L.M. Kogonia
Oncology outpatient clinic No.2 of the Northern district of Moscow

Summary. Background: 1.Oncology care in the Russian Federation is provided by highly coordinated service. 117 oncology outpatient clinic are incorporated in it. It is the outpatient component that constitutes the cornerstone of the very oncology service in Russia. Prevention, diagnosis, treatment, and rehabilitation of oncology subjects are the intrinsic tasks of this service. Outpatient surveillance is considered as an important function of it. 2.Mortality from malignant neoplasm accounted for 14.5% of overall mortality from various causes. It was 14.9% in male population and 14.0% in female population. In the structure of mortality from various causes in the population aged 18-59 conventionally fitted for work, the mortality from malignant neoplasm accounted for 14.2%.

Results: From 1990 to 2005, certain changes have occurred in the structure of oncology mortality as concerns its standardized indicators. Pulmonary, gastric and oesophagal cancers had been three leading causes of oncology fatality in 1990. By 2005, colonic and hepatic cancer in males have moved, accordingly, to the third and fourth positions in this succesion; while in females, breast cancer being the fourth in 1995 had moved by 2005 to the second position, cervical cancer moved to the fourth one, oesophagal cancer being third in 1995 had moved to the eighth position in 2005.

Discussion: Critical growth in hepatic cancer morbidity and, hence, in mortality apparently occurred in these years being manifested by abrupt increase in absolute number of such patients, predisposed so by difficulties in diagnosis and in morphologic verification of the diagnosis which difficulties pressed to evade early and opportune treatment. Growing incidence of viral hepatitis contributed to the dramatic promotion of hepatic cancer in this succession of oncology mortalities. Chronic-wise hepatic disturbances have also been a gross factor of mass malignization of them.

Conclusion: Hepatic oncology tends to be the most critical and sensitive indicator in the whole range of oncologic mortality in Russia.

Materials and Methods: This study was designed along the data on mortality accumulated in this very Outpatient Oncology Clinic (Clinic No. 2 of the Northern municipal district of Moscow) for the period of 2004-2008. Five-year survival of overall oncology patients was 69% in this outpatient clinic, which corresponded to international practices, being slightly better as concerns certain individual oncologic nosologies. In 2004-2008, oncologic mortality in Russia as a whole was higher than in Moscow, and in Moscow higher than in Northern district of it, where the major establishment of oncology service was (and still is) exactly this outpatient oncology clinic. So, this study was designed along the materials of this clinic.

Keywords. Oncologic mortality; indicators of mortality; nosology structure; data from municipal districts; Northern district of Moscow; North-Eastern district of Moscow.

References

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3. Davydov M.I, Aksel Ye.M. Smertnost naseleniya Rossii i stran SNG ot zlokachestvennykh novoobrazovaniy v 2004 g. [Mortality caused by malignant tumors in population of Russia and CIS in 2004]. Vestnik RONTs AMN im. N.N.Blokhina 2006;17:78-101.
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