About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣2 2015 (42) arrow SPECIFIC FEATURES OF ULTRASOUND DIAGNOSTIC SERVICES IN EXAMINING RECTUM CANCER PATIENTS (EXEMPLIFIED BY KURSK REGION)
SPECIFIC FEATURES OF ULTRASOUND DIAGNOSTIC SERVICES IN EXAMINING RECTUM CANCER PATIENTS (EXEMPLIFIED BY KURSK REGION) Print
Wednesday, 24 June 2015

Podolskaya E.A.
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation
Kursk Regional Clinical Cancer Center, Kursk

Contacts: Elena Podolskaya, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. The purpose of the article was to identify specific features of the ultrasonic diagnostic services in Kursk and districts of the Kursk region in examining rectum cancer patient at primary check-up, specialized treatment, follow-up, as well as to analyze application for care to commercial facilities by this group of patients.

Methods. The study covers 204 rectum cancer patients, registered at the Kursk Regional Clinical Cancer Center in 2010 ľ 2013. Ultrasound examination reports of those patients at different facilities of the Kursk region at all stages of diagnostics, treatment and follow-up were analyzed. Statistical processing of the received data is performed with SPSS źSTATISTICS 20.0╗ program. Cross-tables were created to identify dependence between variables. Pearson Chi-square test was used; its asymptotic bilateral significance was evaluated.

Results. The study identified insufficient activities of the primary care facilities of the Kursk region aimed at examination of rectum cancer patients and irrational resource utilization at inpatient facilities.

Prior to treatment, ultrasound diagnostics in 74 % (151) of rectum cancer patients was performed at the Cancer Center. The share of patients with incomplete examination is reliably higher among districts of the Kursk region (31.6 % - 43 cases) (p <0.001). Difference between results of the ultrasound examination and clinical diagnosis was more often observed in patients with metastases to lymph nodes (when N> 0). Transrectal ultrasound was performed at the Cancer Center only, legs vessels were examined at the Kursk Regional Clinical Hospital and the Cancer Center (at admission).

13.3% (27) of patients from the group under study had their ultrasound performed at commercial facilities. Hollow organ symptom was diagnosed in 10.3 % (21) cases. Statistical calculations showed that this symptom (­ <0.05) was more often diagnosed by ultrasound test at the regional specialized health facilities.

The author offered ways to bridge the identified gaps through implementation of new thematic trainings of specialists as well as developed areas for further investigations.

Keywords: rectum cancer; ultrasonic diagnostics; cancer care; hollow organ symptom; transrectal ultrasound

 

References.

  1. Ahim Buhl, Peter Zofel. SPSS: iskusstvo obrabotki informatsii. Analiz statisticheskikh dannykh i vosstanovlenie skrytykh zakonomernostey [SPSS: the art of information processing. Analysis of statistical data and restoration of hidden regularities]. Moscow. DiaSoft, 2005. 608 p. (In Russian).
  2. Mitina L.A. Vozmozhnosti ul'trazvukovogo issledovaniya pri opukholevom porazhenii zheludochno-kishechnogo trakta [The possibilities of ultrasound examination in tumor lesions of the gastrointestinal tract]. Rossiyskiy onkologicheskiy zhurnal 2008; (5): 40-45. (In Russian).
  3. Mitina L.A., Kazakevich V.I., Vashakmadze L.A, Sidorov D.V., Khomyakov V.M., Fokeeva V.V. Ul'trazvukovoe issledovanie vnutripolostnym datchikom pri mestno-rasprostranennom rake pryamoy kishki [Ultrasound examination by intracavitary probe in locally advanced rectal cancer]. Koloproktologiya 2004; 7(1):11-15. (In Russian).
  4. Mitina L.A., Kazakevich V.I., Stepanov S.O. Ul'trazvukovaya diagnostika opukholey pishchevaritel'nogo trakta [Ultrasound diagnostics of tumors of the digestive tract]. Moscow. Triumf, 2010. 304 p. (In Russian).
  5. Ob utverzhdenii "Poryadka okazaniya meditsinskoy pomoshchi naseleniyu po profilyu "onkologiya" [About statement of the order of medical care provision in the profile "oncology"]. Prikaz Minzdrava Rossii ot 15.11.2012, ╣915n. [Online] [cited 2014 Oct 23]. Available from: http://www.gov.cap.ru/UserFiles/orgs/Grvid_11/oncologiya.pdf (In Russian).
  6. Ob utverzhdenii standarta pervichnoy mediko-sanitarnoy pomoshchi pri zlokachestvennykh novoobrazovaniyakh pryamoy kishki I-IV stadii (obsledovanie v tselyakh ustanovleniya diagnoza zabolevaniya i podgotovki k protivoopukholevomu lecheniyu) [About the statement of the standard of primary health care in malignant tumors of the rectum I - IV stage (a survey to establish the diagnosis of the disease and preparing for cancer treatment)]. Prikaz Minzdrava RF ot 20.12.2012 ╣ 1196n . [Online] [cited 2014 Oct 23]. Available from: http://www.rosminzdrav.ru/documents/5953-standart-ot-4-fevralya-2013-g (In Russian).
  7. O sovershenstvovanii sluzhby luchevoy diagnostiki [About the improvement of radiological diagnostics service]. Prikaz Minzdrava RSFSR ot 02.08.91 ╣ 132. [Online] [cited 2014 Oct 23]. Available from: http:// www.rasudm.org/information/docs.htm (In Russian).
  8. Sostoyanie onkologicheskoy pomoshchi naseleniyu Rossii v 2013 godu [The state of cancer care in Russia in 2013]. A.D. Caprin, V.V. Starinskiy, G.V. Petrova, editors. Moscow. FGBU źMNIOI im. P.A. Gertsena╗ Minzdrava Rossii. 2014. 235 p. (In Russian).
  9. Chissov V.I., Dar'yalova S.L. Onkologiya [Oncology]. Moscow: "GEOTAR Media" 2007. 560 p. (In Russian).

Views: 7712

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Wednesday, 24 June 2015 )
< Prev   Next >
home contact search contact search