outcomes has been shown, especially among adolescents and women without adequate schooling. Objective: To evaluate the effect of the interaction between maternal schooling and age on the inciden...

The aim of this study was to discuss the limits of the quantitative evaluation model for scientific production in Public Health. An analysis of the scientific production of professors from the various subareas of Public Health was performed for 2010-2012. Distributions of the mean annual score for professors were compared according to subareas. The...

Night work has been suggested as a risk factor for diabetes. Individuals with high triglyceride levels, high LDL cholesterol, low HDL cholesterol and obesity, especially abdominal obesity, have a greater chance of developing diabetes. The aim of this study was to analyze glycemic levels, total cholesterol, HDL-C, LDL-C, triglycerides and the anthro...

The proportion of non-participation in cohort studies, if associated with both the exposure and the probability of occurrence of the event, can introduce bias in the estimates of interest. The aim of this study is to evaluate the impact of participation and its characteristics in longitudinal studies. A systematic review (MEDLINE, Scopus and Web of...

OBJECTIVE:The availability of epidemiological, clinical and administrative databases in digital format, in addition to the development of record linkage techniques (RL) which enable researchers to link them together, have helped to consolidate the use of secondary data in health research and evaluation in recent decades. In this article we present...

Objective: To investigate factors associated with gynecology health professionals' failure to perform clinical breast examinations (CBEs) during clinical visits. Methods: A cross-sectional, interview-based survey was conducted in 2010 among women aged at least 18 years who had undergone a cervical smear in 2007 at primary-care units in Rio de Ja...

The most common modeling approaches to understanding incidence, prevalence and control of chronic diseases in populations, such as statistical regression models, are limited when it comes to dealing with the complexity of those problems. Those complex adaptive systems have characteristics such as emerging properties, self-organization and feedbacks...

This article was written as part of the 20th-year commemorative issue of Ciência e Saúde Coletiva (C&SC). We take advantage of this opportunity to revisit the successful history of Cadernos de Saúde Pública (CSP)/Reports in Public Health in its 30 years of publication, progressing from a quarterly periodical with limited circulation to a monthly jo...

A qualidade da informação é fundamental no monitoramento e na avaliação das ações de controle dos agravos, como a tuberculose (TB). O objetivo deste trabalho foi analisar a concordância entre o encerramento do Sistema de Informação de Agravos de Notificação (SINAN) e as causas de morte no Sistema de Informação sobre Mortalidade (SIM). Realizou-se u...

Record linkage is the process of identifying and merging records across different databases belonging to the same entity. The health sector is one of the pioneering areas of record linkage techniques applications. In 1998 we began the development of a software package, called RecLink that implemented probabilistic record linkage techniques. In this...

O objetivo deste estudo foi propor pontos de corte nos escores calculados no processo de linkage probabilístico, para as diversas topografias de câncer. Neste estudo foi utilizada a base de dados do RCBP-SP, composta por 343.306 casos incidentes de câncer do município de São Paulo, registrados no período de 1997 a 2005, com idades que variaram de m...

Objectives: To describe the clinical profile, patterns of care and mortality rates of aged patients who have undergone hip fracture surgical repair. Design: Retrospective patient record study. Setting: A public university hospital in Rio de Janeiro, Brazil. Participants: 352 patients aged 60 and older who underwent surgery for hip fracture between...

To verify the association between individual demographic and socioeconomic variables and the incidence of self-reported tuberculosis in Brazil. This cross-sectional study used data from the health supplement of the 2008 National Research by Household Sample (PNAD) for Brazil's metropolitan areas. An analysis was done of the association between demo...

OBJETIVO: Verificar a associação entre variáveis demográficas e socioeconômicas individuais e a ocorrência de tuberculose autorrelatada no Brasil. MÉTODOS: Este estudo transversal utilizou dados do suplemento saúde da Pesquisa Nacional por Amostra de Domicílios (PNAD) para as regiões metropolitanas do Brasil no ano de 2008. Foi analisada a associaç...

The goal of this article is to present a snapshot of an ongoing debate within epidemiology, pitching opposing sides in the struggle to define the path it should follow in the years to come. The debate among epidemiologists in the mid-90s pitted those who defended the idea that epidemiology should necessarily deal with a wide context against those w...

OBJECTIVES: to evaluate infant mortality in very low birth weight newborns from a public hospital in Rio de Janeiro, Brazil (2002-2006). METHODS: a retrospective cohort study was performed using the probabilistic linkage method to identify infant mortality. Mortality proportions were calculated according to birth weight intervals and period of deat...

The publications committee of a multicenter study has the aim of organizing the proposals for articles, so as to ensure wide-ranging access to the data, quality and precedence. An online information and management system for study proposals (publiELSA) was developed, composed of three modules: (i) submission and approval of proposals; (ii) follow-u...

The debate about ethics in research with human beings has historically emphasized experimental studies because of their greater potential to harm the subjects involved. However, observational studies also include risks and relevant questions to be discussed. This article aims to present and discuss the ethical aspects involved in the implementation...

The debate about ethics in research with human beings has historically emphasized experimental studies because of their greater potential to harm the subjects involved. However, observational studies also include risks and relevant questions to be discussed. This article aims to present and discuss the ethical aspects involved in the implementation...

This study aimed to verify the impact of levothyroxine replacement on health-related quality of life (HRQoL) in a Brazilian sample of primary hypothyroidism patients. A cross-sectional study was performed with 2,057 consecutive primary hypothyroidism patients on levothyroxine (LT4) replacement at four referral centers in Brazil (median age = 53; 25...

Background: Studies from every continent have shown that only around 50% of the patients subjected to thyroid hormone replacement have TSH in the normal range. However, to date, there are no consistent data about Brazil. Objectives: To evaluate levothyroxine (LT4) replacement treatment in patients with primary hypothyroidism followed in referral...

The objective of the present study was to evaluate the completeness and agreement between data obtained from the Live Birth Information System (SINASC) and hospital records for high neonatal risk situations. Using RecLink III software, a probabilistic data linkage was carried out using databases from a Public Health Neonatal Intensive Care Unit and...

To analyze the increase in number of authors per article in Brazilian scientific journals on public health. Articles published between 1999 and 2010 in six journals on public health and one medical journal (for comparison) from SciELO with Qualis (Capes) classification equal or superior to B-1, were searched on the LILACS database. The evolution of...

The aim of the study was to analyze the underreporting of deaths from tuberculosis (TB) in Brazil, as well as to assess the impact these cases would cause in the reporting rate and proportion of TB deaths in 2006. We ana-lyzed the deaths recorded in the Mortality Information System (SIM) in 2006 and all reports of TB in Brazil during the 2001 to 20...

Background The association between self-rated health (SRH) and mortality is well documented in the literature, but studies on the subject among young adults in Latin America are rare, as are those evaluating this association using repeated SRH measures, beyond the baseline measurement. This study aims to evaluate the association between SRH evaluat...

We evaluated the International Classification of Primary Care interobserver reliability for coding the complaints reported at a primary public health unit. The study sample consisted of 300 appointments. Reasons for appointment were registered by physicians on the medical record and coding was performed by two investigators. Reliability among the c...

The Brazilian Ministry of Health established mandatory completion of the Hospital and Outpatient Information Form (CIHA) in all the country's health services in order to monitor care funded by sources other than the Unified National Health System (SUS). Considering that data quality is essential, this study analyzed coverage of the CIHA in the Stat...

The Brazilian Ministry of Health established mandatory completion of the Hospital and Outpatient Information Form (CIHA) in all the country's health services in order to monitor care funded by sources other than the Unified National Health System (SUS). Considering that data quality is essential, this study analyzed coverage of the CIHA in the Stat...

Fall-related fractures among the elderly represent an important public health problem. Severe fractures have been related to increased risk of death. In order to investigate the mortality profile of elderly individuals with severe fractures, 250 patients aged 60 years and over, hospitalized due to fall-related fractures and 250 elderly without frac...

Record linkage is a useful tool for health research. Potential benefits aside, its use raises discussions on privacy issues, such as whether a written informed consent for access to health records and linkage should be obtained. The authors aim to systematically review studies that assess consent proportions to record linkage. 8 databases were sear...

Unlabelled: The relationship between surgical timing and hip fracture mortality is unknown in the context of developing countries where large delays to surgery are common. We observed that delay from fracture to hospital admission is associated with decreased survival after a hip fracture. Introduction: To examine the relationship between the ti...

The objectives were to investigate the prevalence of adverse birth outcomes according to maternal age range in the city of Rio de Janeiro, Brazil, in 2002, and to evaluate the association between maternal age range and adverse birth outcomes using additive interaction to determine whether adequate prenatal care can attenuate the harmful effect of y...

To analyze the use of health services and socioeconomic status among a public university workers. A cross-sectional study with 759 workers at a Brazilian public university who reported health-related restrictions of their usual activities in the previous 14 days, was carried out. Data were supplied by the 2001 cohort of the "Pró-Saúde Study" in Rio...

Few articles have evaluated the effects of non-response in cohort studies. The aim of this study was to assess if non-response, both to the baseline and to follow-up, may introduce selection bias on the association between occupational level and mortality. There were applied the non-response and mortality estimates of the Whitehall II study to a hy...

Hyperthyroidism is a questionable risk factor for thromboembolism among patients with atrial fibrillation.   To correlate clinical risk factors for thromboembolism from a group of patients with atrial fibrillation related to hyperthyroidism with transoesophageal echocardiography (TOE) markers of a thrombogenic milieu.   Clinical risk factors for th...

Environmental Macro-Area Five (EMA-5) is located in Rio de Janeiro. Their municipalities are suffering the consequences of rapid urbanization, especially after the discovery of large reserves of petroleum and natural gas (PNG) in the Campos Basin. To describe the socio-economic profile of the region and compare their indicators in space and time. T...

The purpose of the study was to compare the linkage parameter estimates between hospitalization and mortality databases, calculated separately for the subsets of deaths from ill-defined causes and deaths from known causes. The databases for deaths from known causes and ill-defined causes were linked to a hospital admissions database. Parameters wer...

This study aimed to estimate thyroid cancer incidence in Brazil in 2006 using polynomial models that take age and birth cohort effects into account in the estimation process. Estimates were based on new cases of thyroid cancer in nine Brazilian cities (Manaus, Palmas, Natal, Recife, Cuiabá, Belo Horizonte, São Paulo, Porto Alegre, and Curitiba) and...

OBJETIVO: Avaliar a viabilidade de estratégia de relacionamento probabilístico de bases de dados na identifi cação de óbitos de pacientes submetidos a procedimentos de alta complexidade em cardiologia. MÉTODOS: O custo de processamento foi estimado com base em 1.672 registros de pacientes submetidos à cirurgia de revascularização do miocárdio, rela...

To evaluate the viability of a probabilistic record linkage strategy to identify patients who underwent complex cardiology procedures among the total deceased population. The processing cost was estimated based on 1,672 records of patients undergoing coronary artery bypass grafting that were compared with all death records in Brazil in 2005. The ac...

Therapeutic approaches in pediatric populations are based on adult data because there is a lack of appropriate data for children. Consequently, there are many controversies regarding the proper treatment of pediatric patients. The present study was designed to evaluate patients with differentiated thyroid carcinoma diagnosed before 20 years of age...