The Analysis of Primary Disability Due to Malignant Neoplasms among Persons of Retirement Age in Moscow in 2012–2018

Abstract

Our objective was to study indicators and structure of primary disability due to malignant neoplasms among persons of retirement age in 2012–2018 and to determine the patterns of its formation. Material and methods: The continuous research was based on data of the Unified Automated Vertically Integrated Information and Analytical System for Medical and Social Expert Evaluation for 2012–2018, “7-Sobes” statistical reports, and statistical compilations of the Federal Bureau of Medical and Social Expert Evaluation of the Russian Ministry of Labor. The methods applied included data copying, descriptive statistics, analytical and comparative analysis, calculation of the mean error and statistical significance. Results: The study of primary disability rates due to malignant neoplasms among people of retirement age in Moscow in 2012–2018 showed that the number of people first recognized as disabled increased up to 13,827 people (+77.8%). This finding could be related to the increase in the number of people of retirement age by 21.2% in Moscow during the period under review. As for the severity of disability, then people with grade II disability prevailed but their specific weight and the rate of primary disability tended to decrease. At the same time, we observed an increase in the specific weight of disabled people of Grade III. The five-year survival rate of cancer patients increased by 30% from 51% to 65.4% in 2011–2018, and so did the proportion of cases detected in early stages. Conclusions: Disability caused by malignant neoplasms among the elderly in Moscow in 2012–2018 was characterized by an increase in the number of people first recognized as disabled from 7,782 to 13,827 people (+77.8%) and an increase in their specific weight from 59.4% to 61.3% (60.6% on the average) in the structure of those first recognized as disabled from these causes. An increase in the rate of primary disability from 27.7 ± 0.5 to 40.6 ± 1.3, averaging 30.2 ± 0.5, was also observed but it remained lower than that in the Central Federal District and the Russian Federation as a whole.