Background/Objectives: Breast cancer is one of the leading causes of female mortality worldwide, but significant racial and socioeconomic disparities persist in disease outcomes. This review aimed to analyze racial and socioeconomic inequalities in mortality and survival from breast cancer, identifying the impact of social risk factors on access to diagnosis and treatment. Methods: A systematic literature review and meta-analysis was performed following PRISMA guidelines. Eighteen studies published between 2014 and 2024 were included, with 11 contributing to the meta-analysis. Random-effect models were used to assess correlations between socioeconomic status, race, and clinical outcomes, including heterogeneity and publication bias analyses. Results: The strongest associations were observed between income, race, and breast cancer survival, with survival significantly worse among Black women and low-income populations (p < 0.001). Income also showed a strong positive correlation with clinical outcomes. In contrast, the overall effect on mortality was not statistically significant (p = 0.290), likely due to high heterogeneity across studies (I² = 100%). These findings suggest that structural disparities in access to healthcare and early detection substantially affect survival rates. Conclusions: Racial and socioeconomic disparities in breast cancer outcomes remain critical public health challenges. Targeted policies to expand early diagnosis and ensure equitable access to effective treatment are essential to reduce these disparities and improve survival in underserved populations.

Background: Breast cancer is the primary cause of cancer-related deaths among women globally, with a particularly high incidence in low- and middle-income nations. In Brazil, disparities in access to diagnosis and treatment contribute to worse clinical outcomes, particularly in regions with a lower Human Development Index (HDI). This study evaluated the association between the delay between diagnosis and treatment initiation, and clinical outcomes of breast cancer across various Brazilian regions. Methods: This observational study utilized publicly available secondary data from the Department of Informatics of the Unified Health System (DATASUS), collected between 2013 and 2023. Data included age group, treatment type (surgery, chemotherapy, radiotherapy), and delay between diagnosis and treatment initiation (≤30 days, 31–60 days, >60 days). Regional disparities were analyzed according to the HDI. Statistical analyses were performed using GraphPad Prism 8.0.1, applying Pearson’s correlation coefficient (r) and linear regression (R²) to assess associations between treatment delay and the number of cases or deaths. Results: Radiotherapy demonstrated the most significant negative correlation (r = −0.6624), and delays exceeding 60 days were consistently linked to poorer outcomes. In regions with lower Human Development Index (HDI), specifically the North and Northeast, longer treatment delays were observed, alongside a stronger correlation between delayed initiation of treatment and increased mortality. Conversely, shorter delays (30 days or less) demonstrated a weaker or absent correlation with improved outcomes. This suggests that other critical factors, such as the stage of cancer at diagnosis, the quality of care provided, and the consistency of treatment, are also significant determinants. Conclusions: Delays in treatment, particularly for radiotherapy and surgery, adversely affect breast cancer outcomes in Brazil. This impact is more pronounced in areas with lower Human Development Index (HDI), underscoring the critical need for targeted regional public policies. Such policies are essential to guarantee prompt diagnosis and treatment, thereby mitigating inequalities and enhancing survival rates.

Objectives: to understand the perspective of nurses on the use of telemonitoring in the management of people with type 2 diabetes mellitus and arterial hypertension in primary care. Methods: this qualitative research involved sixteen nurses from eight municipalities in Paraná. Data were collected between November 2022 and January 2023 through inperson or remote interviews, which were audio-recorded and subjected to content analysis. Results: according to the nurses, telemonitoring enhances users’ knowledge about these conditions, communication and connection with the team, and productivity. However, the lack of electronic resources and equipment, high staff turnover, low user adherence, and the limited availability of professional time present significant challenges. Final Considerations: the effective implementation and operation of telemonitoring in the management of people with diabetes and hypertension involve both potential benefits and barriers. It is essential to have the availability of human and technological resources, managerial support, and the commitment of professionals and users.

RESUMO Objetivos: analisar as estratégias assistenciais em cuidados paliativos desenvolvidas na pandemia de COVID-19 aos pacientes graves e familiares. Métodos: revisão integrativa, realizada em agosto de 2021 e atualizada em abril de 2022, nas bases de dados Base de Dados de Enfermagem (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), US National Library of Medicine (PubMed), Web of Science, e apresentadas no fluxograma PRISMA. Resultados: foram selecionados treze trabalhos para leitura e análise de conteúdo, dos quais emergiram as duas principais temáticas que traduzem a realidade evidenciada neste contexto: O advento súbito da COVID-19 com impactos nos cuidados paliativos; e, As estratégias utilizadas em cuidados paliativos para amenizar esses impactos. Considerações Finais: os cuidados paliativos se convergem na melhor estratégia de prestação de atendimento à saúde, usados como um acalento para trazer alívio e conforto aos pacientes e às famílias.

Background/Objectives: To analyze the spatial distribution of HPV vaccination coverage in relation to sociodemographic variables in a state of Southern Brazil. Methods: This was an ecological, retrospective study with secondary data from the Department of Information Technology of the Unified Health System/Ministry of Health from 2015 to 2022. The cohort method was used to calculate vaccination coverage. Geographically weighted regression was used for the independent variables. Results: There was a 22.04% reduction in vaccination between the first and second doses. Coverage with the first dose of the vaccine reached 95.17% for the female population, 64.67% for the male population, and 79.57% for both sexes. In 50.62% of cities, coverage exceeded 90% for both sexes. In 80.45% of cities, the recommended coverage for females was achieved. The variable municipal performance was positively significant for the increase in vaccination coverage in 45.45% of the regions for girls, 18.18% for boys, and 36.36% for both sexes. The family health strategy variable was significant in 9.09% of the regions for girls and both sexes. The education variable showed an inverse significance for girls in 40.90%, for boys in 18.18%, and for both sexes in 36.36% of the regions. Conclusions: HPV vaccination declined between the first and second doses, with high first-dose coverage among females and moderate coverage among males. Municipal performance notably impacted coverage, particularly for girls. The family health strategy was relevant in specific regions, while educational factors had a variable effect. Addressing these variables may enhance vaccination coverage and minimize the gap between doses.

RESUMO Objetivos: compreender a perspectiva de enfermeiros sobre o uso do telemonitoramento no acompanhamento de pessoas com diabetes mellitus tipo 2 e hipertensão arterial na atenção primária. Métodos: pesquisa qualitativa com dezesseis enfermeiros de oito municípios do Paraná. Os dados foram coletados entre novembro de 2022 e janeiro de 2023, mediante entrevistas presenciais ou remotas, audiogravadas, previamente agendadas, e submetidas à análise de conteúdo. Resultados: para os enfermeiros, o telemonitoramento favorece o conhecimento do usuário acerca dessas condições, a comunicação e o vínculo com a equipe, e sua produtividade; porém, inexistência de recursos eletrônicos e equipamentos, rotatividade da equipe, baixa adesão dos usuários e indisponibilidade de tempo dos profissionais constituem desafios importantes. Considerações Finais: implementação e operacionalização eficaz do telemonitoramento no acompanhamento de pessoas com diabetes e hipertensão envolvem potencialidades e barreiras, sendo imprescindível a disponibilidade de recursos humanos e tecnológicos, apoio da gestão e disposição de profissionais e usuários.