Medical care for children with cancer in the Far Eastern Federal District
https://doi.org/10.25789/YMJ.2018.64.20
Abstract
Background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results is also the basis of the strategy for the development of medical care for this category of patients.
Aim. Analysis of the main indicators characterizing medical care for children with cancer in the Far Eastern Federal District.
Methods. The operative reports for 2017 of the executive authorities in the sphere of health protection of 7/9 (77,8%) subjects of the Russian Federation that are part of the Far Eastern federal districts have been analyzed (The Ministry of Health of the Republic of Sakha (Yakutia) and the Khabarovsk Territory did not provide the data).
Results. The number of children was 790855 (0-17 years), the number of children’s oncological beds was 60 (0.7 for 10 thousand 0-17 years), the average number of days of berth employment in the year was 283.7 days. In 4 (57.1%) subjects of the department of pediatric oncology are absent, in 2 (28,6%) - there are no children’s oncological beds. The number of doctors providing medical care to children with cancer is 13, of them 7 (0.8%, 0.08 for 10 thousand 0 - 17 years) have a certificate of a doctor-pediatric oncologist. In 5 (71.4%) subjects there are no doctors-children oncologists. The incidence of malignant tumors was 15 (per 100,000 0-17 years), the prevalence was 90.1 (per 100,000 0-17 years), the mortality rate was 2.9 (per 100,000 0-17 years), the one-year mortality rate - 7.6%. 5% of patients were actively detected. 52 (43.7%) of primary patients were sent to medical organizations of federal subordination, 8 (6.7%) of primary patients left the territory of the Russian Federation.
Conclusion. Low morbidity and mortality are attributable to defects in the account and the lack of reliable follow-up data. It is advisable to introduce electronic accounting systems. For reliable estimation of the level of provision of the population with children’s cancer beds and the percentage of patients sent for treatment in medical organizations of federal subordination, audit of patients’ illnesses is necessary. Deficiency of children’s oncologists and a low percentage of patients identified should be eliminated by reforming the training of medical personnel.
About the Author
M. Yu. Rykov
Research Institute of DOG FGBU “NMI of Oncology named after. N.N. Blokhin”; First Moscow State Medical University of the Ministry of Health of Russia (Sechenovsky University)
Russian Federation
Russian Federation
Rykov Maxim Yu., PhD, Deputy Director of the Research Institute of DOG FGBU “NMI of Oncology named after. N.N. Blokhin”of the Ministry of Health of Russia, associate professor of the Department of Oncology of the First Moscow State Medical University of the Ministry of Health of Russia (Sechenovsky University), the chief freelance children’s specialist oncologist of the Ministry of Health of Russia in the Central Federal District
115478, Moscow, Kashirskoye sh., 24
References
1. Aksel E.M. Malignant tumors in children: statistics of morbidity and mortality of children in Russia and the countries of the former USSR in 2015 / E.M. Aksel // Eurasian journal of oncology. – 2017. – №5 (2). – P. 349-357.
2. 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 / M.Y. Rykov, N.A. Susulyova, O.V. Chumakova [et al.] // Current pediatrics. – 2015. – №14 (6). – P. 686-691. doi:10.15690/vsp. v14i6.1477.
3. Rykov M.Y. Set-up of the electronic database of pediatric cancer patients in pilot medical facilities: a prospective cohort study / M.Y. Rykov, I.A. Turabov, O.G. Zheludkova // Oncopediatrics. – 2018. – №5 (1). – P.5-12. doi:10.15690/onco.v5i1.1861.
4. Rykov M.Y. Сancer epidemiology in children in the Russian Federation: analysis of key indicators and ways to overcome the statistical data defects / M.Y. Rykov, E.N. Baibarina, O.V. Chumakova, V.G. Polyakov // Oncopediatrics. – 2017. – №4 (3). – P. 159-176. doi:10.15690/onco.v4i3.1747.
5. Improvement of the organizational and methodological approaches to healthcare delivery for children with cancer / M.Y. Rykov, E.N. Baibarina, O.V. Chumakova [et al.] // Oncopediatrics. – 2017. – №4 (2). – P. 91-104. https://doi.org/10.15690/onco.v4i2.1703
6. Epidemiology of malignant tumors in children: the main indicators in 2011 – 2016 / ed. by M.Yu. Rykov, V.G. Polyakov. – M.: Izdatel’stvo Pervogo MGMU im. I.M. Sechenova, 2017. – 210 p.
7. Siegel R. Cancer statistics / R. Siegel, K. Miller, A. Jemal // CA Cancer J Clin. – 2016 – №1. – P. 7−30. doi:10.3322/caac.21332.
Review
For citations:
Rykov M.Yu. Medical care for children with cancer in the Far Eastern Federal District. Yakut Medical Journal. 2018;(4):68-71. https://doi.org/10.25789/YMJ.2018.64.20
Views:
6
Email this article 