PROVISION OF ONCOGYNECOLOGICAL ASSISTANCE TO WOMEN IN UKRAINE IN THE COMDITIONS OF EMERGENCY SITUATIONS
DOI:
https://doi.org/10.11603/1681-2786.2023.1.13861Keywords:
oncological care, malignant neoplasms of the uterine body, malignant neoplasms of the ovary, telemedicine, prevention, military aggressionAbstract
Purpose: the development and scientific justification of the model of providing oncological care to the female population, taking into account the conditions of emergency situations.
Materials and Methods. The study used data from the National Cancer Registry of Ukraine, regulatory documents, and a survey of 313 women with endometrial cancer and ovarian cancer and 110 healthy women. Methods used: data copying, statistical, system analysis, SWOT analysis.
Results. The study of the prevalence and incidence of oncogynecological pathology, in particular, TN of the uterine body and TN of the ovary, specified the main risk factors for the development of these neoplasms, and proposed a model of prevention and provision of oncological care to the female population. The model puts “women” at the center and shows that they play a key role in changing the paradigm of care in gynecological oncology. Given the emergency situation (pandemic COVID-19, military invasion), it is necessary to involve all levels of health care, the public health system, and the social environment of the patient to support and ensure that women achieve the main goals of the model: prevention, early detection, and optimal treatment of TN.
Conclusions. The conducted SWOT analysis proved the effectiveness of the proposed model, allowed to identify the strengths and weaknesses of the process of providing oncological care. At the same time, the same factors of both external and internal environments can both contribute to the development and become a threat to the development of this model. The preventive orientation of the model and the inclusion of modern technological solutions to overcome conditions of isolation due to emergency situations coincide with similar processes in other countries of the world.
References
Zaykova, T.V. (2014). Model systemy kompleksnoyi profilaktyky raku shyyky matky [Model of the system of complex prevention of cervical cancer]. Zdorovya zhinky – Women’s Health, 1, 134-138 [in Ukrainian].
Buchynska, L.G., Hlushchenko, N.M., Nesina, I.P., & Yurchenko, N.P. (2017). Kliniko-henealohichne doslidzhennya khvorykh na hiperplaziyu i rak endometriyu Kyyivskoho rehionu [Clinical and genealogical study of patients with hyperplasia and endometrial cancer of the Kyiv region]. Faktory eksperymentalnoyi evolyutsiyi orhanizmiv – Factors of Experimental Evolution of Organisms, 21, 297-300 [in Ukrainian]. DOI: https://doi.org/10.7124/FEEO.v21.855
Klyusov, O.M. (2018). Faktory ryzyku ta osoblyvosti nadannya medychnoyi dopomohy zrostayuchiy kilkosti khvorykh na rak v Ukrayini [Risk factors and features of providing medical care to the growing number of cancer patients in Ukraine]. Zdorovya suspilstva – Health of Society, 7(1), 16-21 [in Ukrainian].
Mykhaylovych, Yu.Y. (2016). Metodolohiya ta kryteriyi otsinky efektyvnosti byudzhetnykh onkolohichnykh prohram [Methodology and criteria for evaluating the effectiveness of budgetary oncology programs]. Klinichna onkolohiya – Clinical Oncology, 3(23), 6-10 [in Ukrainian].
(2021). Natsionalna stratehiya kontrolyu onkolohichnykh zakhvoryuvan do 2030 roku (proekt) [National strategy for cancer control until 2030 (draft)]. moz.gov.ua. Retrieved from: https://moz.gov.ua/uploads/ckeditor/Громадське%20обговорення/2021/01/28/Національна%20стратегія.pdf [in Ukrainian].
(2021). Natsionalna stratehiya kontrolyu onkolohichnykh zakhvoryuvan do 2030 roku: shcho novoho? [National cancer control strategy until 2030: what’s new?]. Retrieved from: https://itmed.org/news/pidpysano-natsionalnu-strategiyu-kontrolyu-onkozakhvoryuvan-shcho-novogo-/ [in Ukrainian].
Natsionalnyy kantser-reyestr Ukrayiny (NKRU) [National Chancellery-Register of Ukraine (NKRU)]. Retrieved from: http://www.ncru.inf.ua [in Ukrainian].
Nakaz MOZ Ukrayiny Pro vnesennya zmin do deyakykh nakaziv Ministerstva okhorony zdorovya Ukrayiny vid 26.01.2018 r. № 157 [Order of the Ministry of Health of Ukraine On making changes to some orders of the Ministry of Health of Ukraine dated January 26, 2018 No. 157]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/z0182-18#Text [in Ukrainian].
Nakaz MOZ Ukrayiny Pro poryadok kontrolyu yakosti medychnoyi dopomohy vid 28.09.2012 r. № 752 [Order of the Ministry of Health of Ukraine About the procedure for quality control of medical care dated September 28, 2012 No. 752]. zakon.rada.gov.ua. Retrieved from: https://zakon.rada.gov.ua/laws/show/z1996-12#Text [in Ukrainian].
Rybin, A.I., & Kuznyetsova, O.V. (2023). Druha liniya likuvannya retsydyvuyuchoho raku yayechnykiv: vid klinichnykh doslidzhenʹ do suchasnykh voyennykh realiy [The second line of treatment for recurrent ovarian cancer: from clinical research to modern military realities]. International scientific journal “Grail of Science”, 26, 478-482 [in Ukrainian].
Ringach, N.O., Melnyk, U.I., & Prymak, S.V. (2023). SWOT-analiz protsesu nadannya onkohematolohichnoyi dopomohy v umovakh rosiyskoyi ahresiyi v Ukrayini [SWOT-analysis of the process of providing oncohematological care in the conditions of Russian aggression in Ukraine]. Visnyk sotsialnoyi hihiyeny ta orhanizatsiyi okhorony zdorovya Ukrayiny – Bulletin of Social Hygiene and Health Care Organizations of Ukraine, 3, 22-28 [in Ukrainian].
(2021). Tsentr hromadskoho zdorovya MOZ Ukrayiny. U 2019 rotsi novoutvorennya staly druhoyu naychastishoyu prychynoyu smerti ukrayintsiv. Vysnovky z doslidzhennya hlobalnoho tyaharya khvorob [Public Health Center of the Ministry of Health of Ukraine. In 2019, neoplasms became the second most common cause of death among Ukrainians. Findings from the Global Burden of Disease Study]. phc.org.ua. Retrieved from: https://phc.org.ua/news/u-2019-roci-novoutvorennya-stali-drugoyu-naychastishoyu-prichinoyu-smerti-ukrainciv-visnovki-z [in Ukrainian].
Darcourt, J.G., Aparicio, K., Dorsey, P.M., Ensor, J.E., Zsigmond, E.M., Wong S.T., … Chang, J.C. (2021). Analysis of the implementation of telehealth visits for care of patients with cancer in houston during the COVID-19 pandemic. JCO Oncol. Pract., 17(1), e36-e43. DOI: https://doi.org/10.1200/OP.20.00572
Mojdehbakhsh, R.P., Rose, S., Peterson, M., Rice, L., & Spencer, R. (2021). A quality improvement pathway to rapidly increase telemedicine services in a gynecologic oncology clinic during the COVID-19 pandemic with patient satisfaction scores and environmental impact. Gynecol. Oncol. Rep., 36, 100708. DOI: https://doi.org/10.1016/j.gore.2021.100708
Dorsey, E.R., & Topol, E.J. (2020). Telemedicine 2020 and the next decade. Lancet, 395(10227), 859. DOI: https://doi.org/10.1016/S0140-6736(20)30424-4
Gilson S.F., Umscheid C.A., Laiteerapong N., Ossey, G., Nunes, K.J., & Shah, S.D. (2020). Growth of ambulatory virtual visits and differential use by patient sociodemographics at one urban academic medical center during the COVID-19 pandemic: retrospective analysis. JMIR Med. Inform., 8(12), e24544. DOI: https://doi.org/10.2196/24544
Berlin, A., Lovas, M., Truong, T., Melwani, S., Liu, J., Liu, Z.A., … Krzyzanovska, M. (2021). Implementation and outcomes of virtual care across a tertiary cancer center during COVID-19. JAMA Oncol., 7(4), 597. DOI: https://doi.org/10.1001/jamaoncol.2020.6982
Klaunig, J.E. (2018). Oxidative Stress and Cancer. Current Pharmaceutical Design, 24(40), 4771-4778(8). DOI: https://doi.org/10.2174/1381612825666190215121712
Milcent, C., & Zbiri, S. (2022). Use of telehealth: Evidence from French teleconsultation for women’s healthcare, prior and during COVID-19 pandemic. Health Serv. Manag. Res., 4, DOI 10.1177/09514848221115845. DOI: https://doi.org/10.1177/09514848221115845
Amin, R.W., Ross, A.M., Lee, J., Guy, J., & Stafford, B. (2019). Patterns of ovarian cancer and uterine cancer mortality and incidence in the contiguous USA. Science of The Total Environme, 697, 134128. DOI: https://doi.org/10.1016/j.scitotenv.2019.134128
WHO (2016). The European Code Against Cancer. 12 ways to reduce your cancer risk. Retrieved from: https://cancer-code-europe.iarc.fr/index.php/en/.
Gunderson, C.C., Java, J., Moore, K.N., & Walker, J.L. (2014). The impact of obesity on surgical staging, complications, and survival with uterine cancer: a Gynecologic Oncology Group LAP2 ancillary data study. Gynecologic Oncology, 133(1), 23-27. DOI: https://doi.org/10.1016/j.ygyno.2014.01.041
Wijayabahu, A.T., Egan, K.M., & Yaghjyan, L. (2020). Uterine cancer in breast cancer survivors: a systematic review. Breast Cancer Research and Treatment, 180(1), 1-19. DOI: https://doi.org/10.1007/s10549-019-05516-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).