F.Sh. Akhmetzyanov1-3, I.V. Shaymardanov2, N.G. Shaykhutdinov2, V.I. Egorov1,2

1Kazan State Medical University, Kazan

2Tatarstan Саnсеr Center, Kazan

3Volga Region branch of N.N. Blokhin Russian Cancer Research Center, Kazan

Egorov Vasily Ivanovich ― Cand. Med. Sc., Assistant of the Department of Oncology, Radiation Diagnostics and Radiation Therapy of the Kazan State Medical University, the oncologist of the Tatarstan Cancer Center

29 Sibirskiy Trakt, Kazan, Russian Federation, 420029, tel. +7-927-429-96-71, e-mail: drvasiliy21@gmail.com


Introduction. Malignancy can reach up to 80.4% of malignancy, depending on the type of organ involved, and therefore the provision of medical care for this category of patients is currently an urgent task. Since 1993 in Kazan there is a unique service for the provision of symptomatic and palliative care to patients with malignant neoplasms.

The purpose of this study is to analyze the results of the palliative and emergency department.

Materials and methods. The data of the work of the Department of Palliative and Urgent Care was analyzed from 1993 to 2016.

Results. During this period, the Department of Palliative Care carried out 497 667 visits at home. There were performed pleural punctures ― 10571, laparocentesis ― 8279, catheterization of the bladder 11270. In the emergency room of urgent surgical clinics in Kazan, 10654 consultations of urgent patients with the presence or suspected malignant tumor were carried out. In the structure of calls, 81% were occupied by patients of the fourth clinical group. Satisfaction of patients with symptomatic and palliative care was 91%.

Conclusion. The analysis of the results showed a high efficiency of functioning of the department of palliative and emergency aid for rendering assistance to oncological patients. Improvement of the quality of life, satisfaction of patients and an increase in one-year mortality are the main markers of the expediency of the functioning of this service.

Key words: neglect, palliative and symptomatic therapy, malignant neoplasms, intestinal obstruction, cancer, the quality of life.