ONCOUROLOGIC PATHOLOGY IN THE AMUR REGION OF THE FAR EASTERN FEDERAL DISTRICT

The purpose of study was an assessment of the incidence and mortality rates for kidney, prostate and bladder cancer in the Amur region of the Far Eastern Federal District.

Material and methods. Incidence and mortality rates for kidney, prostate and bladder cancer, cancer registry data, and ten-year follow-up data were used.

Results. During the period 2007–16, the incidence and mortality rates for kidney, prostate and bladder cancer steadily increased in the Amur region. The trends in the morbidity and mortality were determined for all groups of the study population. The quality of the service activity indicated by the index of reliability of patients’ registry was estimated. As a prognostic test, the values of «disease severity» («disease burden») were studied. Based on these values, the assumptions about the most favorable prognosis and quality of life in patients with kidney cancer relative to patients with prostate and bladder cancers were made.

Conclusion. The cancer incidence and mortality rates still remain high and the number of cases continues to increase in the Amur region. The results of the study were recommended by the authors for the practical use in the cancer services of the Amur Region for the development of targeted medical, social and economic programs.

cancer of the kidneys, prostate, bladder, morbidity, mortality, statistical analysis

1. Berge V., Berg R.E., Hoff J.R., Wessel N., Diep L.M., Karlsen S.J., Eri L.M. A prospective study of transition from laparoscopic to robot-assisted radical prostatectomy: quality of life outcomes after 36month follow-up. Urology. 2013 Apr; 81 (4): 781–6. doi: 10.1016/j.urology.2013.01.017.

2. Desai M.M., Gill I.S., Kaouk J.H., Matin S.F., Novick A.C. Laparoscopic partial nephrectomy with suture repair of the pelvicaliceal system. Urology. 2003; 61: 99–104.

3. Gorban N.A., Pugachev V.V., Karyakin O.B. Diagnosis of nonmuscleinvasive papillary bladder tumors: classificational and morphological aspects. Oncourology. 2014; 2: 12–15. (in Russian).

4. Keane T., Gillatt D., Evans C.P., Tubaro A. Current and Future Trends in the Treatment of Renal Cancer. Eur Urol Suppl. 2007; 6: 374–384.

5. Prostate cancer: diagnosis and treatment. National Institute for Health and Clinical Excellence: Guidance. Cardiff (UK): National Collaborating Centre for Cancer (UK); 2014 Jan.

6. Ramsay C., Pickard R., Robertson C., Close A., Vale L., Armstrong N., Barocas D.A., Eden C.G., Fraser C., Gurung T., Jenkinson D., Jia X., Lam T.B., Mowatt G., Neal D.E., Robinson M.C., Royle J., Rushton S.P., Sharma P., Shirley M.D., Soomro N. Systematic review and economic modelling of the relative clinical benefit and cost-effectiveness of laparoscopic surgery and robotic surgery for removal of the prostate in men with localised prostate cancer. Health Technol Assess. 2012; 16 (41): 1–313. doi: 10.3310/hta16410.

7. Axel E.M. Incidence of malignant neoplasms of urinary and male genital organs in Russia. Oncourology. 2005; 1: 6–9. (in Russian).

8. Kaprin A.D., Starinsky V.V., Petrova G.V. Cancer incidence and mortality in Russia in 2014. Moscow, 2016. 250. (in Russian).

9. Kaprin A.D., Starinsky V.V., Petrova G.V. Status of oncological care for the population of Russia in 2016. M., 2016. 236. (in Russian).

10. Merabishvili V.М. Oncological statistics (traditional methods, new information technologies). A guide for doctors. Part 1. St. Petersburg, 2011. 221. (in Russian).

11. Amur statistical Yearbook 2016: statistical compendium. Blagoveshchensk: Amurstat. 2016; 568. (in Russian).

12. Gordienko V. P., Vakhnenko A. A., Sapegina O.V., Rolko E. M. The Main directions of improving medical care for cancer patients in modern socio-economic conditions of a particular region. Social aspects of public health. 2014; 3: 1. (in Russian).

13. International Statistical Classification of Diseases and Related Health Problems. X revision. WHO. Geneva, 1995. 1: 698. (in Russian).

14. Martov A.G., Ergakov D.V., Andronov A.S. Recurrence of musculoskeletal non-invasive bladder cancer: possible endoscopic ways of solving the problem. Oncourology. 2010; 1: 6–13. (in Russian).

15. Pogozheva L.N. Neoplasms of the urinary bladder. Moscow, 1967. 244. (in Russian).

16. Zyryanov A.V., Kudryakov A.Yu., Gaysin T.A., Borzunov I.V. The organization of early diagnosis of bladder cancer in some regions of the URFO. Academic Journal of Western Siberia. 2015; 11 (1): 24–25. (in Russian).