ОПТИМИЗАЦИЯ КРИТЕРИЕВ ОЦЕНКИ КАЧЕСТВА ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ЗЛОКАЧЕСТВЕННЫХ ОПУХОЛЕЙ ПИЩЕВОДА И ЖЕЛУДКА

Abstract

Introduction. Cancer of the stomach and esophagus is one of the most aggressive and common malignant neoplasms in Russia. Surgical treatment is considered as one of the most important stages of complex therapy in this category of patients. Assessment of the quality of medical care for cancer patients is an essential component in the development of modern health care. For a full-fledged analysis, it is possible to use composite criteria (textbook outcomes) – integrative indicators for measuring quality, reflecting the “ideal” outcome of treatment. The purpose of this study was to study the possibility of applying new approaches to assessing the quality and effectiveness of minimally invasive and robotic operations for cancer of the esophagus and stomach. Materials and Methods. Scientific reports were searched using PubMed and the Google keyword system. Time frame 2017-2022 . The results of using a composite quality criterion to determine the effectiveness of the use of surgical intervention in cancer of the esophagus and stomach were evaluated. Particular attention was paid to materials on the effectiveness of minimally invasive and robotic operations. Results. The use of “summing” quality parameters provides new opportunities to determine the effectiveness and safety of new surgical technologies being introduced. A composite criterion (textbook outcome) was successfully used in a comparative analysis when introducing a minimally invasive technology for performing esophagectomy and gastrectomy in patients with malignant neoplasms of the corresponding localizations. The direct relationship between the indicators of composite criteria at the level of medical institutions and the outcomes of antitumor treatment is determined. Conclusions. 1. A multilevel assessment of the applied treatment algorithms and achieved outcomes will ensure significant progress in the development of predictive technologies for choosing effective strategies for individualized therapy for esophageal and gastric cancer. 2. Optimization of the quality control system of the treatment and diagnostic process will improve the efficiency and quality of specialized antitumor treatment.