DOI: 10.21045/2071-5021-2018-59-1-6
Gatagazheva Z.M.
Ingush State University, Nazran'.
Contacts: Gatagazheva Zareta Magomedovna, e-mail:
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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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