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IMPLEMENTING NEW ORGANIZATIONAL FORMS OF ONCO-GYNECOLOGICAL AND ONKOMAMMOLOGICAL CARE TO FEMALE POPULATION INTO REPUBLICAN ONCO-GYNECOLOGICAL SERVICE AND ITS RESULTS Print
Tuesday, 06 March 2018

DOI: 10.21045/2071-5021-2018-59-1-6

Gatagazheva Z.M.
Ingush State University, Nazran'.

Contacts: Gatagazheva Zareta Magomedovna, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it .
Information about authors:
Gatagazheva Z. M. https://orcid.org/0000-0001-8067-378X
Acknowledgments. The study had no sponsorship.
Conflict of interests. The author declares no conflict of interest.

Abstract.

Malignant neoplasms of reproductive organs account for 42% of the total cancer morbidity structure in the female population including breast cancer, cervical, uterine and ovarian cancers. Estimating effectiveness of reproductive cancer diagnosis, it is necessary to note that more than two thirds of the patients are diagnosed with cancer at the 2nd or even 3rd stage.

However, up to date, effectiveness of preventive interventions throughout the country remains low, greatly reducing chances for successful treatment.

The study purpose was to evaluate new organizational forms of early diagnosis of reproductive cancers and breast cancer within the context of developing the republican cancer service (exemplified by the model of the Republic of Ingushetia). Data on incidence of common malignant neoplasms of the female reproductive organs (uterus, cervix and ovaries) and breast in the Republic of Ingushetia served as the study materials.

Analysis of data for 2001-2008 and 2009-2016 showed that the share of reproductive cancers and breast cancer in the total number of malignant neoplasms in the female population of the Republic of Ingushetia in 2001-2016 tends to increase.

Standardized morbidity rates of cervical, uterine, ovarian and breast cancers tend to increase, standardized death rates from cervical, uterine and breast cancers reduced while mortality from ovarian cancer slightly increased. Active detection of malignant neoplasms of reproductive organs and breast cancer in the Republic of Ingushetia improved for all cancer sites.

A 16-year analysis of main indicators of cancer care provided to female population gives strong evidence of positive trends in care delivery. These trends are associated with the introduced “open appointment visits” for female population, new Algorithm of examination and selection of patients with high cancer risks using charts of diagnostic and prognostic coefficients in addition to measures implemented by the Ministry of Health of the Republic of Ingushetia.

Keywords: cervical cancer; uterine cancer; ovarian cancer; breast cancer; “open appointment visit”; epidemiology; Republic of Ingushetia.

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