Mortality From Malignant Tumors in Children in the Russian Federation

Rykov, M. Yu.

doi:10.15690/onco.v4i4.1810

Cited by 8 publications

(6 citation statements)

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“…ОБОСНОВАНИЕ В настоящее время статистические данные, касающиеся злокачественных новообразований у детей в Российской Федерации, не являются достоверными [1,2], что существенно затрудняет планирование организации медицинской помощи детям с онкологическими заболеваниями. Помимо этого, необходимы регулярный контроль качества оказания медицинской помощи, а также оптими-зация маршрутизации пациентов [3].…”

Section: редакционная статьяunclassified

Set-up of the Electronic Database of Pediatric Cancer Patients in Pilot Medical Facilities: A Prospective Cohort Study

Юрьевич¹,

Александрович²,

Григорьевна³

2018

Oncopediatria

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РЕДАКЦИОННАЯ СТАТЬЯОБОСНОВАНИЕ В настоящее время статистические данные, касающиеся злокачественных новообразований у детей в Российской Федерации, не являются достоверными [1,2], что существенно затрудняет планирование организации медицинской помощи детям с онкологическими заболеваниями. Помимо этого, необходимы регулярный контроль качества оказания медицинской помощи, а также оптими-зация маршрутизации пациентов [3].Для реализации изложенных выше целей разра-ботана и внедрена в клиническую практику пилот-

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Section: редакционная статьяunclassified

Set-up of the Electronic Database of Pediatric Cancer Patients in Pilot Medical Facilities: A Prospective Cohort Study

Юрьевич¹,

Александрович²,

Григорьевна³

2018

Oncopediatria

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“…По указанным причинам пациенты этой группы должны проходить углубленный и частый профилактический осмотр в период ремиссии, что существенно проще с использованием данных регистра. Регистр, позволяющий устранить отмеченные выше дефекты статистических данных, разработан и внедрен в клиническую практику «пилотных» медицинских организаций [2,3].…”

Section: таблица 2 временные показатели характеризующие медицинскуюunclassified

“…(с 9,1 до 6,3%) [2]. Это объясняется не только формальным подходом к проведению плановых профилактических осмотров, но и низкой «онкологической настороженностью» врачей-участковых педиатров [3]. Указанный факт в свою очередь обусловлен относительной редкостью злокачественных новообразований у детей и отсутствием специфических симптомов [6].…”

Section: таблица 2 временные показатели характеризующие медицинскуюunclassified

Medical care for children with cancer in the Central Federal District

Rykov

2018

Ross. vestn. perinatol. pediatr.

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Relevance. Statistical indicators are the basis for planning of the organization of medical care for children with cancer, as well as analysis of the effectiveness of medical care. Materials and methods. The authors have analyzed operational reports for 2017 of the executive authorities in the field of health care of 18 objects of the Russian Federation being part of the Central Federal District. Results. There 9 pediatric oncology departments, there are 464 children’s oncological beds, the bed occupancy per yearis 319.3. There are 91 doctors providing medical care to children with cancer, 64 (70.3%) of the doctors have a certificate of pediatric oncologist. In 11 subjects there are no Departments for Pediatric Oncology. There are 821 primary patients with malignant neoplasms. There are 156 deceased patients, 66 of them were diagnosed in 2017. 52 (6.3%) patients are revealed actively. There were 12 (per 100 thousand for the age group of 0–17 years) cases of incidence of malignant neoplasms, mortality is 2.3 (per 100 thousand for the age group of 0–17 years), one-year mortality is 8%. The average time taken to diagnose and to verify the diagnosis before the beginning of treatment remains unknown. Conclusion. Operational reports contain non-matching indicators, thus, the information is not completely reliable. Incidence rates are significantly lower than those in countries with high reliability of statistical data. The percentage of patients identified actively remains extremely low. In order to eliminate the noted defects, it is necessary to introduce a single database of children with cancer in the Russian Federation.Conflict of interest: The author of this article confirmed the lack of conflict of interest and financial support, which should be reported.

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“…При этом доля злокачественных новообразований в общей структуре смертности детей продолжает увеличиваться (с 7-го места в 2014 г. до 5-го -в 2017 г.) [3,4]. Планирование организации медицинской помощи данной категории пациентов, в том числе с учетом вызовов времени, основано на регулярном анализе статистических показателей.…”

Section: Introductionunclassified

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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Mortality From Malignant Tumors in Children in the Russian Federation

Cited by 8 publications

References 6 publications

Set-up of the Electronic Database of Pediatric Cancer Patients in Pilot Medical Facilities: A Prospective Cohort Study

Set-up of the Electronic Database of Pediatric Cancer Patients in Pilot Medical Facilities: A Prospective Cohort Study

Medical care for children with cancer in the Central Federal District

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

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