Establishing pain therapy management for cancer patients in the Republic Sakha (Yakutia)
https://doi.org/10.25789/YMJ.2023.84.14
Abstract
One of the most challenging and unresolved problems in modern oncology is the provision of medical care to incurable patients. Chronic pain syndrome is one of the most common phenomena causing severe and agonizing suffering to patients with malignant neoplasms.
As part of the implementation of the comprehensive national program for the development of palliative care in the Russian Federation (Order of the Ministry of Health of the Russian Federation and the Ministry of Labor and Social Protection of the Russian Federation dated May 31, 2019, No. 345n/372n), the authors have developed a project for the establishment of a Pain Management Center at the Yakutsk Oncological Dispensary and pain management rooms at the Ambulatory Oncology Center (AOC).
The regulatory and legal framework has been studied, and a calculation of patients requiring adequate pain relief at the end of life for the year 2022 has been conducted. In this project, the relevance of the topic is demonstrated, and the medical and social significance is justified. A SWOT analysis of the project has been carried out, evaluating the main risks of the project and proposing methods to eliminate and minimize negative consequences.
About the Authors
A. K. Okoneshnikova
Medical Institute of the North-Eastern Federal University; Yakutsk Oncological Dispensary
Russian Federation
Russian Federation
Okoneshnikova Alena Konstantinovna – PhD, Associate Professor at the Department of Surgery and Dentistry; neuro-surgeon
Yakutsk
T. I. Nikolaeva
Medical Institute of the North-Eastern Federal University; Yakutsk Oncological Dispensary
Russian Federation
Russian Federation
Nikolaeva Tatyana Ivanovna – PhD, Associate
Professor at the Department of Oncology; Chief Physician
Yakutsk
P. V. Nikiforov
Yakut Republican Medical Information and Analytical Center; Medical Institute of the North-Eastern Federal University
Russian Federation
Russian Federation
Nikiforov Pyotr Vladimirovich – Head; Associate Professor at the Department of Oncology
Yakutsk
L. V. Ignatieva
Medical Institute of the North-Eastern Federal University; Yakutsk Oncological Dispensary
Russian Federation
Russian Federation
Ignatieva Lena Vasilyevna – PhD, Associate Professor at the Department of Anesthesiology, Resuscitation, and Intensive Therapy with the Course in Emergency Medical Care; Deputy Chief Medical Officer for Organizational and Methodical Work
S. A. Myreeva
Yakutsk Oncological Dispensary
Russian Federation
Russian Federation
Myreeva Svetlana Anatolyevna – Candidate of Medical Sciences, Deputy Chief Medical Officer for Outpatient and Polyclinic Affairs, Gynecologist, Oncologist
References
1. On the Fundamentals of Protecting the Health of Citizens in the Russian Federation. Federal Law of November 21, 2011 No. 323-FZ (edit. From 28.12.2022)
2. The Order of the Ministry of Health of Russia No. 345n and the Order of the Ministry of Labor of Russia No. 372n, dated May 31, 2019, titled On the Approval of the Regulations on the Organization of Palliative Medical Care, including the Procedure for Interaction between Medical Organizations, Social Service Organizations, and Public Associations, Other Non-Profit Organizations Engaged in Health Protection.
3. The Order of the Ministry of Health of Russia dated October 3, 2019, No. 831 (ed. on November 22, 2019), titled On the Approval of the Departmental Targeted Program ‘Development of the Palliative Medical Care System’.
4. Order of the Government of the Sakha Republic dated December 5, 2022 N 1152-r On Approval of the Regional Program for the Development of Palliative Care in the Sakha Republic for 2022- 2025.
5. National Guidelines for Palliative Care in Oncology / Abuzarova G.R.; under. ed. of Academician of the Russian Academy of Sciences, Professor Caprina A.D.. - M.: Young Guard, 2022. P. 520.
6. Orel V.I., Nosyreva O.M., Vorobtsova I.N. Project Approach as an Educational Technology: Creating a Service for Registration and Information Support of Patients with Suspected and Established Diagnosis of Malignant Neoplasm. Medicine and Healthcare Organization. 2018; 3(3): 4–11.
7. Pronina E.P. Problems of Realizing the Rights of Patients with Cancer Pathologies to Palliative Care. Current Problems of State and Law. 2018; 2 (8): 113–118.
8. Rosstat: Federal State Statistics Service: official website. – Moscow, 1999-2022. – URL: https://rosstat.gov.ru/ (access date: October 10th, 2023)
9. The State of Cancer Care for the Population of Russia in 2021. Ed. Kaprin A.D., Starinsky V.V., Shakhzadova A.O. M.: Herzen University — branch of the National Medical Research Center of Radiology of the Ministry of Health of Russia, 2022. P. 239.
10. Basch E, Deal AM, Dueck AC, et al. Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. JAMA. 2017; 318:197– 198.
11. Basch E, Deal AM, Kris MG, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: A randomized controlled trial. J Clin Oncol. 2016; 34:557–565.
12. Denis F, Yossi S, Septans AL, et al. Improving survival in patients treated for a lung cancer using self-evaluated symptoms reported through a web application. Am J Clin Oncol. 2017; 40:464–469.
13. Pukrittayakamee P, Sapinum L, Suwan P, et al. Validity, reliability and responsiveness of the Thai Palliative Care Outcome Scale staff and patient versions among cancer patients. J Pain Symptom Manage. 2018; 56:414–420.
Review
For citations:
Okoneshnikova A.K., Nikolaeva T.I., Nikiforov P.V., Ignatieva L.V., Myreeva S.A. Establishing pain therapy management for cancer patients in the Republic Sakha (Yakutia). Yakut Medical Journal. 2023;(4):56-60. https://doi.org/10.25789/YMJ.2023.84.14
Views:
20
Email this article 