Semyonova V.G.¹, Denisenko A.N.^2
1 Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
² Nizhny Novgorod City Hospital #35, Nizhny Novgorod

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

Abstract. The study relevance is substantiated by the growing weight of cancer due to the increased share of the elderly in Russia, and, on the other hand, the need to evaluate effectiveness of measures aimed at reducing cancer mortality.

The study purpose is to evaluate implementation of the Program on improving cancer care to population that was initiated in 2009 as part of the National Health Project in terms of both neoplasms as a whole and certain cancers.

To estimate the Program’s effectiveness the authors compared situation in the pilot regions that started to implement the Program in 2009-2010 and non-pilot Russian regions during the Program implementation and previous period. For this purpose we calculated standardized death rates for aggregated population of the 25 pilot and non-pilot regions in 2000-2013.

The situation assessment was conducted individually for working population (20-64 years) and the elderly (over 65 years).

The conducted analysis showed that there were no principal differences in the situation development both in pilot and non-pilot regions: dynamics and structure of cancer mortality in those regions were similar in working population and in the elderly.

The Program was most effective for the elderly women: during the Program implementation the situation in pilot regions was better both in comparison with the previous period and with non-pilot regions. This situation was determined by all leading pathologies.

The Program was least effective in the working males; the annual reduction rates of mortality in pilot regions during the Program implementation were, first, lower compared to the previous period and, second, lower compared to the non-pilot regions. This situation was determined by all leading pathologies excluding urogenital cancer.

Keywords: Program on improving cancer care to population; pilot and non-pilot regions; leading causes of death from malignant neoplasm.

References

1. Antoneeva I.I. Zabolevaemost' i smertnost' ot raka yaichnikov v Ul'yanovskoy oblasti [Morbidity and mortality caused by ovarian cancer in Ul’yanovsk region]. Rossiyskiy onkologicheskiy zhurnal 2008; (1): 46-48. (In Russian)
2. Global'nye faktory riska dlya zdorov'ya. Smertnost' i bremya bolezney, obuslovlennye nekotorymi osnovnymi faktorami riska. [Global health risk factors. Mortality and burden of diseases caused by some of main risk factors]. World Health Organization. 2015. 70 p. [Online] [cited 2015 Aug 17]. Available from: http://apps.who.int/iris/bitstream/10665/44203/8/9789244563878_rus.pdf (In Russian)
3. Doklad o neinfektsionnykh zabolevaniyakh v mire. Rezyume [Global status report on non-communicable diseases. Resume]. World Health Organization. 2015. 16 p. [Online] [cited 2015 Aug 17]. Available from: http://apps.who.int/iris/bitstream/10665/148114/6/WHO_NMH_NVI_15.1_rus.pdf (In Russian)
4. Zolotukhin O.V., Kravets B.B., Firsov O.V. Rezul'taty prognozirovaniya smertnosti ot raka pochki dlya grupp territoriy s blizkimi pokazatelyami [The results of predicting the mortality rate caused by kidney cancer for the territorial groups with similar performance]. Vestnik novykh meditsinskikh tekhnologiy 2006. 13. (1): 146-147. (In Russian)
5. Kvasha E.A., Khar'kova T.L. Statistiko-demograficheskiy analiz smertnosti ot raka molochnoy zhelezy v Rossii [Statistical and demographic analysis of mortality caused by breast cancer in Russia]. Voprosy statistiki 2006; (8): 25-32. (In Russian)
6. Kvasha E.A., Khar'kova T.P. Programmy, napravlennye na snizhenie smertnosti, prinyaty. Kakovy ikh rezul'taty? [The programs aimed at mortality reduction are adopted. What are the results?]. Demoskop Weekly [serial online] 2011 [cited 2015 Aug 17]; (463-464). Available from: http://demoscope.ru/weekly/2011/0463/analit04.php . (In Russian)
7. Kogoniya L.M. Analiz smertnosti ot zlokachestvennykh novoobrazovaniy v SAO i SZAO g.Moskvy za 2004-2010 gg [Analysis of mortality caused by malignant tumors in the Northern and Northern-West administrative districts of Moscow]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2012 [cited 2015 Aug 17]; 26 (4). Available from: http://vestnik.mednet.ru/content/view/418/30/lang,ru/ (In Russian)
8. Kosykh N.E., Tkachev A.V., Bryantseva A.I., Smirnov D.V. Epidemiologicheskaya kharakteristika smertnosti ot raka molochnoy zhelezy v zhenskoy populyatsii Khabarovskogo kraya [Epidemiological characteristics of mortality caused by breast cancer in female population of Khabarovsk territory]. Dal'nevostochnyy meditsinskiy zhurnal 2007; (1): 42-44. (In Russian)
9. Lelyavin K.B., Dvornichenko V.V. Dinamika zabolevaemosti i smertnosti ot raka predstatel'noy zhelezy, mochevogo puzyrya i pochki v Irkutskoy oblasti [Dynamics of morbidity and mortality caused by prostate, bladder, and kidney cancer in Irkutsk region]. Sibirskiy meditsinskiy zhurnal 2009; 87 (4): 87-90.(In Russian)
10. Moshurov I.P., Kravets B.B., Popov A.N. Organizatsionnye rezervy snizheniya smertnosti ot raka molochnoy zhelezy [Organization reserves for reducing mortality from breast cancer]. Sistemnyy analiz i upravlenie v biomeditsinskikh sistemakh 2014; 13 (2): 322-325.(In Russian)
11. Moshurov I.P., Kravets B.B. Puti snizheniya smertnosti ot raka legkogo [Ways to reduce mortality caused by pulmonary cancer]. Sistemnyy analiz i upravlenie v biomeditsinskikh sistemakh 2014; 13 (2): 387-391.(In Russian)
12. Murashko P.A., Karipidi R.K., Gubarev S.V. Smertnost' ot raka obodochnoy kishki v Krasnodarskom krae [Mortality caused by colon cancer in Krasnodar territory]. Kubanskiy nauchnyy meditsinskiy vestnik 2010; (3-4): 139-143.(In Russian)
13. Novikova O.Yu., Kosykh N.E., Bryantseva A.I. Epidemiologicheskaya kharakteristika smertnosti ot raka legkogo v Khabarovskom krae [Epidemiological characterstics of mortality caused by pulmonary cancer in Khabarovsk territory]. Dal'nevostochnyy meditsinskiy zhurnal 2008; (2): 52-53.(In Russian)
14. Revich B.A., Podol'naya M.A., Aksel' E.A., Khar'kova T.L., Kvasha E.A. Osobennosti onkologicheskoy zabolevaemosti i smertnosti trudosposobnogo naseleniya Moskvy [Features of cancer morbidity and mortality in working population of Moscow]. Profilakticheskaya meditsina 2014; 17 (5): 28-33. (In Russian)
15. Firsov O.V., Kravets B.B. Sravnitel'nyy analiz rezul'tatov prognozirovaniya smertnosti ot raka pochki v Voronezhskoy oblasti [Comparative analysis of results in predicting mortality rate caused by kidney cancer in Voronezh region]. Sistemnyy analiz i upravlenie v biomeditsinskikh sistemakh 2005; 4 (4): 402-408. (In Russian)
16. Shikhnabieva M.D., Shikhnabieva N.D. Zabolevaemost' i smertnost' ot raka yaichnikov u zhenskogo naseleniya respubliki Dagestan [Morbidity and mortality caused by ovarian cancer in female population in Republic of Dagestan]. Sibirskiy onkologicheskiy zhurnal 2010; (51): 116. (In Russian)
17. Shmatova Yu.E. Tsena smertnosti ot zlokachestvennykh novoobrazovaniy: regional'nyy aspekt (na primere Vologodskoy oblasti) [The price of mortality caused by malignant tumors: regional aspect (by an example of Vologda region)] . Onkologicheskiy zhurnal 2015; 9 (1): 5-12. (In Russian)
18. Khachirov D.G., Magomedov Sh.M., Untilov G.V. Povozrastnaya smertnost' ot raka zheludka muzhskogo i zhenskogo naseleniya gorodov respubliki Dagestan [Age-related mortality from stomach cancer in male and female population in cities of Republic of Dagestan]. Izvestiya Dagestanskogo gosudarstvennogo pedagogicheskogo universiteta. Estestvennye i tochnye nauki 2013; 23 (2): 77-84.9In Russian)
19. Chevardov N.I., Kravets B.B., Pastukhov A.A. Smertnost' naseleniya Voronezhskoy oblasti ot kolorektal'nogo raka [Population mortality caused by colorectal cancer in Voronezh region]. Sistemnyy analiz i upravlenie v biomeditsinskikh sistemakh 2008; 7 (3): 726-730. (In Russian)
20. Global status report on noncommunicable diseases 2014. World Health Organization. Geneva, 2015. 298 p. [Online] [cited 2015 Aug 17]. Available from http://apps.who.int/iris/bitstream/10665/148114/1/9789241564854_eng.pdf
21. Horiuchi S. Epidemiological Transition in the Developed Countries: Past, Present and Future. Health and Mortality. Issues of Global Concern. New York: United Nations. 1999. p. 54-71.
22. World Cancer Report 2014. Editors. B.W. Stewart, C.P. Wild. International Agency for Research on Cancer. Lion. 2014. 630 p.

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