Organization Decisions in Clinical Oncology Based on the Statistics of Malignant Neoplasms

Abstract

Vladimir Yu. Startsev, Roman E. Sen’kov, Gleb V. Kondratiev, Vasyli I. Oriol, Vladimir S. Luchkevich.

Cancer service parameters in St.-Petersburg, Russia, were studied in relation to patients with urological malignant neoplasms (uMN) in 2014-2018.
Material and methods. We studied a number of medical and statistical indicators obtained from the state reporting forms (ff. 7 and 35).
Results. The exponential growth of absolute and “crude” indicators of morbidity and morphological verification of the MN of prostate, kidney and bladder in the early stages of the tumor is presented. An increase in the active detection of MN of the prostate gland (by 3.36) and kidney (by 2.26) were observed, due to the increase in oncological alertness at general practitioners. The number of bladder cancer patients who died within a year increased by 37.5%, indirectly indicates potentially aggressive forms of the tumor and the problem of early diagnostics of cancer. The maximum age of patients with newly diagnosed MN of the prostate/urinary bladder was 64-70 years, according to world statistics, kidney cancer diagnosed in patients of any age. Testicular MN was most often founded in patients 25-39 years old with an exponent in 2014-2016, penile MN – was verified at the age of 55-69 years, with a stable rate of increase in incidence. However, defects in the collection of primary medical information were identified, which made it difficult to evaluate cancer indicators.
Conclusion. Original directions for the development of information collection medical systems and the provision of specialized medical care to the population of St-Petersburg are proposed - improving the system of registration of tumors and the quality of medical training and studies for stuff of statistical department, conducting research for prevention of the development of malignancies.