Analysis of primary disability among women with breast cancer
https://doi.org/10.25789/YMJ.2025.91.18
Abstract
Based on the depersonalized database of the State Medical and Social Expertise Bureau of the Irkutsk Region, an analysis of primary disability in women due to breast cancer (BC) was conducted. Among the contingent of primary disabled people, women with the second disability group, living in urban areas and over 55 years of age, currently prevail. For 2009-2023, a statistically significant increase in the overall indicators of primary disability due to BC was noted: "gross" by 1.4 times and standardized by 1.3 times. The increase in the average age of disabled women from 53.2 to 58.1 years is associated with both improved medical care and patient survival, and with the aging of the population. Despite the improvement of diagnostics [3], the multidirectional dynamics of the proportion of disability groups 1 and 2 (an increase in the share of group 1 from 14.8 to 18.4% and a statistically significant decrease in the share of group 2 from 57.7 to 48.2%) does not correlate with the data on primary breast cancer incidence by stage, which is explained by legislative changes in detailing the classification and criteria for the implementation of primary examination by medical and social expertise institutions. To prevent severe disability due to breast cancer, it is necessary to take a set of measures: active interdepartmental cooperation of all interested specialists, effective diagnostics of breast cancer, accessibility of medical care, and the development of a regional prevention program.
About the Authors
Z. A. Zaikova
Иркутский ГМУ МЗ РФ
Russian Federation
Russian Federation
D. A. Arkhincheeva
ФКУ «ГБ МСЭ по Иркутской области» Минтруда России
Russian Federation
Russian Federation
T. A. Bayanova
Иркутский ГМУ МЗ РФ
Russian Federation
Russian Federation
References
1. Dynamics of primary disability as one of the main indicators of health of the population of the Irkutsk region / Zaykova Z.A. et al. // Medical and social problems of disability. 2015. No. 3. P. 65-75.
2. Morbidity, disability and mortality of the working-age population in Russia / Bukhtiyarov I.V. et al. // Occupational medicine and industrial ecology. 2022. Vol. 62. No. 12. P. 791-796.
3. Zaykova Z.A., Bayanova T.A., Zubrinsky K.G. Determination of trends in the epidemiological process and quality of medical care for breast cancer // Yakut Medical Journal. 2024. No. 4 (88). P. 50-54. DOI: 10.25789/YMJ.2024.88.12
4. Malignant tumors in Russia in 2023 (morbidity and mortality). Ed. A.D. Kaprina [and others]. M.: P. Herzen Moscow Oncology Research Institute – a branch of National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation. 2024: 276.
5. Main indicators of primary disability of the adult population in the Russian Federation in 2023. Statistical digest. M.: "FB MSE", 2024. 256 p.
6. Primary disability of the adult population of the Russian Federation for the period 2019-2021 (information and analytical material) / Dymochka M.A. et al. // Medical and social problems of disability. 2022. No. 2. P. 8-19.
7. The state and dynamics of primary disability due to leading nosological forms of malignant neoplasms in the Krasnodar Territory / Redko A.N. et al. // Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and Rehabilitation Industry. 2019. No. 3. P. 36-46.
8. The structure of the contingent of people with disabilities due to breast cancer, examined by the Bureau of Medical and Social Expertise No. 17 of the Federal State Institution "City Bureau of Medical and Social Expertise for the Novosibirsk Region" of the Ministry of Labor of Russia for the period 2017-2019 / Zakharyan A.G. et al. // Medical and social problems of disability. 2021. No. 2. P. 107-113.
9. Tikhonova G.I., Gorchakova T.Yu. Problems of health of the working-age population and its information support // Bulletin of the South-Russian State Technical University (NPI). Series: Social and Economic Sciences. 2022. Vol. 15. No. 4. P. 228-245.
10. Sun K, Zhang B, Lei S, Zheng R, Liang X, Li L, Feng X, Zhang S, Zeng H, Yao Y, Ma P, Wang S, Chen R, Han B, Wei W, He J. Incidence, mortality, and disability-adjusted life years of female breast cancer in China, 2022. Chin Med J (Engl). 2024 Oct 20;137(20):2429-2436. doi: 10.1097/CM9.0000000000003278. Epub 2024 Sep 5. PMID: 39238088; PMCID: PMC11479498.
11. Trapani D, Ginsburg O, Fadelu T, Lin NU, Hassett M, Ilbawi AM, Anderson BO, Curigliano G. Global challenges and policy solutions in breast cancer control. Cancer Treat Rev. 2022 Mar;104:102339. doi: 10.1016/j.ctrv.2022.102339. Epub 2022 Jan 19. PMID: 35074727.
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For citations:
Zaikova Z.A., Arkhincheeva D.A., Bayanova T.A. Analysis of primary disability among women with breast cancer. Yakut Medical Journal. 2025;(3):82-86. https://doi.org/10.25789/YMJ.2025.91.18
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