Skorobogatych Yu.S.1, Kudentsova G.V.2, Kiselev I.L.3
1 - Regional Children's Clinical Hospital, Kursk
2 - Kursk State Medical University, Kursk
3 - Kursk Regional Cancer Center, Kursk
The aim of the study was scientific
justification for the basic direction of improvement in medical care
for children with malignant tumors in Kursk region taking into account
regional epidemiological features. The object of the study was the
situation with the children’s oncopathology in the Kursk region for the
period from 2001 to 2008. Data processing was carried out according to
standard methods of the variation statistics . By analyzing the 2x2
contingency tables, the factors predisposing to the development of
cancer pathology in children of Kursk region were identified. We used
one-sided and two-sided Fisher's exact test. The differences were
considered as statistically significant at a confidence level p
<0,05. The cases of malignant neoplasms in children of Kursk region
in dynamics (from 2001 to 2008) was assessed in comparison with trends
in the Russian Federation. The cases of malignant neoplasms in children
of Kursk region has increased from 8.49 in 2001 to 11.96 in 2008 per
100 thousand children, it is not significantly different from those of
the Russian Federation. An increase in morbidity of malignant neoplasms
more evident than in the Russian Federation was observed. The critical
age periods in development of malignant tumors in children of Kursk
region are present: 2 - 4 years, 10 - 12 years, and 6 - 7 years. Also
marked are the factors influencing the development of malignant
neoplasms in children , such as genetic, antenatal, intranatal,
postnatal, as well as environmental impact on parents, The organization
and functional model for malignant neoplasms prevention in children at
the level of the Russian Federation has been developed.
Key words: children, malignant tumors, Kursk region, morbidity, oncopediatric care.
References
-
Aksel EM, Gorbacheva IA. Zlokachestvennye
novoobrazovaniya u detey [Malignant
neoplasm in children]. Vestnik RONTs im.
N.N. Blokhina 2008;2(suppl. 1):135-152.
-
Nasledstvennaya patologiya cheloveka. Pod red.
Veltishcheva YuE i Bochkova NP [Veltishchev YuE, Bochkov NP,
editors. Hereditary human pathology]. Vol.
1. Moscow; 1992. 276 p.
-
Veltishchev YuE. Rost rebenka. Zakonomernosti,
normalnye variatsii, somatotipy, narusheniya i ikh korrektsiya
[Stature of a child. Regularity, normal
patterns, somatotypes, disturbances and their correction].
Moscow; 1998. 83 p.
-
Vorontsov IM, Matveeva NA, Maksimova TM.
Sovremennoe sostoyanie, tendentsii i problemy otsenki fizicheskogo
razvitiya detey iz raznykh ekologicheskikh i ekonomicheskikh rayonov
Rossii [Physical development of children
in ecologically and economically different regions of Russia:
Present condition, trends, problems of evaluation].
Pediatriya 1995;(4):50-51.
-
Davydov MI, Aksel EM. Statistika
zlokachestvennykh novoobrazovaniy v Rossii i stranakh SNG v 2005 g.
[Statistics of malignant neoplasm in
Russia and other CIS-countries in 2005].
Vestnik RONTs im. N.N. Blokhina RAMN 2007;2(suppl.):136-139.
-
Davydov MI, Aksel EM. Statistika
zlokachestvennykh novoobrazovaniy v Rossii i stranakh SNG v 2004 g.
[Statistics of malignant neoplasm in
Russia and other CIS-countries in 2004].
Vestnik RONTs im. N.N. Blokhina RAMN 2006; 3(suppl.):116-117.
-
Dvoyrin VV, Barmina NM, Zaychenko NM.
Informativnost pokazateley sostoyaniya onkologicheskoy pomoshchi,
rasschitannykh po statisticheskoy otchetnosti [Informative
validity of the measures of oncological care calculated upon
statistical accounts]. Moscow: ONTs RAMN;
1995. 32 p.
-
Durnov L.A., Bondar T.I., Valentey L.V.
Organizatsiya upravleniya i rol klinicheskogo prognozirovaniya v
detskoy onkologicheskoy sluzhbe Rossii [Organization
of control and role of clinical prognosis in pediatric oncological
service]. Vestnik RAMN 2001;(9):24-27.
-
Durnov L, Baykova V, Baykov K. Pervichnaya i
vtorichnaya profilaktika opukholey u detey [Primary
and secondary prevention of tumour formation in children].
Vrach 2004;(11):11-13.
-
Davydov MI, editor. Profilaktika, rannyaya
diagnostika i lechenie zlokachestvennykh novoobrazovaniy.
Lektsionnyy kurs v ramkakh podprogrammy “O merakh po razvitiyu
onkologicheskoy pomoshchi naseleniyu Rossiyskoy Federatsii”
[Prevention, early diagnosis and treatment
of malignancy. Lecture course within the frame of subprogram
“Certain actions for development of oncological care to the
population of Russian Federation”].
Moscow: Izdatelskaya gruppa RONTs; 2006. 387 p.
-
Siburina TA. Sovremennye strategii organizatsii
upravleniya regionalnym zdravookhraneniem: metodologicheskie
podkhody, perspektivnye tekhnologii [Modern
strategies of organizing control of regional public health:
guidelines’ approaches and promising technologies].
Moscow: TsNIIOIZ MZ RF; 2003. 344 p.
-
Stefani DV, Veltishchev YuE. Klinicheskaya
immunologiya detskogo vozrasta [Clinical
immunology in the puerile age]. Leningrad:
Meditsina; 1977. 280 p.
-
Stefani DV, Veltishchev YuP. Immunologiya i
immunopatologiya detskogo vozrasta [Immunology
and immunopathology in the puerile age].
Moscow; 1996. 384 p.
-
Chissov VI, Starinskiy VV, Petrova GV. Sostoyanie
onkologicheskoy pomoshchi naseleniyu Rossii v 2007 godu [Present
condition of oncological care to the population of Russia in 2007].
Moscow: MNIOI im. P.A. Gertsena, 2008. 184 p.
- Chissov VI, Starinskiy VV, Petrova GV.
Zlokachestvennye novoobrazovaniya v Rossii v 2007 godu
(zabolevaemost i smertnost) [Malignant
neoplasm in Russia in 2007 (morbidity and mortality)].
Moscow: MNIOI im. P.A. Gertsena; 2009. 244 p.
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