Medical and social needs of disabled people with colorectal cancer as a basic component of a personalized approach to rehabilitation

  • Authors: Kuznetsova E.A.1, Karasaeva L.A.2, Puzin S.N.3,4,5, Goryainova M.V.2, Puzin S.S.6
  • Affiliations:
    1. National Research Institute of Public Health named after N. A. Semashko
    2. Federal Scientific and Educational Centre of Medial and Social Expertise and Rehabilitation named after G.A. Albreht
    3. FBSEI of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation
    4. “Federal Scientific and Clinical Center of Resuscitation and Rehabilitation” of the Ministry of Education and Science of Russia
    5. Federal State Autonomous Educational Institution of Higher Education “First Moscow State Medical University named after. I. M. Sechenov” of the Ministry of Health of Russia (Sechenov University)
    6. Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation
  • Section: Original study articles
  • Submitted: 08.02.2026
  • Accepted: 14.04.2026
  • Published: 16.04.2026
  • URL: https://rjmseer.com/1560-9537/article/view/702333
  • DOI: https://doi.org/10.17816/MSER702333
  • EDN: https://elibrary.ru/NBRCZN
  • ID: 702333


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Abstract

BACKGROUND: Conducting timely, accessible and high-quality rehabilitation measures based on the objective need for rehabilitation measures identified in disabled people during the development of individual rehabilitation and habilitation programs for disabled people contributes to increasing the effectiveness of their implementation.

AIM: To analyze the need for medical and social rehabilitation measures among individuals newly recognized as disabled due to colorectal cancer.

METHODS: The study was conducted at three regional levels: the Russian Federation, the Central Federal District, and Moscow. Subject of the study: individuals newly recognized as disabled due to colorectal cancer. Sources: Form 7-sobes. Methods: data extraction, statistical, and analytical. Sample study.

RESULTS: The analysis of the needs of persons newly recognized as disabled due to colorectal cancer in medical and social rehabilitation measures has revealed a high need of persons with disabilities for medical rehabilitation measures: in the Russian Federation — 99.9%, in the Central Federal District and Moscow — 99.8% of people; a high need for social rehabilitation measures: in the Russian Federation — 97.9%, in the Central Federal District — 95.7% of people, in Moscow — 99.0% of people; a low need for professional rehabilitation measures: in the Russian Federation — 21.7%, in the Central Federal District — 20.4% and in Moscow — 15.9% of people; a low need for physical education and health measures, sports activities: in the Russian Federation — 1.3%; In the Central Federal District — 1.7% and in Moscow — 1.8%; low need for technical rehabilitation equipment: in the Russian Federation — 28.2%; in the Central Federal District — 27.6% and in Moscow — 23.2%.

CONCLUSIONS: A characteristic feature of the identified needs of people with disabilities due to colorectal cancer was the low need for professional rehabilitation and physical education and health activities, which indicates the need to improve the personalized approach in determining needs.

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About the authors

Elena A. Kuznetsova

National Research Institute of Public Health named after N. A. Semashko

Email: drkuznetsova@gmail.com
ORCID iD: 0009-0009-4807-6024

Cand. Sci. (Med.), Associate Professor, Department of General Medical Practice

Russian Federation, Moscow

Lyudmila A. Karasaeva

Federal Scientific and Educational Centre of Medial and Social Expertise and Rehabilitation named after G.A. Albreht

Email: ludkaras@yandex.ru
ORCID iD: 0000-0001-5621-0240

md, dr. sci. (med.), professor

Russian Federation, St. Petersburg

Sergey N. Puzin

FBSEI of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation; “Federal Scientific and Clinical Center of Resuscitation and Rehabilitation” of the Ministry of Education and Science of Russia; Federal State Autonomous Educational Institution of Higher Education “First Moscow State Medical University named after. I. M. Sechenov” of the Ministry of Health of Russia (Sechenov University)

Email: s.puzin2012@yandex.ru
ORCID iD: 0000-0003-1030-8319

Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Honored Scientist of the Russian Federation, Honored Doctor of the Russian Federation, Winner of the Government of the Russian Federation Prize in Science and Technology 2023, Deputy Director for Science of the Federal State Budgetary Budgetary Institution “Federal Scientific and Clinical Center for Intensive Care and Rehabilitation”; Head of the Department of Geriatrics and Medical and Social Expertise of the Federal State Budgetary Educational Institution “Russian Medical Academy of Continuing Professional Education” of the Ministry of Health of the Russian Federation, Professor of the Department of Sports Medicine and Medical Rehabilitation at the N. V. Sklifosovsky Institute of Clinical Medicine of the Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Russian Federation, Moscow; Moscow; Moscow

Marina V. Goryainova

Federal Scientific and Educational Centre of Medial and Social Expertise and Rehabilitation named after G.A. Albreht

Author for correspondence.
Email: marinagoryainova@mail.ru
ORCID iD: 0000-0001-8904-8614

md, cand. sci. (med.)

Russian Federation, St. Petersburg

Sergey S. Puzin

Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation

Email: pusinserg@mail.ru

postgraduate student of the Department of Geriatrics and Medical and Social Expertise

Russian Federation, Moscow

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