Morbidity, mortality, reliability of accounting, survival of patients with malignant neoplasms (ZNO) in Russia. The impact of the SARS-CoV-2-betacoronavirus coronavirus epidemic (population study at the federal district level)

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Since the second half of the twentieth century, active events have been held in our country and around the world to study the prevalence of cancer, form specialized medical institutions to provide necessary help to cancer patients. Over the following decades, a steady increase in the number of primary patients was observed, and a gradual decrease in mortality was observed, associated with the successes of anti-cancer measures. The outbreak of pneumonia in December 2019, caused by the seventh newly discovered SARS-CoV-2-beta coronavirus, quickly spread to all continents. At the first stage of the pandemic, panic was observed, outpatient and even specialized hospitals were closed. This had a significant impact on the organization of oncological services, in particular on the incidence, mortality of the population and the survival of cancer patients.

The aim of the study was to determine the impact of the newly emerged virus on the organizational problems of the oncological service, primarily on the incidence, mortality of the population and the survival of cancer patients.

Materials and methods – data of state reporting, data of the Federal State Statistics Service on the deceased, database of cancer registries of St. Petersburg and the South-West Federal District of the Russian Federation.

The results of the study showed the need for a thorough study of the problems of the development of cancer registries, determined the negative impact of the pandemic on the incidence of cancer, identified the maximum damage by localization, age groups and administrative territories of Russia. It was found that in general, the country had an undercount of about 100,000 cancer patients, and the quality of primary registration decreased by 13%. The greatest damage to the primary patients was caused to the elderly and elderly, especially in localities with a low mortality rate. A stable increase in one-year and five-year survival of cancer patients was revealed, as well as a negative (by –6%) decrease in one-year survival from 2019 to 2020. More complex conditions for maintaining databases for rural populations were identified.

作者简介

Vakhtang Merabishvili

N. N. Petrov National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation

编辑信件的主要联系方式.
Email: MVM@niioncologii.ru
ORCID iD: 0000-0002-1521-455X
SPIN 代码: 5705-6327

Doctor of Medicine (MD), Professor, Chief of the Oncological Statistics Scientific Laboratory, Chairman of the Scientific-Methodological Council on Development of Information Systems of Cancer Control of the Northwestern Federal District; Head of the Population-based Cancer Registry of the Northwestern Federal District of the Russian Federation

俄罗斯联邦, Saint Petersburg

参考

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补充文件

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1. JATS XML
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2. Fig. 1. Title page of the appendix to Volume III of the IARC monograph “Cancer on five continents” Sci. Publ. No. 48

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3. Fig. 2. Age-related morbidity rates of the population of some countries of the world [10]

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4. Fig. 3. Dynamics of standardized indicators of the incidence of lung ZNO (C33, 34) and stomach ZNO (C16). 2000–2021 Russia. Both sexes [18–23]

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5. Fig. 4. Dynamics of standardized indicators of morbidity of the ZNO population and the impact of the epidemic of coronavirus infection (C00-96. Both sexes) [18–23]

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6. Fig. 5. Dynamics of standardized indicators of mortality of the population from ZNO (C00-96. Both sexes) [18–23]

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