Organization of the regional cancer service to improve the detection of malignant new formations during the COVID-19 pandemic

In 2020, the activities of the oncological service of the Russian Federation were complicated by the development of the SARS-CoV‑2 respiratory syndrome, which had a pronounced effect on the health of patients with malignant neoplasms (MN) and contributed to the reorientation of employees of oncologi...

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Main Authors: S. V. Golubev, V. Yu. Startsev, Yu. V. Samsonov
Format: Article
Language:Russian
Published: QUASAR, LLC 2021-06-01
Series:Исследования и практика в медицине
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Online Access:https://www.rpmj.ru/rpmj/article/view/729
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author S. V. Golubev
V. Yu. Startsev
Yu. V. Samsonov
author_facet S. V. Golubev
V. Yu. Startsev
Yu. V. Samsonov
author_sort S. V. Golubev
collection DOAJ
description In 2020, the activities of the oncological service of the Russian Federation were complicated by the development of the SARS-CoV‑2 respiratory syndrome, which had a pronounced effect on the health of patients with malignant neoplasms (MN) and contributed to the reorientation of employees of oncological services to ensure a special regime. The vertical line of continuity in the diagnosis and treatment of patients with malignant neoplasms was violated, the timing of treatment was violated. Aspects of the organization of the oncological service of the Magadan region (MagO) in the context of the SARS-CoV‑2 pandemic have been studied.Purpose of the study. To assess the features cancer detection among the citizens of the Magistral District in 2019-2020.Materials and methods. The available sources of information (documents of the Ministry of Health of the MagO), databases of the oncological dispensary (IODE), based on information from the state reporting forms – ff. 7 and 30, as well as from Internet resources. Results. MagO region, leading in the rate of morbidity and mortality from malignant neoplasms in the Far Eastern Federal District: incidence of malignant neoplasms for 2009-2019 increased by 23 %. In 2020, the indicator of malignant neoplasm (from 35 % to 25.4 %) decreased in the MAO, and the proportion of patients with malignant neoplasms in localized (III) stages was 50 %. In August 2020, the CAPC began to work, for 5 months. Cancer was detected in 35 people (7.6 %), including in the early (I-II) stages in 18 people, which did not significantly affect the rate of early detection of cancer. Physical examinations revealed 107 cases of malignant neoplasm (a decrease of 27.4 % compared to 2019). In 2019-2020 In the MAO, cancer screening was carried out for a number of nosoologies: as a result, the proportion of patients with lung cancer (MagO – 36 %, RF – 29.4 %) and cervix (MagO – 82 %, RF – 66 %) exceeded the national average.Conclusion. To increase the detection of malignant neoplasms, it’s necessary to provide examination rooms in the districts of the MagO; drawing up a "map of contamination of the territory"; assessment of the conditions of human production activity and population density; introduction of the standard of examination of patients with cancer; increasing the alertness and qualifications of primary outpatient medical personnel.
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spelling doaj-art-7208f9cf87954fd28c1db1dd468a42672025-02-03T00:57:37ZrusQUASAR, LLCИсследования и практика в медицине2410-18932021-06-018213314010.17709/2410-1893-2021-8-2-12384Organization of the regional cancer service to improve the detection of malignant new formations during the COVID-19 pandemicS. V. Golubev0V. Yu. Startsev1Yu. V. Samsonov2Ministry of Health and Demographic Policy of the Magadan RegionSt. Petersburg State Pediatric Medical UniversityNational Medical Research Radiological Centre of the Ministry of Health of the Russian Federation; P. A. Hertsen Moscow Oncology Research Institute – Branch of the National Medical Research Radiological CentreIn 2020, the activities of the oncological service of the Russian Federation were complicated by the development of the SARS-CoV‑2 respiratory syndrome, which had a pronounced effect on the health of patients with malignant neoplasms (MN) and contributed to the reorientation of employees of oncological services to ensure a special regime. The vertical line of continuity in the diagnosis and treatment of patients with malignant neoplasms was violated, the timing of treatment was violated. Aspects of the organization of the oncological service of the Magadan region (MagO) in the context of the SARS-CoV‑2 pandemic have been studied.Purpose of the study. To assess the features cancer detection among the citizens of the Magistral District in 2019-2020.Materials and methods. The available sources of information (documents of the Ministry of Health of the MagO), databases of the oncological dispensary (IODE), based on information from the state reporting forms – ff. 7 and 30, as well as from Internet resources. Results. MagO region, leading in the rate of morbidity and mortality from malignant neoplasms in the Far Eastern Federal District: incidence of malignant neoplasms for 2009-2019 increased by 23 %. In 2020, the indicator of malignant neoplasm (from 35 % to 25.4 %) decreased in the MAO, and the proportion of patients with malignant neoplasms in localized (III) stages was 50 %. In August 2020, the CAPC began to work, for 5 months. Cancer was detected in 35 people (7.6 %), including in the early (I-II) stages in 18 people, which did not significantly affect the rate of early detection of cancer. Physical examinations revealed 107 cases of malignant neoplasm (a decrease of 27.4 % compared to 2019). In 2019-2020 In the MAO, cancer screening was carried out for a number of nosoologies: as a result, the proportion of patients with lung cancer (MagO – 36 %, RF – 29.4 %) and cervix (MagO – 82 %, RF – 66 %) exceeded the national average.Conclusion. To increase the detection of malignant neoplasms, it’s necessary to provide examination rooms in the districts of the MagO; drawing up a "map of contamination of the territory"; assessment of the conditions of human production activity and population density; introduction of the standard of examination of patients with cancer; increasing the alertness and qualifications of primary outpatient medical personnel.https://www.rpmj.ru/rpmj/article/view/729active detectionmalignant neoplasmsmagadan regionlung cancercolorectal cancerorganization of medical care
spellingShingle S. V. Golubev
V. Yu. Startsev
Yu. V. Samsonov
Organization of the regional cancer service to improve the detection of malignant new formations during the COVID-19 pandemic
Исследования и практика в медицине
active detection
malignant neoplasms
magadan region
lung cancer
colorectal cancer
organization of medical care
title Organization of the regional cancer service to improve the detection of malignant new formations during the COVID-19 pandemic
title_full Organization of the regional cancer service to improve the detection of malignant new formations during the COVID-19 pandemic
title_fullStr Organization of the regional cancer service to improve the detection of malignant new formations during the COVID-19 pandemic
title_full_unstemmed Organization of the regional cancer service to improve the detection of malignant new formations during the COVID-19 pandemic
title_short Organization of the regional cancer service to improve the detection of malignant new formations during the COVID-19 pandemic
title_sort organization of the regional cancer service to improve the detection of malignant new formations during the covid 19 pandemic
topic active detection
malignant neoplasms
magadan region
lung cancer
colorectal cancer
organization of medical care
url https://www.rpmj.ru/rpmj/article/view/729
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AT vyustartsev organizationoftheregionalcancerservicetoimprovethedetectionofmalignantnewformationsduringthecovid19pandemic
AT yuvsamsonov organizationoftheregionalcancerservicetoimprovethedetectionofmalignantnewformationsduringthecovid19pandemic