Malignant neoplasms as a nosological cause of primary disability in the Russian Federation during the COVID-19 pandemic

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BACKGROUND: In cases of health disorders secondary to malignant neoplasms that lead to social restrictions and the need for social protection measures, including rehabilitation, disability is established. This is the most important health indicator of the population. Coronavirus disease 2019 (COVID-19) has significantly affected the management of patients with malignant diseases, and a more severe course of COVID-19 commonly occurs in older age groups.

AIM: This study aimed to analyze the dynamics and structure of primary disability caused by malignant neoplasms in the adult population in the Russian Federation.

MATERIALS AND METHODS: The study object was a cohort with newly recognized disability caused by malignant neoplasms in the Russian Federation (by applying to the Bureau of Medical and Social Expertise). The main outcome was the occurrence of primary disability during the study period. Three age groups of the adult population (young, middle, and old) were analyzed. The study was conducted in 2010–2020. Research methods included documentary, data copying, and statistical and graphics analysis.

RESULTS: The dynamics of cancer-related primary disability in the Russian Federation was characterized by an annual increase in the number of people with disability from 180.2 thousand in 2010 to 214.6–222.2 thousand in 2017–2019; however, this number decreased to 196.5 thousand in 2020. The number of older people with primary disability was the highest, followed by middle-aged people with primary disability, and no significant change was found in the number of young people with primary disability. The proportion of people with secondary disability decreased, and those with tertiary disability increased, with a negative trend in the growth of the proportion of people with primary disability in 2020.

CONCLUSIONS: The incidence of disability caused by malignant neoplasms may not reflect the proportion of populations with persistent health disorders because residents were unable to present for medical consultations due to the restrictions caused by the spread of a new coronavirus infection. The scale and structure of primary disabilities caused by cancer become the scientific and practical basis for determining directions for developing healthcare and social protection services.

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About the authors

Sergey N. Puzin

Federal Scientific and Clinical Center of Resuscitation and Rehabilitation

ORCID iD: 0000-0003-1030-8319
SPIN-code: 2206-0700

MD, Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences

Russian Federation, Lytkino

Marina A. Shurgaya

Russian Medical Academy of Continuous Professional Education

Author for correspondence.
ORCID iD: 0000-0003-3856-893X
SPIN-code: 4521-0147

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Lilya S. Idrisova

Republican Clinical Center for Maternal and Child Health named after Aimani Kadyrova

ORCID iD: 0000-0001-5931-0175
SPIN-code: 9996-4623

MD, Cand. Sci. (Med.)

Russian Federation, Grozny

Gagic E. Pogosyan

E.O. Mukhin City Clinical Hospital

ORCID iD: 0000-0002-4437-320X
SPIN-code: 6512-5144

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Elkhan A. Suleymanov

Ministry of Health of the Chechen Republic

ORCID iD: 0000-0002-5140-0245
SPIN-code: 5749-7283
Russian Federation, Grozny


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Supplementary files

Supplementary Files
1. Fig. 1. Dynamics of the level of primary disability due to malignant neoplasms in the Russian Federation, taking into account age for 2010–2020 (per 10 thousand of the corresponding adult population).

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2. Fig. 2. The structure of primary disability of the adult population due to malignant neoplasms by disability groups in the Russian Federation for 2010–2020, %.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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