Cancer Incidence of Child Population of the Russian Federation and its Provision of Medical Care (Doctors, Bedspace, Diagnostic and Therapeutic Technologies): Analysis of Statistical Data for 2013

Юрьевич, Рыков Максим; Сусулёва, Н А; Чумакова, О. В.; Байбарина, Е. Н.; Поляков, В. Г.

doi:10.15690/vsp.v14i6.1477

Cited by 13 publications

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“…число первичных пациентов, выявленных в анализируемых субъектах, составило 10% от общего числа детей со злокачественными новообразованиями (18 090), выявленных в Российской Федерации. Из них пациенты в Москве составили 7,3%, в Московской области -2,7% [1][2][3].…”

Section: Discussionunclassified

Main indicators characterizing medical care quality for children with cancer in 2013–2017 in Moscow and Moscow Region

Rykov

2019

Ross. vestn. perinatol. pediatr.

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Section: Discussionunclassified

Main indicators characterizing medical care quality for children with cancer in 2013–2017 in Moscow and Moscow Region

Rykov

2019

Ross. vestn. perinatol. pediatr.

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“…Обеспеченность населения врачами-детскими онкологами снизилась с 0,15 до 0,08. Некоторое снижение абсолютного числа врачей-детских онкологов, очевидно, связано с тем, что в 2017 г. в отчетах указывалось число врачей, имеющих сертификаты детских онкологов [3].…”

Section: Discussionunclassified

“…По этой причине фактические значения представляются достаточно низкими. Хотя это лишь субъективная оценка, и она требует проведения аудита историй болезней пациентов [3].…”

Section: Discussionunclassified

Medical care for children with cancer in the Siberian Federal District

Rykov

2019

Sib. onkol. ž.

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background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results obtained is also the basis of the strategy for the development of medical care for this category of patients. aim: analysis of the main parameters characterizing medical care for children with cancer in the Siberian Federal District. material and methods. The reports for 2017 on the health protection of 11/12 (91.6 %) constituent entities of the Russian Federation belonging to the Siberian Federal District were analyzed (Irkutsk Region did not provide data). results. In 2017 the number of children aged 0–17 years was 3 722 470, the number of pediatric hospital beds for children with cancer (ages 0–17 years) was 260 (0,7 per 10,000), and the average number of bed-days per year was 342.2. In 3 (25 %) constituent entities of the Russian Federation, there were no departments of pediatric oncology and in 1 (8,3 %) there were no hospital beds for children with cancer. The number of physicians, who specialized in children’s cancer was 49, of them 32 (65,3 %, 0,08 per 10,000, ages 0–17 years) had a certificate of a pediatric oncologist. In 1 (8,3 %) constituent entity of the Russian Federation, there were no pediatric oncologists. For children aged 0–17 years, the cancer incidence rate was 11.7 per 100,000 children, the cancer mortality rate was 2,2 per 100,000, and one-year mortality rate was 7,4 %. 188 (43,2 %) primary cancer patients were referred to medical institutions of the Federal District, and 17 (3,9 %) primary patients left the territory of the Russian Federation. conclusion. The low incidence and mortality rates can be explained by the lost of reliable follow-up data. It is advisable to introduce electronic health record systems. For reliable estimation of hospital bed supply for children with cancer and percent of patients referred to medical centers for treatment, it is necessary to carry out a clinical audit. Deficiency of pediatric oncologists should be eliminated by reforming the training of medical personnel.

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“…Вместе с тем показатели смертности находятся на сопоставимом уровне [2,4]. По сравнению с 2013 г. уровень заболеваемости в ЦФО практически не изменился, хотя увеличился в Российской Федерации, что свидетельствует о том, что выявляемость и учет за прошедшие 5 лет существенно не изменились [5]. Это объясняется отсутствием в Российской Федерации электронной базы данных детей с онкологическими заболеваниями (регистра), поскольку только единая система учета позволяет получать достоверные статистические данные.…”

Section: Discussionunclassified

Organization of medical care for children with cancer in the central federal district

Rykov

2019

Sib. onkol. ž.

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Background. Planning the organization of medical care for children diagnosed with cancer as well as assessing the quality of care is based on the statistical data analysis.The purpose of the study was to analyze the main parameters characterizing medical care for children with cancer in the central Federal district.Material and methods. The reports of the executive authorities in the sphere of health protection of 18 subjects of the Russian Federation included into the central Federal district were analyzed for 2017.Results. The number of children aged 0–17 years was 6 824 049, the number of pediatric oncology departments was 9, the number of hospital beds for children with cancer was 464, the number of bed-days per year was 319.3. the number of physicians providing pediatric cancer care was 91, of them 64 (70.3 %) had a certificate of a pediatric oncologist. in 11 subjects of the Russian Federation, there were no departments of pediatric oncology, and in 1of them, there were no hospital beds for children with cancer. the number of patients newly diagnosed with cancer was 821. the number of patients who died of cancer was 156, of them 66 were diagnosed with cancer in 2017. the cancer incidence rate was 12 per 100,000 children aged 017 years; the mortality rate was 2.3 per 100,000 children aged 017 years. the one-year mortality rate was 8 %. the mean time taken to establish the diagnosis and the time interval between diagnosis and initiation of treatment was unknown, since the reports did not contain precise information. twelve (1.5 %) patients left the territory of the Russian Federation for receiving treatment outside the Russian Federation.Conclusion. The information provided in most reports was not statistically reliable. the cancer incidence rates were significantly lower than those in countries with high statistical reliability. For reliable estimation of the number of inpatient beds for children with cancer and the percentage of children referred for the treatment to the federal medical centers, it is necessary to implement a unified database for pediatric oncology in the Russian Federation.

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Cancer Incidence of Child Population of the Russian Federation and its Provision of Medical Care (Doctors, Bedspace, Diagnostic and Therapeutic Technologies): Analysis of Statistical Data for 2013

Cited by 13 publications

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Main indicators characterizing medical care quality for children with cancer in 2013–2017 in Moscow and Moscow Region

Main indicators characterizing medical care quality for children with cancer in 2013–2017 in Moscow and Moscow Region

Medical care for children with cancer in the Siberian Federal District

Organization of medical care for children with cancer in the central federal district

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