ORGANIZATION OF EARLY DIAGNOSTICS OF GASTRIC CANCER IN VIEW OF CURRENT POTENTIALS OF THE PUBLIC HEALTH SYSTEM
DOI:
https://doi.org/10.11603/1681-2786.2020.4.11908Keywords:
gastric cancer, disease incidence, mortality, early diagnosticsAbstract
Purpose: to analyze the gastric cancer incidence and mortality, and the effectiveness of cancer care for this category of patients in Vinnytsia region and Ukraine.
Materials and Methods. An epidemiological cross-sectional retrospective study of the final statistical documentation with the National Cancer Registry for 2015– 2019 (www.ncru.inf.ua) was conducted using the data copying-out method. The following trends were chosen to assess the organization of cancer care for patients with gastric cancer in Vinnytsia region and Ukraine: prevalence, disease incidence, patients not survived one year of being newly diagnosed, neglected disease, morphological verification, coverage of primary patients with special treatment, average annual hospitalization incidence; average beds per one patient and one hospital admission case, and total mortality. Study methods – semantic, epidemiological, medical and statistical.
Results. As of January 1, 2020, 27.407 individuals (76.8 per 100.000 population), including 15.146 (91.3 per 100.000 population) of males, which 1.5 times outstripped females – 12.201 (64.2 per 100.000 population), suffered from gastric cancer in Ukraine. Regarding morbidity and mortality considerations, the gastric cancer ranked fourth (6.9 %) and second (9.5 %) in males, and eighth (4.1 %) and third (7.5 %) in females, respectively, throughout the observation period. Effective indicators of less-one-year mortality and neglected disease were found significant shortcomings in the organization of treatment and diagnostics for this category of patients, with the latter amounted to 38.2 % and 43.4 % in 2019 in Ukraine and in Vinnytsia region, respectively, i.e. every third case. More than half (55.5 %) of newly diagnosed did not survive one year following the diagnosis, with the regional rates higher than the nationwide figures throughout the study period (61.1–62.6 %).
Conclusions. Malignant neoplasms of the stomach in Ukraine were proved to have a high rate of neglected cases (38.2 %), less-one-year mortality (55.5 %), the mortality/incidence ratio (73.2 %), and a growing statistics of the average annual hospital admission rate (2.2 times; emergency cases – (+) 15.8 %)).
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