{"id":"https://openalex.org/W7223121971","doi":"https://doi.org/10.1016/j.htct.2026.108415","title":"NEOPLASIAS HEMATOL\u00d3GICAS PEDI\u00c1TRICAS NA REGI\u00c3O NORTE: MAIOR TAXA DE MORTALIDADE DO PA\u00cdS E O D\u00c9FICIT DE CENTROS DE REFER\u00caNCIA","display_name":"NEOPLASIAS HEMATOL\u00d3GICAS PEDI\u00c1TRICAS NA REGI\u00c3O NORTE: MAIOR TAXA DE MORTALIDADE DO PA\u00cdS E O D\u00c9FICIT DE CENTROS DE REFER\u00caNCIA","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223121971","doi":"https://doi.org/10.1016/j.htct.2026.108415"},"language":"en","primary_location":{"id":"doi:10.1016/j.htct.2026.108415","doi":"https://doi.org/10.1016/j.htct.2026.108415","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.108415","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2531137926021620/pdf","source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.sciencedirect.com/science/article/pii/S2531137926021620/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5133992839","display_name":"Fernanda Lira Duarte","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Fernanda Lira DUARTE","raw_affiliation_strings":["Universidade do Estado do Par\u00e1 (UEPA), Santar\u00e9m, PA, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade do Estado do Par\u00e1 (UEPA), Santar\u00e9m, PA, Brasil","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159219202","display_name":"Jo\u00e3o Paulo Bentes de SALES","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jo\u00e3o Paulo Bentes DE SALES","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114228933","display_name":"Clara Sofia da Silva Oliveira","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Clara Sofia Da Silva OLIVEIRA","raw_affiliation_strings":["Universidade do Estado do Par\u00e1 (UEPA), Santar\u00e9m, PA, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade do Estado do Par\u00e1 (UEPA), Santar\u00e9m, PA, Brasil","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159178146","display_name":"Fernanda Sena DE TROLLY","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142683","display_name":"Instituto Nacional de C\u00e2ncer - INCA","ror":"https://ror.org/055n68305","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210142683"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Fernanda Sena DE TROLLY","raw_affiliation_strings":["Laborat orio de Gen etica das Leucemias Agudas , Coordena\u00e7\u00e3o de Pesquisa e Inova\u00e7\u00e3o , Instituto Nacional de C\u00e2ncer (INCA) , Rio de Janeiro , RJ , Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Laborat orio de Gen etica das Leucemias Agudas , Coordena\u00e7\u00e3o de Pesquisa e Inova\u00e7\u00e3o , Instituto Nacional de C\u00e2ncer (INCA) , Rio de Janeiro , RJ , Brasil","institution_ids":["https://openalex.org/I4210142683"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135383369","display_name":"Isaac Ara\u00fajo Lacerda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Isaac Ara\u00fajo LACERDA","raw_affiliation_strings":["Universidade do Estado do Par\u00e1 (UEPA), Santar\u00e9m, PA, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade do Estado do Par\u00e1 (UEPA), Santar\u00e9m, PA, Brasil","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130651837","display_name":"MATHEUS ENGE SOUSA RIBEIRO","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I211891151","display_name":"Universidade do Estado do Par\u00e1","ror":"https://ror.org/042r36z33","country_code":"BR","type":"education","lineage":["https://openalex.org/I211891151"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Matheus Enge Sousa RIBEIRO","raw_affiliation_strings":["Universidade do Estado do Par\u00e1 (UEPA), Santar\u00e9m, PA, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade do Estado do Par\u00e1 (UEPA), Santar\u00e9m, PA, Brasil","institution_ids":["https://openalex.org/I211891151"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159177412","display_name":"Kalysta De Oliveira Resende BORGES","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kalysta De Oliveira BORGES","raw_affiliation_strings":["Hospital Regional do Baixo Amazonas, Santar\u00e9m, PA, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Regional do Baixo Amazonas, Santar\u00e9m, PA, Brasil","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77572436,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"48","issue":null,"first_page":"108415","last_page":"108415"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.5121999979019165,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.5121999979019165,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10950","display_name":"Acute Lymphoblastic Leukemia research","score":0.4542999863624573,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13123","display_name":"Advances in Oncology and Radiotherapy","score":0.007499999832361937,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/childhood-cancer-mortality","display_name":"childhood cancer mortality","score":0.9070000052452087},{"id":"https://openalex.org/keywords/acute-lymphoblastic-leukemia","display_name":"acute lymphoblastic leukemia","score":0.9419999718666077},{"id":"https://openalex.org/keywords/regional-health-disparities","display_name":"regional health disparities","score":0.6830000281333923},{"id":"https://openalex.org/keywords/northern-brazil","display_name":"Northern Brazil","score":0.6909999847412109},{"id":"https://openalex.org/keywords/mortality-trends","display_name":"mortality trends","score":0.5789999961853027},{"id":"https://openalex.org/keywords/access-to-cancer-care","display_name":"access to cancer care","score":0.5529999732971191},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.375},{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.32499998807907104},{"id":"https://openalex.org/keywords/health-surveillance","display_name":"health surveillance","score":0.3779999911785126},{"id":"https://openalex.org/keywords/health-promotion","display_name":"health promotion","score":0.3889999985694885},{"id":"https://openalex.org/keywords/health-information-systems","display_name":"health information systems","score":0.382999986410141}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8799999952316284},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.4302999973297119},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.21690000593662262},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.19670000672340393},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.18940000236034393},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.17890000343322754},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.1776999980211258},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.1500999927520752},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.14319999516010284},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.14309999346733093}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.htct.2026.108415","doi":"https://doi.org/10.1016/j.htct.2026.108415","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.108415","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2531137926021620/pdf","source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:f77af0ead6e147df9f54b66ef0f75706","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/f77af0ead6e147df9f54b66ef0f75706","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Hematology, Transfusion and Cell Therapy, Vol 48, Iss , Pp 108415- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.htct.2026.108415","doi":"https://doi.org/10.1016/j.htct.2026.108415","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.108415","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2531137926021620/pdf","source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223121971.pdf","grobid_xml":"https://content.openalex.org/works/W7223121971.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7223573394","https://openalex.org/W3163903659","https://openalex.org/W3095736919","https://openalex.org/W4415668976","https://openalex.org/W4385121093","https://openalex.org/W7120356806","https://openalex.org/W4391253710","https://openalex.org/W4318699286","https://openalex.org/W7120395435","https://openalex.org/W7170181043"],"abstract_inverted_index":{"Introdu\u00e7\u00e3o":[0],"As":[1,321],"neoplasias":[2,69,122,202,459],"hematol\u00f3gicas":[3,70,123,203,460],"constituem":[4],"um":[5,395],"grupo":[6],"heterog\u00eaneo":[7],"de":[8,16,46,50,66,99,101,131,138,160,179,206,214,227,304,308,338,389,397,422,435,439,456,473,476,483,489,491],"c\u00e2nceres":[9],"originados":[10],"no":[11,33,136,209,216,283,287,292,297,324,369,462],"tecido":[12],"hematopoi\u00e9tico,":[13],"importante":[14],"causa":[15],"\u00f3bito":[17,406],"por":[18,41,68,121,165,201,277,458],"c\u00e2ncer":[19],"na":[20,72,306,415,426,446],"inf\u00e2ncia,":[21],"destacando-se":[22],"a":[23,36,48,64,91,133,140,182,224,230,329,336,412,453,481,497],"leucemia":[24],"linfobl\u00e1stica":[25],"aguda":[26],"e":[27,44,58,83,97,107,113,127,156,167,188,220,372,384,405,420,487],"linfomas.":[28],"Persiste":[29],"desigualdade":[30],"regional":[31],"marcante":[32],"Brasil,":[34,76,463],"com":[35,115,174,212,289,376,464],"Regi\u00e3o":[37,73,242,450],"Norte":[38,74,170,235,293,334,361,393,451],"historicamente":[39],"marcada":[40],"barreiras":[42,418,485],"estruturais":[43,323,486],"log\u00edsticas":[45],"acesso":[47,325,423],"centros":[49,100,358,436,474],"refer\u00eancia":[51,102,492],"em":[52,103,129,204,373,380,443,493],"oncologia":[53,104,494],"pedi\u00e1trica,":[54],"favorecendo":[55],"atraso":[56],"assistencial":[57],"progn\u00f3sticos":[59],"mais":[60],"reservados.":[61],"Objetivos":[62],"Analisar":[63],"taxa":[65,159,232,337,455],"mortalidade":[67,161,339,398,457],"pedi\u00e1tricas":[71,461],"do":[75,81,117,149,169,234,313,340,360,387],"comparando-a":[77],"\u00e0s":[78],"demais":[79,267,352],"regi\u00f5es":[80],"pa\u00eds,":[82,341],"descrever":[84],"o":[85,152],"perfil":[86],"demogr\u00e1fico":[87],"dos":[88,186,256,356],"\u00f3bitos,":[89,228],"discutindo":[90],"disparidade":[92],"\u00e0":[93,326,408,424],"luz":[94],"da":[95,258,499],"distribui\u00e7\u00e3o":[96,276,355,471],"d\u00e9ficit":[98,388],"pedi\u00e1trica.":[105],"Material":[106],"M\u00e9todos":[108],"Estudo":[109],"ecol\u00f3gico,":[110],"descritivo,":[111],"comparativo":[112],"retrospectivo,":[114],"dados":[116],"SIM/DATASUS,":[118],"considerando":[119],"\u00f3bitos":[120,187,200,257,305],"(CID-10:":[124],"C82-C85,":[125],"C90":[126],"C91-C95)":[128],"indiv\u00edduos":[130],"0":[132],"14":[134],"anos,":[135,318],"per\u00edodo":[137],"2015":[139],"2024.":[141],"Os":[142,478],"denominadores":[143],"populacionais":[144],"foram":[145],"obtidos":[146],"das":[147],"proje\u00e7\u00f5es":[148],"IBGE":[150],"para":[151,181,191,496],"mesmo":[153],"recorte":[154],"et\u00e1rio":[155],"per\u00edodo.":[157,217],"A":[158,275,332,354,449],"foi":[162,233],"calculada":[163],"anualmente":[164],"regi\u00e3o":[166,333],"UF":[168],"(\u00f3bitos/popula\u00e7\u00e3o":[171],"\u00d7":[172],"100.000),":[173],"m\u00e9dia":[175],"decenal.":[176],"Aplicou-se":[177],"regress\u00e3o":[178],"Poisson":[180],"tend\u00eancia":[183,265],"temporal":[184],"proporcional":[185],"teste":[189],"qui-quadrado":[190],"associa\u00e7\u00f5es":[192],"demogr\u00e1ficas":[193],"(p":[194],"<":[195,273],"0,05).":[196],"Resultados":[197],"Registraram-se":[198],"6.693":[199],"crian\u00e7as":[205],"0-14":[207],"anos":[208,310],"Brasil":[210],"(2015-2024),":[211],"redu\u00e7\u00e3o":[213,330],"\u223c20%":[215],"Sudeste":[218],"(33,2%)":[219],"Nordeste":[221],"(31,5%)":[222],"concentraram":[223],"maior":[225,231,302,454],"propor\u00e7\u00e3o":[226],"mas":[229],"(1,97/100":[236],"mil":[237],"vs.":[238,295],"1,51":[239],"nacional).":[240],"Na":[241],"Norte,":[243,300],"houve":[244,301],"queda":[245,344],"estatisticamente":[246],"significativa":[247],"(\u2248-2,7%/ano;":[248],"p":[249,261,272],"=":[250,262],"0,008),":[251],"influenciada":[252],"pelo":[253,347],"Par\u00e1":[254,370],"(42,3%":[255],"regi\u00e3o;":[259],"-4,15%/ano;":[260],"0,014),":[263],"sem":[264],"nos":[266,351],"estados.":[268,353],"Predom\u00ednio":[269],"masculino":[270],"(57,5%;":[271],"0,001).":[274],"cor/ra\u00e7a":[278],"variou":[279],"regionalmente":[280],"(68%":[281],"pardos":[282],"Norte;":[284],"82,2%":[285],"brancos":[286],"Sul),":[288],"sobrerrepresenta\u00e7\u00e3o":[290,413],"\u00edndigena":[291],"(4,5%":[294],"1,2%":[296],"Brasil).":[298],"No":[299],"concentra\u00e7\u00e3o":[303],"faixa":[307],"5-9":[309],"(33,9%),":[311],"diferindo":[312],"padr\u00e3o":[314,396],"nacional":[315],"(predom\u00ednio":[316],"10-14":[317],"34,8%).":[319],"Discuss\u00e3o":[320],"desigualdades":[322,465],"sa\u00fade":[327,425],"ofuscam":[328],"nacional.":[331],"lidera":[335],"sua":[342],"aparente":[343],"\u00e9":[345,366],"alavancada":[346],"Par\u00e1,":[348],"ocultando":[349],"obst\u00e1culos":[350],"13":[357],"oncol\u00f3gicos":[359],"(11":[362],"UNACON,":[363],"2":[364],"CACON)":[365],"desigual,":[367],"concentrados":[368],"(4)":[371],"Rond\u00f4nia":[374],"(3),":[375],"apenas":[377],"1":[378],"unidade":[379],"AC,":[381],"AP,":[382],"AM":[383],"RR,":[385],"al\u00e9m":[386],"suporte":[390],"pedi\u00e1trico.":[391],"O":[392],"exibe":[394],"precoce":[399],"(5-9":[400],"anos),":[401],"sugerindo":[402],"diagn\u00f3stico":[403],"tardio":[404],"pr\u00e9vio":[407],"efic\u00e1cia":[409],"terap\u00eautica.":[410],"Destaca-se":[411],"ind\u00edgena":[414],"regi\u00e3o,":[416],"refletindo":[417,470],"geogr\u00e1ficas":[419],"culturais":[421],"Amaz\u00f4nia":[427],"\u2014":[428],"popula\u00e7\u00f5es":[429],"origin\u00e1rias":[430],"frequentemente":[431],"habitam":[432],"\u00e1reas":[433],"distantes":[434],"urbanos,":[437],"dependendo":[438],"deslocamento":[440],"fluvial/a\u00e9reo,":[441],"resultando":[442],"atrasos":[444],"irrevers\u00edveis":[445],"assist\u00eancia.":[447],"Conclus\u00e3o":[448],"apresentou":[452],"adicionais":[466],"entre":[467],"seus":[468],"estados,":[469],"limitada":[472],"habilitados":[475],"oncologia.":[477],"achados":[479],"refor\u00e7am":[480],"hip\u00f3tese":[482],"que":[484],"insufici\u00eancia":[488],"servi\u00e7os":[490],"contribuem":[495],"persist\u00eancia":[498],"desigualdade.":[500]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-22T00:00:00"}