Анализ заболеваемости глаукомой населения Ставропольского края

Abstract

PURPOSE: to study glaucoma incidence in the Stavropol region (SR), the North Caucasian Federal District (NCFD) and the Russian Federation (RF) over the 2007-2016 period. METHODS: The official statistical materials of the Ministry of Health of the Russian Federation and Central Research Institute of Organization and Informatization of Health Care of the Ministry of Health of the Russian Federation and the data of the Medical Information Analytical Center of Stavropol region were analyzed during the research. We calculated the level of general and primary incidence per 100 thousand population and the share of glaucoma in the structure of eye diseases. Indicators of the general and primary disease incidence in the Stavropol region in comparison with similar indicators in the North Caucasian Federal District and the RF in 2007-2016 were analyzed. The parameters of glaucoma monitoring per 1000 population were calculated and the data of disability on glaucoma in the Stavropol region for 2013-2017 was analyzed. RESULTS. General incidence of glaucoma in Russian adult population increased by 24.3%, while primary incidence of glaucoma increased by 11% in comparison with 2007. These indicators were stable for six years (2011- 2016) among the population over working age (fluctuation range — 2.2-4.9%). During the ten years general incidence of glaucoma in adult population of the NCFD was increased by 33% and the primary incidence was decreased by 14.5%. In NCFD among the population over working age the number of cases of general and primary incidence of glaucoma over the six years was increased, respectively, by 4.5% and 4%. In the Stavropol region, the annual incidence rates of glaucoma fluctuate. Peak indicators for the UK in the period under study were registered in 2012, the total incidence of the adult population was 16 443 (735.3 per 100 thousand population), the primary incidence of the adult population was 1 966 cases (87.9 per 100 thousand population). In the Stavropol region there was a low rate of glaucoma patients monitoring. A growth of surgical activity was also identified in the region. Disability due to glaucoma in the SR reached 21.5%, being the second most frequent visual disability cause in the region (2016). CONCLUSION: Glaucoma epidemiology aggravated during the last ten years in Russia. The share of general and primary incidence of glaucoma among the eye pathology in Russia has steadily increased during the selected period. The NCFD showed the lowest incidence of glaucoma among all federal districts of Russia. The incidence of glaucoma in the Stavropol region had a variable and unstable character.