High levels of urbanization and incidence of malignant neoplasms in the Far Eastern Federal District population determine the relevance of studying the quality of oncological care.
OBJECTIVE
To assess the state of oncological care for the population of the Far Eastern Federal District entities and their administrative centers.
MATERIALS AND METHODS
The reporting forms No. 7, «Data on diseases belonged to malignant neoplasms»,»and No. 35, «Data on patients with malignant neoplasms», from the cities-administrative centers (Birobidzhan, Blagoveshchensk, Vladivostok, Magadan, Petropavlovsk-Kamchatsky, Ulan-Ude, Khabarovsk, Chita, Yuzhno-Sakhalinsk, Yakutsk) for 2012—2021 were analyzed. The cluster analysis utilized the joining or tree clustering method, regression analysis, and the Mann—Whitney test.
RESULTS AND DISCUSSION
In the cities-administrative centers of the Far Eastern Federal District, the quality indicators of oncological care for the population indicated its improved effectiveness over time. The percentage of morphologically verified diagnoses improved from 84.7% to 94.0% (p=0.000), while the proportion of actively identified cases increased from 8.1% to 24.4% (p=0.016). Additionally, the portion of registered patients detected at stage I of cancer advanced from 26.1% to 33.2% (p=0.000). Furthermore, the accumulation index climbed from 6.0% to 7.8% (p=0.000), and one-year mortality decreased from 29.2% to 21.0% (p=0.000). The percentages of patients detected at stage IV and those on record for 5 years or more remained the same. Indicative improvements were particularly notable in Vladivostok, Yuzhno-Sakhalinsk, and Yakutsk. On average, over 10 years, the cities of Chita, Khabarovsk, Petropavlovsk-Kamchatsky, Yuzhno-Sakhalinsk, and Magadan showed higher quality indicators compared to other cities-administrative centers of the Far Eastern Federal District.
CONCLUSION
The analysis indicated greater efficiency in the organization of oncological care in administrative centers than in the district territories.
