About problem of timeliness of detection of cervix malignant neoplasms in population of Omsk region

Abstract

The study was carried out to evaluate timeliness of detection of cervix malignant neoplasms against the background of supply of necessary manpower in the region. The indices of active detection of cervix neoplasm and its stages, degree of neglect of tumor process and lethality during the first year of diagnosed disease are considered. The enumerated indices are correlated with quality of medical services шт part of availability and characteristics of training of available personnel. The comparison of data of the Omsk region with average national data was implemented. The corresponding indices of Omsk and municipal districts of oblast in 2004-2014 were also compared. The percentage of active detection ofcervix cancer decreased to the end ofanalyzed period. However, in municipal districts of oblast it continues to be quite high. The detection of disease at early stages (I-II) in the region is on the whole significantly lower as compared with average national indices. The indices of degree of neglect of tumor process in Omsk, in spite of better conditions of diagnostic of this pathology, are significantly lower as compared with corresponding indices in municipal districts. During analyzed period, annual lethality in the Omsk region decreased up to 1.6 times (decreasing rate - 35.6%). The process proceeded especially actively in rural districts of the oblast (decreasing rate - 70.5%). The lethality at first year of diagnosed disease was absent in 25 municipal districts of region. The staffing of oncologists in "The clinical oncologic dispensary" makes up to 100% and 36.8% out of them have highest category. In the central district hospitals, the staffing of specialists made up to 81.3%. Factually in all institutions this position is combined by specialists of another profile i.e. therapists, obstetrician-gynecologists, surgeons, etc.