Organizational aspects of improving primary diagnosticsmalignant neoplasms of visual localizations in the rural municipal area

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  • Authors: Vazhenin A.V.1, Voroshina N.V.1, Domozhirova A.S.2
  • Affiliations:
    1. State Budgetary Institution of Health of the Chelyabinsk Regional Center of Oncology and Nuclear Medicine
    2. Russian Scientific Center of Roentgenoradiology (RSCRR) of the Ministry of Healthcare of the Russian Federation (Russian Scientific Center of Roentgenoradiology)
  • Issue: Vol 75, No 3 (2020)
  • Pages: 234-239
  • Section: HEALTH CARE MANAGEMENT: CURRENT ISSUES
  • URL: https://vestnikramn.spr-journal.ru/jour/article/view/1322
  • DOI: https://doi.org/10.15690/vramn1322
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Abstract


Background. The proportion of malignant neoplasms detected at the III–IV stages of the disease in Chelyabinsk region is large and 43.9%. Breast cancer in 2018 was detected at stages III–IV at 24% and cervical cancer at 51.14%. Despite the fact that malignant neoplasms of vulva and vagina are diagnosed annually in isolated cases, the level of neglect reaches 66.7 and 100% respectively, which makes it necessary to develop organizational measures.

Aims — to increase the level of detection of visual localities OF female reproductive system organs in the early stages with the involvement of oncologists of regional clinics in the primary diagnosis.

Materials and methods. Patients with malignant neoplasms of the reproductive system of visual localizations, first identified in the examining cabinet of the polyclinic of the central district hospital, geographically located and functionally subordinate oncologist of the rural municipal district. Comparative assessment of early detection of tumors in an area with high breast cancer and cervical cancer and results following the introduction of a new organizational structure.

Results. Patients with malignant neoplasms of the reproductive system of visual localizations, first identified in the examining cabinet of the polyclinic of the central district hospital, geographically located and functionally subordinate oncologist of the rural municipal district. Comparative assessment of early detection of tumors in an area with high breast cancer and cervical cancer and results following the introduction of a new organizational structure.

Conclusions. The involvement of oncologist of territorial polyclinics to participate in preventive examinations, which were previously within the competence of the medical assistant of the “Examining Cabinet”, during the first year of work increased detection and reduced the incidence of breast and cervical cancer by 8.3 and 3.7% respectively. The creation of the “Breast Pathology Center” in the regional oncology center, at the third level of specialized medical care on the profile of oncology, allowed to reduce the frequency of malignancy of benign and pre-cancer breast diseases.


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About the authors

Andrey V. Vazhenin

State Budgetary Institution of Health of the Chelyabinsk Regional Center of Oncology and Nuclear Medicine

Author for correspondence.
Email: onco74@chelonco.ru
ORCID iD: 0000-0002-7807-8479
SPIN-code: 1350-9411

Russian Federation, Chelyabinsk

MD, PhD, Professor, Academician of the RAS

Natalya V. Voroshina

State Budgetary Institution of Health of the Chelyabinsk Regional Center of Oncology and Nuclear Medicine

Email: Natalyavoroshina67@gmail.com
ORCID iD: 0000-0003-0793-6867
SPIN-code: 1809-3712

Russian Federation, 42 Blucher str., 454087, Chelyabinsk

Alla S. Domozhirova

Russian Scientific Center of Roentgenoradiology (RSCRR) of the Ministry of Healthcare of the Russian Federation (Russian Scientific Center of Roentgenoradiology)

Email: 2356563@mail.ru
ORCID iD: 0000-0003-0806-3164
SPIN-code: 2715-4236

Russian Federation, Moscow

MD

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