{"id":251,"date":"2021-04-19T17:01:13","date_gmt":"2021-04-19T20:01:13","guid":{"rendered":"https:\/\/sites.usp.br\/guiacseb\/?page_id=251"},"modified":"2024-10-10T07:32:50","modified_gmt":"2024-10-10T10:32:50","slug":"oncologia","status":"publish","type":"page","link":"https:\/\/sites.usp.br\/guiacseb\/servicos\/oncologia\/","title":{"rendered":"Oncologia"},"content":{"rendered":"<section id=\"h.7b7b8d6ac0fee6cd_696\" class=\"yaqOZd\">\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"JNdkSc-SmKAyb\">\n<div class=\"\">\n<div class=\"oKdM2c Kzv0Me\">\n<div id=\"h.7b7b8d6ac0fee6cd_699\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p dir=\"ltr\">&#8211;<a title=\"Download de arquivo PDF - Tamanho 291 KB\" href=\"https:\/\/www.prefeitura.sp.gov.br\/cidade\/secretarias\/upload\/saude\/ONCOLOGIA_8_11_2023.pdf\">\u00a0Protocolo Cl\u00ednico de Regula\u00e7\u00e3o de Acesso para Tratamento de Alta Complexidade em Oncologia<\/a><\/p>\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">1) Protocolo de Refer\u00eancia Ambulatorial<\/p>\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">1.A) Considera\u00e7\u00f5es Gerais<\/p>\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Ser\u00e3o disponibilizadas, pelos UNACON\/CACON, vagas de Consulta em Oncologia para tr\u00eas grupos de pacientes, a saber:<\/p>\n<ul class=\"n8H08c UVNKR\">\n<li class=\"TYR86d wXCUfe zfr3Q\" dir=\"ltr\">\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Pacientes com diagn\u00f3stico firmado de c\u00e2ncer. Estas vagas devem ser utilizadas para pacientes que tenham diagn\u00f3stico de c\u00e2ncer firmado por exame patol\u00f3gico obtido por bi\u00f3psia ou procedimento cir\u00fargico.<\/p>\n<\/li>\n<li class=\"TYR86d wXCUfe zfr3Q\" dir=\"ltr\">\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Pacientes com alta suspeita cl\u00ednica de c\u00e2ncer. Estas vagas s\u00f3 devem ser utilizadas para pacientes com alta suspeita cl\u00ednica de c\u00e2ncer nos quais o diagn\u00f3stico de certeza s\u00f3 poder\u00e1 ser obtido mediante procedimentos diagn\u00f3sticos \/ terap\u00eauticos de Alta Complexidade n\u00e3o dispon\u00edveis na rede de M\u00e9dia Complexidade. Estas vagas tamb\u00e9m podem ser utilizadas caso o paciente tenha diagn\u00f3stico de c\u00e2ncer firmado por exame patol\u00f3gico obtido por bi\u00f3psia ou procedimento cir\u00fargico.<\/p>\n<\/li>\n<li class=\"TYR86d wXCUfe zfr3Q\" dir=\"ltr\">\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Pacientes em programa de rastreamento populacional para c\u00e2ncer de mama. Estas vagas s\u00f3 devem ser utilizadas para pacientes em programa de rastreamento para c\u00e2ncer de mama que necessitem confirma\u00e7\u00e3o diagn\u00f3stica r\u00e1pida e terapia antitumoral sem longo tempo de espera. Estas vagas ser\u00e3o a via final da Linha de Cuidados em C\u00e2ncer de Mama.<\/p>\n<\/li>\n<\/ul>\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">As vagas de Consulta em Oncologia devem ser utilizadas apenas para pacientes com condi\u00e7\u00f5es de tratamento ambulatorial (Escore ECOG Performance Status abaixo de 3 = Paciente fora do leito mais de 50% do tempo).<\/p>\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Segue abaixo na se\u00e7\u00e3o 1.B os Crit\u00e9rios para Referencia Ambulatorial (Tabela 1) e na se\u00e7\u00e3o 1.C a descri\u00e7\u00e3o dos Fluxos Regulat\u00f3rios agendamento das consultas em Oncologia.<\/p>\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">1.B) Tabela 1 \u2013 Crit\u00e9rios para Referencia Ambulatorial<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.7b7b8d6ac0fee6cd_700\" class=\"yaqOZd\">\n<div class=\"IFuOkc\"><a href=\"https:\/\/sites.usp.br\/guiacseb\/wp-content\/uploads\/sites\/943\/2021\/04\/onco1.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-383 aligncenter\" src=\"https:\/\/sites.usp.br\/guiacseb\/wp-content\/uploads\/sites\/943\/2021\/04\/onco1-300x181.png\" alt=\"\" width=\"600\" height=\"400\" \/><\/a> <a href=\"https:\/\/sites.usp.br\/guiacseb\/wp-content\/uploads\/sites\/943\/2021\/04\/onco2.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-384 aligncenter\" src=\"https:\/\/sites.usp.br\/guiacseb\/wp-content\/uploads\/sites\/943\/2021\/04\/onco2-300x187.png\" alt=\"\" width=\"600\" height=\"400\" \/><\/a> <a href=\"https:\/\/sites.usp.br\/guiacseb\/wp-content\/uploads\/sites\/943\/2021\/04\/onco3.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-386 aligncenter\" src=\"https:\/\/sites.usp.br\/guiacseb\/wp-content\/uploads\/sites\/943\/2021\/04\/onco3-300x195.png\" alt=\"\" width=\"600\" height=\"400\" \/><\/a> <a href=\"https:\/\/sites.usp.br\/guiacseb\/wp-content\/uploads\/sites\/943\/2021\/04\/onco4.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-387 aligncenter\" src=\"https:\/\/sites.usp.br\/guiacseb\/wp-content\/uploads\/sites\/943\/2021\/04\/onco4-300x180.png\" alt=\"\" width=\"600\" height=\"400\" \/><\/a><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"JNdkSc-SmKAyb\">\n<div class=\"\">\n<div class=\"oKdM2c Kzv0Me\">\n<div id=\"h.7b7b8d6ac0fee6cd_703\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.7b7b8d6ac0fee6cd_704\" class=\"yaqOZd\">\n<div class=\"IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"JNdkSc-SmKAyb\">\n<div class=\"\">\n<div class=\"oKdM2c Kzv0Me\">\n<div id=\"h.7b7b8d6ac0fee6cd_707\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.7b7b8d6ac0fee6cd_708\" class=\"yaqOZd\">\n<div class=\"IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"JNdkSc-SmKAyb\">\n<div class=\"\">\n<div class=\"oKdM2c Kzv0Me\">\n<div id=\"h.7b7b8d6ac0fee6cd_711\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.7b7b8d6ac0fee6cd_712\" class=\"yaqOZd\">\n<div class=\"IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"JNdkSc-SmKAyb\">\n<div class=\"\">\n<div class=\"oKdM2c Kzv0Me\">\n<div id=\"h.7b7b8d6ac0fee6cd_715\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque\">\n<div class=\"jXK9ad-SmKAyb\">\n<div class=\"tyJCtd baZpAe\">\n<div class=\"t3iYD\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"h.7b7b8d6ac0fee6cd_716\" class=\"yaqOZd\">\n<div class=\"IFuOkc\"><\/div>\n<div class=\"mYVXT\">\n<div class=\"LS81yb VICjCf\" tabindex=\"-1\">\n<div class=\"hJDwNd-AhqUyc-uQSCkd purZT-AhqUyc-II5mzb pSzOP-AhqUyc-qWD73c JNdkSc\">\n<div class=\"JNdkSc-SmKAyb\">\n<div class=\"\">\n<div class=\"oKdM2c Kzv0Me\">\n<div id=\"h.7b7b8d6ac0fee6cd_719\" class=\"hJDwNd-AhqUyc-uQSCkd jXK9ad D2fZ2 OjCsFc wHaque GNzUNc\">\n<div class=\"jXK9ad-SmKAyb\">\n<div class=\"tyJCtd mGzaTb baZpAe\">\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">1.C) Fluxo Regulat\u00f3rio para Refer\u00eancia Ambulatorial<\/p>\n<ul class=\"n8H08c UVNKR\">\n<li class=\"TYR86d wXCUfe zfr3Q\" dir=\"ltr\">\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Solicita\u00e7\u00e3o de consulta em oncologia via CMC-SIGA: responsabilidade das Unidades Municipais. As Unidades devem solicitar o tipo de consulta de acordo com as indica\u00e7\u00f5es cl\u00ednicas e as condi\u00e7\u00f5es necess\u00e1rias para solicita\u00e7\u00e3o das vagas dispon\u00edveis na Tabela 1.<\/p>\n<\/li>\n<li class=\"TYR86d wXCUfe zfr3Q\" dir=\"ltr\">\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Avalia\u00e7\u00e3o t\u00e9cnica da solicita\u00e7\u00e3o de consulta em oncologia e agendamento das consultas: responsabilidade do Complexo Regulador Municipal. Os m\u00e9dicos reguladores ir\u00e3o avaliar todas as solicita\u00e7\u00f5es de consulta, caso n\u00e3o existam as condi\u00e7\u00f5es necess\u00e1rias para agendamento, a solicita\u00e7\u00e3o ser\u00e1 devolvida via CMC-SIGA com justificativa pertinente. Caso as solicita\u00e7\u00f5es estejam de acordo com as indica\u00e7\u00f5es cl\u00ednicas e as condi\u00e7\u00f5es necess\u00e1rias para solicita\u00e7\u00e3o das vagas dispon\u00edveis na Tabela 1, a consulta ser\u00e1 agendada via CMC-SIGA ou via CROSS (para UNACON\/CACON sob gest\u00e3o Estadual).<\/p>\n<\/li>\n<li class=\"TYR86d wXCUfe zfr3Q\" dir=\"ltr\">\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Informa\u00e7\u00e3o do agendamento aos pacientes: responsabilidade das Unidades Municipais Solicitantes. As Unidades Municipais solicitantes ir\u00e3o proceder com o contato telef\u00f4nico com os pacientes e realizar a entrega dos comprovantes de agendamento emitidos pelo sistema SIGA ou CROSS, fazendo todas as orienta\u00e7\u00f5es necess\u00e1rias aos pacientes. No caso de cancelamentos ou desist\u00eancias, as Unidades Solicitantes dever\u00e3o informar sua Coordenadoria Regional que enviar\u00e1 de forma eletr\u00f4nica solicita\u00e7\u00e3o de cancelamento da consulta ao Complexo Regulador Municipal. O Complexo Regulador Municipal poder\u00e1 utilizar a vaga liberada para agendamento de outro paciente em aguardo na fila de espera CMC SIGA.<\/p>\n<\/li>\n<li class=\"TYR86d wXCUfe zfr3Q\" dir=\"ltr\">\n<p class=\"CDt4Ke zfr3Q\" dir=\"ltr\">Atendimento \u00e0s consultas agendadas: responsabilidade do UNACON\/CACON. Os UNACON\/CACON devem proceder ao atendimento dos pacientes e definir a necessidade de realiza\u00e7\u00e3o de exames complementares para diagn\u00f3stico e estadiamento utilizando de seus recursos pr\u00f3prios. Para pacientes encaminhados com suspeita de c\u00e2ncer, caso o diagn\u00f3stico obtido no UNACON\/CACON n\u00e3o seja de c\u00e2ncer, o UNACON\/CACON dever\u00e1 re-encaminhar o paciente \u00e0 Unidade Solicitante para continuidade de seguimento ambulatorial. O UNACON\/CACON n\u00e3o ser\u00e1 respons\u00e1vel pelo tratamento de outras afec\u00e7\u00f5es que n\u00e3o c\u00e2ncer.<\/p>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>&#8211;\u00a0Protocolo Cl\u00ednico de Regula\u00e7\u00e3o de Acesso para Tratamento de Alta Complexidade em Oncologia 1) Protocolo de Refer\u00eancia Ambulatorial 1.A) Considera\u00e7\u00f5es Gerais Ser\u00e3o disponibilizadas, pelos UNACON\/CACON, vagas de Consulta em Oncologia para tr\u00eas grupos de pacientes, a saber: Pacientes com diagn\u00f3stico firmado de c\u00e2ncer. Estas vagas devem ser utilizadas para pacientes que tenham diagn\u00f3stico de c\u00e2ncer [&hellip;]<\/p>\n","protected":false},"author":22390,"featured_media":0,"parent":64,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-251","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/pages\/251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/users\/22390"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/comments?post=251"}],"version-history":[{"count":5,"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/pages\/251\/revisions"}],"predecessor-version":[{"id":1311,"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/pages\/251\/revisions\/1311"}],"up":[{"embeddable":true,"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/pages\/64"}],"wp:attachment":[{"href":"https:\/\/sites.usp.br\/guiacseb\/wp-json\/wp\/v2\/media?parent=251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}