PCN212 Oncology Diseases Prioritisation LIST for Informing Priority Setting and Development of National Cancer Control PLAN in Ukraine

Abstract

The UN’s Sustainable Development Goals for 2030 call for reducing premature mortality from non-communicable diseases by a third through prevention and treatment. Accelerated reductions in cancer mortality are essential to meeting that goal while cancer is a major cause of death in low-income and particularly in low- and middle-income countries. According to the WHO, establishment of a National Cancer Control Plan offers the most rational means of achieving substantial degree of cancer control, even where resources are severely limited, by identifying and implementing priorities for action and research. The study aim was to analyze the oncology diseases based on disability adjusted life years (DALY) criteria - the disease burden for informing decision-making and resource allocation in Ukraine. The WHO priority setting recommendations include use of DALY criteria. The Global Health Data Exchange IHME information (2017) was used for analysis of the structure of cancer burden in Ukraine and presenting positions in the ranked row by defined indicators. The information was generated for all ages with further categorization into five constituent age groups (under 5, 5-14, 15-49, 50-69 and over 70 years). Taking into account all age groups, amongst 30 cancer pathologies in Ukraine, ‘tracheal, bronchus, and lung cancer’ was on the first place, followed by ‘colon and rectum cancer’ and then ‘stomach cancer’. However each of five age groups has different top priority diseases by burden. The DALY ranked row of oncology diseases is perspective to be used as a priority setting tool for disease management and for the development of National Cancer Control Strategy until 2030 in Ukraine. The DALY metric can be used as a measure of disease burden, alongside the other epidemiological metrics. Nationwide epidemiological data of a better quality is required to estimate the morbidity and mortality burden of cancer disease in Ukraine.