Regional peculiarities of disability due to uterine cancer

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Abstract

BACKGROUND: The federal project “Fight against oncological diseases for 2018–2024” has been launched in Russia within the framework of the national project “Healthcare.” There is significant regional variability in the level and severity of malignant neoplasms (MN), which determines the relevance of studying and monitoring the characteristics of health disorders due to MN in the regions. Disability, as the most important indicator of population health, makes the judgment of the effectiveness of treatment, rehabilitation, and preventive measures possible.

AIMS: To analyze the dynamics and structure of the disability of the female population due to uterine cancer in the Chechen Republic

MATERIALS AND METHODS: Units of observation included newly recognized disabled (NRD) and repeated recognized disabled (RRD) due to uterine cancer during the year. The object of the study included a combination of NRD and RRD due to uterine cancer in the Chechen Republic. The analysis was conducted by three age groups of the adult population (young, middle, and old). This epidemiological, retrospective, and evaluative study was conducted from 2014 to 2020 using documentary, data copying, statistical, and graphical research methods.

RESULTS: The age structure of disability due to uterine cancer revealed 218 (65.5%) elderly, 87 (26.1%) middle-aged, and 28 (8.4%) young females with disabilities. The dynamics by 2020 established that the contingent of young people with disabilities has not significantly changed, with decreased middle-aged and increased elderly females (p=0.0070). The third and second group of disabilities was more often established during the repeated (66.1%) and new (45.6%) examinations, respectively. Concurrently, the proportion of disabled people who were assigned to the first disability group was higher in the RRD cohort. Persistent dysfunctions of the blood system and immune system (100%) in disabled people were accompanied by various types of capacity limitations, with the predominance first degree of their severity. Moreover, a violation of the ability to work of the second degree was diagnosed with a large proportion in the young age segment of the disabled.

CONCLUSION: Within the framework of the project “Fight against oncological diseases for 2018–2024,” considering the regional features of the dynamics and structure of the disability of the female population is necessary due to uterine cancer in the Chechen Republic. The presented results of epidemiological and clinical-expert diagnostics should be used in the development of priority areas of anticancer medical and social activities for the prevention of disability (primary and secondary) due to oncogynecological diseases at the regional healthcare level.

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About the authors

Lilya S. Idrisova

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

Email: rkcozmir_ak@mail.ru
ORCID iD: 0000-0001-5931-0175
SPIN-code: 9996-4623

MD, Cand. Sci. (Med.)

Russian Federation, Grozny

Elkhan A. Suleymanov

National Medical Research Radiological Center

Email: docsuleymanov@gmail.com
SPIN-code: 5749-7283

MD, Dr. Sci. (Med.)

Russian Federation, Moscow

Marina A. Shurgaya

Russian Medical Academy of Continuous Professional Education

Email: daremar@mail.ru
ORCID iD: 0000-0003-3856-893X
SPIN-code: 4521-0147

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

Russian Federation, Moscow

Sergey N. Puzin

Russian Medical Academy of Continuous Professional Education; Federal Scientific and Clinical Center of Resuscitation and Rehabilitation

Author for correspondence.
Email: s.puzin2012@yandex.ru
ORCID iD: 0000-0002-9711-3532
SPIN-code: 2206-0700

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

Russian Federation, Moscow; Lytkino, Moscow region

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Supplementary files

Supplementary Files
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1. Fig. 1. The Mean age of the newly and re-recognized as disabled due to uterine cancer (2014–2020), p=0,9250

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2. Fig. 2. Cohorts of the newly and re-recognized as disabled due to uterine cancer — distribution depending on the having a profession and type of labor activity (%, p=0,9655)

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3. Fig. 3. Dynamics of the age structure of disability due to uterine cancer (2014–2020, %, p=0,0070)

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4. Fig. 4. Violation of the ability to work in age groups of disabled people due to cancer of the uterine body (degrees, %, p=0,1790)

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