V.D. Chernikov1, 2, M.A. Senchukova1, 2
1Orenburg State Medical University, Orenburg
2Orenburg Regional Clinical Oncology Dispensary, Orenburg
Chernikov V.D. – post-graduate student of Department of Oncology, oncologist of the surgical department of abdominal oncology
6 Sovetskaya St., 460000, Orenburg, Russian Federation, tel.: +7-987-118-72-12, e-mail: chernikov_ookod@mail.ru, ORCID ID: 0009-0007-3083-6414
Abstract. Gastric cancer (GC) is an urgent problem in Russian healthcare, which is due to late diagnosis, insufficient effectiveness of systemic drug therapy methods and, as a consequence, high mortality from this pathology. To reduce mortality rate, it is important to analyze morbidity, mortality and the state of oncological care for patients with gastric cancer. This will optimize the work of oncological services in the Orenburg and other regions of the Russian Federation (RF).
Objective. A comparative analysis of morbidity, mortality and the state of medical care for patients with gastric cancer in the Orenburg region and the Russian Federation in 2012–2021, in order to develop a set of organizational solutions for improving medical care for patients with gastric cancer.
Material and methods. Analysis of statistical data from the Federal State Reporting on Oncology of P. Hertzen Moscow Oncology Research Institute (branch of National Medical Research Radiological Center) was performed using Statistica 10 software.
Results. In the Russian Federation and in Orenburg region there is no active detection of GC. During the analyzed period of 2012–2021, there was no significant improvement in the early diagnosis of GC, while the percentage of patients with advanced GC remains at the same level and is 40.0%. Despite the downward trend in incidence, mortality from gastric cancer continues to take the second place in the structure of mortality from malignant neoplasms in the Russian Federation.
Conclusion. The research scientifically confirms the need to develop effective programs to identify population groups at high risk of developing GC, to prevent the disease among risk groups and to diagnose GC at early stages.
Key words: gastric cancer, morbidity, mortality, state of cancer care, gastric cancer screening.