PECULIARITIES AND DYNAMICS OF MAXILLOFACIAL CANCERS TIMELY DETECTION INDICATORS IN UKRAINE AND IVANO-FRANKIVSK REGION
DOI:
https://doi.org/10.11603/1681-2786.2022.1.13071Keywords:
maxillofacial cancers, incidence, timely detection, health care managementAbstract
Purpose: to analyze the peculiarities and ten-year dynamics of indicators of maxillofacial cancers timely detection in Ukraine and Ivano-Frankivsk region.
Materials and Methods. The main early detection indicators of lip, oral cavity and pharynx malignant neoplasm are investigated according to the annual reports of National Cancer Registry of Ukraine for 2011–2020.
Results. It was found that the incidence rates of the lip neoplasm in Ukraine and Ivano-Frankivsk region in 2011–2020 has a downward trend, of the oral cavity cancers - stable, and of the pharynx ones – increases (in Ukraine moderately and more intensively in the region). At the same time, the studied regional rates are generally lower than in the country as a whole (except for pharynx neoplasm in 2019–2020). Men suffer from maxillofacial neoplasm to 2–8 times more often than women.
In Ukraine, the part of maxillofacial neoplasm cases detected in stages III-IV has increased over the last ten years, and now is almost 20 % for lip, about 70 % for oral cavity and almost 90 % for pharynx. Indicators of neglect of Ivano-Frankivsk region are generally higher than national ones.
Despite a slight downward trend, the national and regional case fatality rates within one year after detection of oral and pharyngeal malignant tumors remain high (about 40 % in 2020).
Over the last decade, the part of detected in screening maxillofacial cancers has decreased. On the background of a strong negative correlation between this index and the percent of cases diagnosed in stages III-IV (rxy = - 0.74) it indicates an adverse forecast of the maxillofacial cancers timely detection.
Conclusion. It is necessary to improve medical and organizational technologies focused on early detection of maxillofacial cancers, first of all at the primary health care, and taking into account regional peculiarities.
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