S.A. Karamalikov, R.Sh. Khasanov, S.E. Gabitova, S.V. Zinchenko, E.Yu. Mingalimova, A.I. Bilyalov
1Tatarstan Cancer Center, Kazan
2Kazan State Medical Academy ― Branch Campus of the RMACPE MOH Russia, Kazan
3Volga Region branch of N.N. Blokhin Russian Cancer Research Center, Kazan
4Kazan (Volga Region) Federal University, Kazan
Karamalikov S.A. ― head of the Almetyevsk branch of Tatarstan Cancer Center
29 Sibirskiy Trakt, Kazan, Russian Federation, 420029, tel.: (8553) 33-88-10, +7-917-265-58-42, e-mail: firstname.lastname@example.org
Introduction. The problem of providing specialized cancer care is one of the most pressing for national health care. High and constantly increasing rates of morbidity, mortality, malignancy, disability, reduced quality of life and the associated substantial socio-economic damage undoubtedly dictates oncologists and health care managers to maintain an ongoing research in this area.
Objectives of the study. In the framework of the present study has investigated trends, patterns and structure of morbidity of malignant tumors of the population of the South-Eastern region of Tatarstan Republic of according to gender, age and region of residence.
Results. Given the attached of the city’s population was 648 162 people. For the period from 2006 to 2016 in SER RT was 20 787 cases of cancer, which corresponds to an average registration of 2 thousand patients a year. In General, the absolute number of cancer patients in the South-Eastern region of Tatarstan increased by 48.0 per cent during the reporting period. It may be noted that in the dynamics of the structure of oncological morbidity of the adult population of the South-East region there has been a significant decline in the share of the following malignant neoplasms: of stomach by 3.42%, trachea, bronchus and lung ― 2.1%. Slight decline in the proportion of breast cancer is 1.21% and the rectum and colon by 0.5%. On the same level have the same percentage of malignant tumors of the cervix (2,75%), lymphomas (1,76%). Medium structure of morbidity with malignant neoplasms of the population of the South-Eastern region of the Republic during the period from 2006 to 2016. as follows: first rank position is skin cancer (melanoma) ― 11,7%, ranking second place ― colorectal cancer (11.6%), the third rank is the position of breast cancer (11.2%).
Conclusions. The incidence of malignant tumors of the population of the South-East region increased over the 2006-2016 54.3% and amounted to 426,40/0000 ― in 2016. The growth rate of incidence in SER 1.5 times higher than in the whole country. Ceteris paribus, we should expect further increase in the incidence of cancer. The predicted value of disease in 2019 should be of 482.00/0000. During the period under review, there was a significant decline in the proportion of cases of malignant neoplasms in the age of 70-79 years is 9.4%. The maximum increase in the number of cases observed in the age group 60-69 years (7.3%). Age group 70-79 years ― is characterized by a maximum decrease in the share of cases among men and among women. The pace of decline was 8.6% and 10.4%, respectively. Redistribution ranking positions in the structure of oncological morbidity of the population SER for 2006-2016 was due to trachea, bronchus and lung ― 2.1%, the proportion of breast cancer is 1.21% and the rectum and colon by 0.5%. The most significant changes in the structure of cancer incidence should be attributed to the decline in the proportion of stomach cancer by 3.4% and share growth of prostate cancer by 5.23%. Weighted average in the structure of malignant neoplasms in population of the South-Eastern region of the Republic during the period from 2006 to 2016 the first three positions in skin cancer (melanoma) ― 11.7%, colorectal cancer (11.6%) and breast cancer (11.2%).
Key words: South-Eastern region of Tatarstan, morbidity, structure of tumor pathology.