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Zheleznyakova I.A.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Rumyantseva E.I.

Center for Expertise and Quality Control of Medical Care

Plakhotnik O.S.

Center for Expertise and Quality Control of Medical Care

Alexandrov I.A.

Center for Expertise and Quality Control of Medical Care

Vakhrusheva T.S.

Center for Expertise and Quality Control of Medical Care

Trifonova G.V.

Center for Expertise and Quality Control of Medical Care

Sidorova E.A.

Center for Expertise and Quality Control of Medical Care

Yakina A.S.

Center for Expertise and Quality Control of Medical Care

Samsonova E.S.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Mikhailov I.A.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Semashko National Research Institute of Public Health

Azarova Ya.A.

Regional Clinical Oncology Dispensary

Buydenok Yu.V.

Blokhin National Cancer Research Center

Vitsenya M.V.

Chazov National Medical Research Center of Cardiology

Vladimirova L.Yu.

National Cancer Research Center

Gladkov O.A.

«EVIMED» Clinic

Gromova E.G.

Blokhin National Cancer Research Center

Dubovichenko D.M.

Arkhangelsk Regional Clinical Oncology Dispensary

Zamkova E.V.

Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary

Zukov R.A.

Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary;
Voino-Yasenetsky Krasnoyarsk State Medical University

Isyangulova A.Z.

Sigal Republican Clinical Oncology Dispensary

Karabina E.V.

Tula Regional Oncology Dispensary

Karaseva V.V.

Pirogov Russian National Research Medical University

Koroleva I.A.

Medical University «Reaviz»

Kutukova S.I.

Saint Petersburg City Oncology Dispensary;
Pavlov First St. Petersburg State Medical University

Laletina S.A.

Krasnoyarsk branch of SOGAZ-Med JSC

Latipova D.Kh.

Petrov National Medical Research Center of Oncology

Mishina A.V.

Sverdlovsk Regional Oncology Dispensary

Novikova O.Yu.

Regional Clinical Oncology Center

Nosov D.A.

Central Clinical Hospital with Polyclinic of the Presidential Administration

Ovchinnikova E.G.

Nizhny Novgorod Regional Clinical Oncology Dispensary

Orlova R.V.

Saint Petersburg City Oncology Dispensary;
Saint Petersburg State University

Petkau V.V.

Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University

Plykina A.A.

Russian Society of Clinical Oncology

Sakaeva D.D.

Clinical hospital «Mother and Child»

Statsenko G.B.

Clinical Oncology Dispensary

Tkachenko P.E.

Sechenov First Moscow State Medical University

Tryakin A.A.

Blokhin National Cancer Research Center

Fateeva A.V.

Primorsky Regional Oncology Dispensary

Khudorozhkova N.P.

Pavlov First St. Petersburg State Medical University

Tyulyandin S.A.

Blokhin National Cancer Research Center

Omelyanovskiy V.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Semashko National Research Institute of Public Health;
Research Financial Institute

Cost of supportive cancer care in the Russian Federation. Part 2

Authors:

Zheleznyakova I.A., Rumyantseva E.I., Plakhotnik O.S., Alexandrov I.A., Vakhrusheva T.S., Trifonova G.V., Sidorova E.A., Yakina A.S., Samsonova E.S., Mikhailov I.A., Azarova Ya.A., Buydenok Yu.V., Vitsenya M.V., Vladimirova L.Yu., Gladkov O.A., Gromova E.G., Dubovichenko D.M., Zamkova E.V., Zukov R.A., Isyangulova A.Z., Karabina E.V., Karaseva V.V., Koroleva I.A., Kutukova S.I., Laletina S.A., Latipova D.Kh., Mishina A.V., Novikova O.Yu., Nosov D.A., Ovchinnikova E.G., Orlova R.V., Petkau V.V., Plykina A.A., Sakaeva D.D., Statsenko G.B., Tkachenko P.E., Tryakin A.A., Fateeva A.V., Khudorozhkova N.P., Tyulyandin S.A., Omelyanovskiy V.V.

More about the authors

Journal: Medical Technologies. Assessment and Choice. 2024;46(4): 63‑73

DOI: 10.17116/medtech20244604163

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Table of contents

COST OF SUPPORTIVE CANCER CARE IN THE RUSSIAN FEDERATION. PART 2
COST OF SUPPORTIVE CANCER CARE IN THE RUSSIAN FEDERATION. PART 2

To cite this article:

Zheleznyakova IA, Rumyantseva EI, Plakhotnik OS, et al. . Cost of supportive cancer care in the Russian Federation. Part 2. Medical Technologies. Assessment and Choice. 2024;46(4):63‑73. (In Russ.)
https://doi.org/10.17116/medtech20244604163

Подписка 2026 Медицинские технологии. Оценка и выбор (Medical Technologies. Assessment and Choice)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To assess the cost of supportive drug therapy for 10 complications of malignant neoplasms according to the recommendations of the Russian Public Organization «Russian Society of Clinical Oncology» (RUSSCO).

MATERIAL AND METHODS

Considering the RUSSCO recommendations, we estimated drug therapy regimens for the following complications: anemia, hepatotoxicity, dermatological reactions, cardiovascular toxicity, neurological complications, nephrotoxicity, effects of extravasation, febrile neutropenia, nausea and vomiting, central venous access. To estimate the population requiring supportive therapy, we used data from registers of medical care bills for 2022. These reports contain information on the number of completed cases of antitumor drug therapy and the number of patients who received treatment. Literature data on the incidence of the above-mentioned complications were also used.

RESULTS

The largest financial costs (63.8% of all complications) were observed for the treatment of anemia (4 721 896 721.06 rubbles), hepatotoxicity (3 545 843 422.82 rubbles) and consequences of extravasation (2 388 137 692.57 rubbles). The oncology profile accounts for 66% of the estimated funding within this model. In the current model, 34% of the need is for preferential drug provision, 37% is additional need for compulsory medical insurance to finance the added cost of hospital-stay in a day hospital and 31% in a 24-hour hospital.

CONCLUSION

These findings complement the previously published results for other complications presented in the RUSSCO recommendations. Calculation methodology and appropriate data can underlie further improvement of financing of supportive cancer therapy.

Keywords:

supportive cancer care
oncology
payment for medical care
anticancer drug treatment
anemia
febrile neutropenia
hepatotoxicity
extravasation

Authors:

Zheleznyakova I.A.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Rumyantseva E.I.

Center for Expertise and Quality Control of Medical Care

Plakhotnik O.S.

Center for Expertise and Quality Control of Medical Care

Alexandrov I.A.

Center for Expertise and Quality Control of Medical Care

Vakhrusheva T.S.

Center for Expertise and Quality Control of Medical Care

Trifonova G.V.

Center for Expertise and Quality Control of Medical Care

Sidorova E.A.

Center for Expertise and Quality Control of Medical Care

Yakina A.S.

Center for Expertise and Quality Control of Medical Care

Samsonova E.S.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Mikhailov I.A.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Semashko National Research Institute of Public Health

Azarova Ya.A.

Regional Clinical Oncology Dispensary

Buydenok Yu.V.

Blokhin National Cancer Research Center

Vitsenya M.V.

Chazov National Medical Research Center of Cardiology

Vladimirova L.Yu.

National Cancer Research Center

Gladkov O.A.

«EVIMED» Clinic

Gromova E.G.

Blokhin National Cancer Research Center

Dubovichenko D.M.

Arkhangelsk Regional Clinical Oncology Dispensary

Zamkova E.V.

Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary

Zukov R.A.

Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary;
Voino-Yasenetsky Krasnoyarsk State Medical University

Isyangulova A.Z.

Sigal Republican Clinical Oncology Dispensary

Karabina E.V.

Tula Regional Oncology Dispensary

Karaseva V.V.

Pirogov Russian National Research Medical University

Koroleva I.A.

Medical University «Reaviz»

Kutukova S.I.

Saint Petersburg City Oncology Dispensary;
Pavlov First St. Petersburg State Medical University

Laletina S.A.

Krasnoyarsk branch of SOGAZ-Med JSC

Latipova D.Kh.

Petrov National Medical Research Center of Oncology

Mishina A.V.

Sverdlovsk Regional Oncology Dispensary

Novikova O.Yu.

Regional Clinical Oncology Center

Nosov D.A.

Central Clinical Hospital with Polyclinic of the Presidential Administration

Ovchinnikova E.G.

Nizhny Novgorod Regional Clinical Oncology Dispensary

Orlova R.V.

Saint Petersburg City Oncology Dispensary;
Saint Petersburg State University

Petkau V.V.

Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University

Plykina A.A.

Russian Society of Clinical Oncology

Sakaeva D.D.

Clinical hospital «Mother and Child»

Statsenko G.B.

Clinical Oncology Dispensary

Tkachenko P.E.

Sechenov First Moscow State Medical University

Tryakin A.A.

Blokhin National Cancer Research Center

Fateeva A.V.

Primorsky Regional Oncology Dispensary

Khudorozhkova N.P.

Pavlov First St. Petersburg State Medical University

Tyulyandin S.A.

Blokhin National Cancer Research Center

Omelyanovskiy V.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Semashko National Research Institute of Public Health;
Research Financial Institute

Received:

27.08.2024

Accepted:

24.09.2024

Close metadata

References:

  1. Rumyantseva EI, Zheleznyakova IA, Plakhotnik OS, Nikitin FS, Vakhrusheva TS, Aviaeva TS, et al. Changes in diagnosis-related group payment model in the Russian Federation in 2024. Medical Technologies. Assessment and Choice. 2024;46(2):10-21. (In Russ.). https://doi.org/10.17116/medtech20244602110
  2. Zheleznyakova IA, Rumyantseva EI, Volkova OA, Aviaeva TS, Sdvizhkova MA, Alexandrov IA, et al. Cost of supportive cancer care in the Russian Federation. Part 1. Medical Technologies. Assessment and Choice. 2024;46(3):93-103. (In Russ.). https://doi.org/10.17116/medtech20244603193
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