Medical care for children with cancer in the Siberian Federal District
https://doi.org/10.21294/1814-4861-2019-18-1-5-12
Abstract
background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results obtained is also the basis of the strategy for the development of medical care for this category of patients. aim: analysis of the main parameters characterizing medical care for children with cancer in the Siberian Federal District. material and methods. The reports for 2017 on the health protection of 11/12 (91.6 %) constituent entities of the Russian Federation belonging to the Siberian Federal District were analyzed (Irkutsk Region did not provide data). results. In 2017 the number of children aged 0–17 years was 3 722 470, the number of pediatric hospital beds for children with cancer (ages 0–17 years) was 260 (0,7 per 10,000), and the average number of bed-days per year was 342.2. In 3 (25 %) constituent entities of the Russian Federation, there were no departments of pediatric oncology and in 1 (8,3 %) there were no hospital beds for children with cancer. The number of physicians, who specialized in children’s cancer was 49, of them 32 (65,3 %, 0,08 per 10,000, ages 0–17 years) had a certificate of a pediatric oncologist. In 1 (8,3 %) constituent entity of the Russian Federation, there were no pediatric oncologists. For children aged 0–17 years, the cancer incidence rate was 11.7 per 100,000 children, the cancer mortality rate was 2,2 per 100,000, and one-year mortality rate was 7,4 %. 188 (43,2 %) primary cancer patients were referred to medical institutions of the Federal District, and 17 (3,9 %) primary patients left the territory of the Russian Federation. conclusion. The low incidence and mortality rates can be explained by the lost of reliable follow-up data. It is advisable to introduce electronic health record systems. For reliable estimation of hospital bed supply for children with cancer and percent of patients referred to medical centers for treatment, it is necessary to carry out a clinical audit. Deficiency of pediatric oncologists should be eliminated by reforming the training of medical personnel.
About the Author
M. Yu. Rykov
N.N. Blockhin Medical Research Center of Oncology of the Ministry of Health of the Russian Federation;
I.M. Sechenov First Moscow State Medical University of Health of the Russian Federation
Russian Federation
Russian Federation
Maxim Yu. Rykov, MD, PhD, Deputy Director, N.N. Blockhin Medical Research Center of Oncology; Assistant Professor of the Oncology Department, I.M. Sechenov First Moscow State Medical University (Moscow, Russia). E‐mail: wordex2006@rambler.ru. Researcher ID (WOS): R‐9768‐2016. Author ID (Scopus): 57190262153.
115478-Moscow, Kashirskoye Shosse, 24;
119991-Moscow, Trubetskaya Street, 8/2
References
1. Рыков М.Ю., Байбарина Е.Н., Чумакова О.В., Поляков В.Г. Эпидемиология злокачественных новообразований у детей в Российской Федерации: анализ основных показателей и пути преодоления дефектов статистических данных. Онкопедиатрия. 2017; 4 (3): 159–176. [Rykov M.Y., Baibarina E.N., Chumakova O.V., Polyakov V.G. Сancer epidemiology in children in the Russian Federation: analysis of key indicators and ways to overcome the statistical data defects. Oncopediatrics. 2017; 4 (3): 159–176. (in Russian)]. doi: 10.15690/onco.v4i3.1747.
2. Ласт Д.М. Эпидемиологический словарь. М., 2009. 316. [Last D.M. The epidemiological dictionary. Moscow; 2009. 316. (in Russian)].
3. Рыков М.Ю., Сусулёва Н.А., Чумакова О.В., Байбарина Е.Н., Поляков В.Г. Онкологическая заболеваемость детского населения Российской Федерации и его обеспеченность медицинской помощью (врачами, коечным фондом, диагностическими и лечебными технологиями): анализ статистических данных за 2013 г. Вопросы современной педиатрии. 2015; 14 (6): 686–691. [Rykov M.Y., Susulyova N.A., Chumakova O.V., Baybarina Y.N., Polyakov V.G. 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. Current pediatrics. 2015; 14 (6): 686–691. (in Russian)]. doi: 10.15690/vsp.v14i6.1477.
4. Аксель Е.М. Злокачественные новообразования у детей: статистика заболеваемости и смертности детей в России и странах бывшего СССР в 2015 г. Евразийский онкологический журнал. 2017; 5 (2): 349–357. [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. Eurasian Journal of Oncology. 2017; 5(2): 349–357. (in Russian)].
5. Siegel R., Miller K., Jemal A. Cancer statistics, 2016. CA Cancer J Clin. 2016; 66 (1): 7−30. doi: 10.3322/caac.21332.
6. Cheung N.K., Dyer M.A. Neuroblastoma: developmental biology, cancer genomics and immunotherapy. Nat Rev Cancer 2013; 13 (6): 397–411. doi: 10.1038/nrc3526.
7. Whelan J.S., Bielack S.S., Marina N., Smeland S., Jovic G., Hook J.M., Krailo M., Anninga J., Butterfass-Bahloul T., Böhling T., Calaminus G., Capra M., Deffenbaugh C., Dhooge C., Eriksson M., Flanagan A.M., Gelderblom H., Goorin A., Gorlick R., Gosheger G., Grimer R.J., Hall K.S., Helmke K., Hogendoorn P.C., Jundt G., Kager L., Kuehne T., Lau C.C., Letson G.D., Meyer J., Meyers P.A., Morris C., Mottl H., Nadel H., Nagarajan R., Randall R.L., Schomberg P., Schwarz R., Teot L.A., Sydes M.R., Bernstein M.; EURAMOS collaborators. EURAMOS‐1, an international randomised study for osteosarcoma: results from pre‐randomisation treatment. Ann Oncol 2015; 26 (2): 407–414. doi: 10.1093/annonc/mdu526.
8. Огошков П.А., Спичак И.И. Оптимизация организации региональной специализированной службы на модели детской онкологической службы в Челябинской области. Педиатрический вестник Южного Урала. 2015; 2: 5–13. [Ogoshkov P.A., Spichak I.I. Optimization model of regional organization specialized service on the example of children’s cancer in the Chelyabinsk region. Pediatricheskii vestnik Yuzhnogo Urala. 2015; 2: 5–13. (in Russian)].
9. Смеянов В.А., Тарасенко С.В., Смеянова О.И., Демихова Н.В. Медико‐социальная модель управления качеством медицинской помощи на уровне учреждения здравоохранения. Научные ведомости Белгородского государственного университета. Серия: Медицина. Фармация. 2014; 18 (189): 178–182. [Smeyanov V.A., Tarasenko S.V., Smeyanova O.I., Demikhova N.V. Medical and social model of management of health care quality for health care institution. Scientific bulletins of Belgorod State University. Series: Medicine. Pharmacia. 2014; 18 (189): 178–182. (in Russian)].
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For citations:
Rykov M.Yu. Medical care for children with cancer in the Siberian Federal District. Siberian journal of oncology. 2019;18(1):5-12. (In Russ.) https://doi.org/10.21294/1814-4861-2019-18-1-5-12
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