Despite the successes in the examination and treatment of patients with prostate cancer, the problems associated with the organization of medical care for patients suffering from this disease remain. Defects in the verification of oncological diseases of the prostate often cause a decrease in parameters reflecting the quality and life expectancy of men. The data on the clinical case presented in the work demonstrate the difficulties of verifying a disease of a patient with prostate cancer, despite the involvement of many specialists of several medical institutions in the diagnostic process. With significant amounts of medical measures, the quality of the medical care provided at all stages can be considered inappropriate, primarily due to a violation of continuity in the management of the patient. Health care resources were used irrationally despite the fact that attempts were made to save the patient’s life at all levels and stages of medical care. Probably, defects in the provision of medical care could have been prevented by applying unified approaches in the diagnostic and treatment process using the advantages of information technology in modern computer databases of medical institutions, which make it possible to monitor the stages and volume of medical care provided to patients individually. In addition, the proper organization of medical care, as well as the targeted routing of patient flows should be provided not so much by clinicians as health managers. In the absence of opportunities in the treatment and prevention facilities, where patients are sometimes unplanned in urgent cases, the possibilities for carrying out diagnostic and treatment procedures, the healthcare organizers, together with the clinicians, must find reserves for referring patients to specialized medical organizations, in which examination and treatment of patients can be guaranteed. At the same time, the role, importance and effectiveness of the activities of health managers in the examination of the quality of medical care in each case should be evaluated separately.
Cystectomy, as a type of surgical treatment, is performed for various diseases of the bladder. Most often, with malignant tumors, as well as with benign pathological conditions. Adversity in the postoperative period in patients undergoing cystectomy is mainly due to the need to ensure adequate derivation of urine. One of the solutions to this problem is the implementation of ileocystoplastic, which, in turn, is associated with the implementation of technically difficult and large-scale manipulations during surgery. Organizationally performing a surgical aid such as cystectomy on a stream in a round-the-clock emergency hospital does not make much sense. Successful prevention of severe complications of cystectomy (or their elimination) is probably possible only in those multidisciplinary medical organizations in which the provision of medical care to patients with an oncourological profile is an everyday programmed activity. Specialists of the prehospital medical care section have a special role in routing patients with bladder diseases, and not only their formal referral and delivery to non-specialized medical and preventive care institutions in emergency mode with syndromic diagnoses such as “renal colic or macrohematuria”. Currently, in St. Petersburg, all conditions have been created for the concentration of patients with severe diseases of the bladder in a number of specialized medical organizations in which the required number of cystectomy operations with intestinal plastic is performed annually, which makes it possible to guarantee the maximum effect of the use of such surgical interventions without discrediting the method by the rarity of its implementation, and with favorable long-term results of treatment of patients.
Cystectomy, as a type of surgical treatment, is performed for various diseases of the bladder. Most often — with malignant tumors, as well as with benign pathological conditions. Complications in the postoperative period in patients undergoing cystectomy are mainly caused by the need to ensure adequate urine derivation. One of the options for solving this problem is the implementation of ileocystoplasty, which, in turn, is associated with the performance of technically difficult and large-scale manipulations during the operation. Successful prevention of severe complications of cystectomy (or their elimination) is probably possible only in those multidisciplinary medical organizations in which the provision of medical care to patients with urological oncology is a daily programmed activity. Outpatient health care specialists play a special role in routing patients with bladder diseases, and not only their formal referral and delivery to multidisciplinary medical and prophylactic institutions in an emergency mode with “on-duty” syndromic diagnoses such as “renal colic or hematuria”. At present, in St. Petersburg, all conditions have been created for the concentration of patients with severe diseases of the bladder in a number of specialized medical organizations, in which a large number of cystectomies with intestinal plastic are routinely performed annually, which makes it possible with a high probability to guarantee a favorable clinical outcome without discrediting method of the rarity of its implementation.
Introduction. Prostate cancer ranks first among all malignant neoplasms in men. The use of information and
analytical tools in comprehending the results of examining and treating verified prostate cancer cases in St. Petersburg
is important for implementing measures to increase life expectancy and to improve the quality of men’s health. Materials
and methods. We analyzed indicator medical statistics on prostate cancer cases in St. Petersburg in 2013–2017 based on the
municipal population cancer registry data. Results. The results showed that the increase in prostate cancer incidence rates
in the city was not related to poor quality of medical examination or treatment. The latter remained appropriate and was
ensured by the proper level of modernization of technological and organizational methods for providing medical care to
such patients. Successful mastering of innovative information techniques of cancer data analysis by local specialists is one
of the prerequisites for efficient cancer prevention with a full-fledged implementation of actions envisaged by the Russian
Healthcare Development Program. Conclusions. Some quality indicators of St. Petersburg oncology service in terms of
providing medical care to prostate cancer patients are comparable to those in other Russian regions or turn out to the best
in some respects. Targeted measures taken by the City Administration and its Health Department to promote a healthy
lifestyle and to inform the citizens about dangers of prostate cancer yield positive results.
Аннотация. Инфицированию короновирусом чаще подвержены люди с сопутствующей патологией обмена веществ, онкопроцессами, хроническими заболеваниями органов дыхания, сердечно-сосудистой и пищеварительной систем. В Санкт-Петербурге с марта по август 2020 г. коллегиально разобраны 803 случая летальных исходов у людей, умерших на фоне констатации факта их инфицированности COVID-19. Отдельно изучены данные о 60 наблюдениях хирургических заболеваний. Данные о случае сочетания перфоративной дуоденальной язвы и COVID-19 отражены в содержании пу
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.