Malignant neoplasms of the skin lead in the structure of cancer incidence, accounting for 12.6% of all cancer diseases.

OBJECTIVE

Development of measures to optimize and improve medical and preventive care for patients with skin cancer in the Sverdlovsk region, analysis of the clinical effectiveness of cancer screening as a method of managing skin cancer incidence.

MATERIAL AND METHODS

Data from state statistical reporting and annual reporting documentation forms for the period from 2011 to 2022 for the Sverdlovsk region were analyzed. Intensive indicators according to the world standard per 100.000 population, their growth rate, the average age of the sick, gender and age indicators, and the structure of morbidity by stages were calculated. The effectiveness of the concept of “Controlled oncodermatology”, developed and implemented in 2019, based on the principles of early diagnosis, was assessed.

RESULTS

The mortality rate of patients in the region from melanoma has decreased, which indicates increased detection of the disease in the early stages, earlier initiation of treatment and, as a result, a relatively favorable prognosis and increased life expectancy. The concept of «Controlled oncodermatology» is proposed, based on the principles of early diagnosis and mass screening of the population. Implementation of the concept included the restructuring of the outpatient clinic, the introduction of hybrid dermatoscopy, and the implementation of digital photographs. Dermoscopic examination has reduced the number of biopsies. Cancer screening and joint methodological work with oncologists and dermatologists made it possible to increase cancer detection, improve the accessibility and quality of medical care.

CONCLUSION

Epidemiological rates of skin cancer incidence must be controlled through early diagnosis methods. Administrative decisions are necessary to maintain the achieved morbidity rates. Early diagnosis ensures high survival rates, quality of life for patients, and reduces economic costs.