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Wednesday, 18 May 2016

DOI: 10.21045/2071-5021-2016-48-2-2

Sabgayda T.P.1, Modestov A.A.2.
1 Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
2 Territorial Cancer Dispensary, Krasnoyarsk; Chair of Clinical Oncology, Krasnoyarsk State Medical University

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

Abstract. Heavy economic loss due to wide prevalence of cancer and increased morbidity all over the world substantiate the need to study peculiar characteristics of cancer morbidity and mortality in certain regions.

The study purpose was to evaluate cancer-related situation in Krasnoyarsk territory based on morbidity and mortality statistics to test the hypothesis about effectiveness of measures aimed at improving cancer-related situation in the territory.

Methods and data. Authors compared levels of morbidity and mortality from malignant neoplasm in the Krasnoyarsk territory, Siberian federal district and Russian Federation. Data included forms of the State statistical observation #7, information on cancer deaths by age and sex (form #C51) and the average annual population size. Morbidity and mortality were calculated individually for men and women of all age groups (standardized rates) and by 5-year age intervals.

Conclusions. In the Krasnoyarsk territory mortality from cancer of almost all sites is higher compared to the Federal district and Russia as a whole. The Krasnoyarsk territory occupies a mid-level position between the district and Russiaĺs indicators in terms of morbidity of caner of almost all sites. .

Trends in the mortality from cancer of gynaecological organs and breast as well as skin cancer and cancer of male genital organs suggests effectiveness of measures aimed at improving cancer-related situation in the territory. These types of cancer serve as markers of effective early diagnostics and quality treatment.

At the same time, dynamics of morbidity and mortality from pathologies serving as markers of unhealthy behavior (respiratory and digestive cancers, etc.) points out a lack of positive developments and possible negative trends in the territory unlike the existing trends in the Siberian federal district and Russia as a whole.

Evaluation of measures effectiveness aimed at improving cancer-related situation in the Krasnoyarsk territory faces unexplainable discrepancies in morbidity and mortality proportions, their age profiles in comparison with the district and Russiaĺs data which makes it possible to suspect distortion of statistics, mainly mortality from malignant neoplasm.

Keywords: cancer morbidity; cancer mortality; cancer-related situation in the Krasnoyarsk territory; reliability of mortality statistics.


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