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:
- National Research Institute of Public Health named after N. A. Semashko
- Federal Scientific and Educational Centre of Medial and Social Expertise and Rehabilitation named after G.A. Albreht
- 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)
- 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
Cite item
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.
Full Text
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, MoscowLyudmila 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. PetersburgSergey 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; MoscowMarina 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. PetersburgSergey 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, MoscowReferences
- Maksimova PE, Golubinskaya EP, Seferov BD, Zyablitskaya EYu. Colorectal cancer: epidemiology, carcinogenesis, molecular subtypes and cellular mechanisms of therapy resistance (analytical review). Coloproctology. 2023;22(2):160–171. doi: 10.33878/2073-7556-2023-22-2-160-171 EDN: TWZBRV
- Tsukanov VV, Ryabokon AG, Tonkikh YuL, Vasyutin AV. Colorectal cancer: incidence, risk factors, and screening. Preventive medicine. 2024;27(3):93–97. doi: 10.17116/profmed20242703193 EDN: DYAZDJ
- Shuykova EA, Zapariy SP, Letskaya OA, Sokurov AV, Potapenko OI. Clinical and functional disorders and limitations of life activity of people with disabilities due to malignant neoplasms of the colon as the basic basis of rehabilitation measures. Siberian Scientific Medical Journal. 2025;45(5):301–308. doi: 10.18699/SSMJ20250528 EDN: YTULWF
- Mattiuzzi C, Lippi G. Current Cancer Epidemiology. Journal of Epidemiology and Global Health. 2019;9(4):217–222. doi: 10.2991/jegh.k.191008.001
- Siegel RL, Miller KD, Goding Sauer A, et al. Colorectal cancer statistics, 2020. CA: a Cancer Journal for Clinicians. 2020;70(3):145–164. doi: 10.3322/caac.21601
- Eremeeva IA, Bagdasarova DV, Artemova EV, et al. Colorectal cancer and gut microbiota. Oncology. Herzen Journal. 2024;13(2):60–66. doi: 10.17116/onkolog20241302160 EDN: CWIXGK
- Malignant neoplasms in Russia in 2022 (morbidity and mortality). Moscow: MNIOI im. P.A. Gertsena; 2023. 275 p. (In Russ.)
- Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209–249. doi: 10.3322/caac.21660
- Clothier Z, Harris J, Kehinde A, et al. A Single-Site Qualitative Study Exploring What Cancer Patients and Health Care Professionals Consider to be the Core Priorities in Relation to Psychosocial Cancer Care. Cancer Control. 2025;32:10732748251356320. doi: 10.1177/10732748251356320
- Morgan E, Arnold M, Gini A, et al. Global burden of colorectal cancer in 2020 and 2040: incidence and mortality estimates from GLOBOCAN. Gut. 2023;72(2):338–344. doi: 10.1136/gutjnl-2022-327736
- Kuznetsova EA, Karasayeva LA, Sokurov AV, Goryainova MV. Clinical, functional and medical-social characteristics of patients with colorectal cancer in target rehabilitation groups. Physical and Rehabilitation Medicine. 2025;7(4):51–58. doi: 10.26211/2658-4522-2025-7-4-51-58 EDN: UEVDSM
- Puzin SN, Velikolug KA, Potapov VN, Bogova OT. Modern aspects of the implementation of integrative technologies in the treatment and rehabilitation of patients and disabled people with inflammatory bowel diseases. Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and the Rehabilitation Industry. 2023;(2):14–36. doi: 10.17238/issn1999-2351.2023.2.14-36 EDN: RVYTIS
- Aringazina AM, Olzhaev ST, Khegai BS. Rehabilitation in oncology. The Russian Journal of Preventive Medicine and Public Health. 2019;22(5):131–135. doi: 10.17116/profmed201922051131 EDN: YHUMVL
- Semiglazova TYu, Klyuge VA, Kasparov BS, et al. International rehabilitation model for oncological patients. Medical Council. 2018;(10):108–116. doi: 10.21518/2079-701X-2018-10-108-116 EDN: XTHEEP
- Kamilova TA, Golota AS, Vologzhanin DA, Shneider OV, Shcherbak SG. Rehabilitation in oncology. Medicine of Extreme Situations. 2021;23(2):27–33. doi: 10.47183/mes.2021.013 EDN: BTPWCG
- Dymochka MA, Naumenko LL. Study of the current level of development of personalized rehabilitation or habilitation programs for people with disabilities (IPRA) and analysis of the effectiveness of their application. Bulletin of the Medical Dental Institute. 2025;(1):37–38.EDN: HXQQSV
- Ponomarenko GN. The scientific platform of the rehabilitation. Rehabilitation. 2017;(3):16–17. EDN: YQDXRZ
- Redkin AN, Ustinova EYu, Ivanova YuS, et al. Medical and social rehabilitation of patients with malignant tumors and other disabling diseases. Palliative Medicine and Rehabilitation. 2019;(3):31–33. EDN: KUKEOD
- Karitskiy AP, Chulkova VA, Pesterova EV, Semiglazova TYu. Rehabilitation of a cancer patient as a basis for improving the quality of his life. Problems of Oncology. 2015;61(2):180–184. EDN: TRUWZV
- Gusakova EV, Tkachenko GA. Comprehensive rehabilitation of cancer patients in the rehabilitation center of a multiprofile hospital. Kremlin Medicine. Clinical Herald. 2021;(4):120–126. doi: 10.26269/pq9d-3e97 EDN: RCKKJE
- Bahrami M, Masoumy M, Sadeghi A, Mosavizadeh R. The needs of colorectal cancer patients/survivors: A narrative review. J Educ. Health Promot. 2022;11:227. doi: 10.4103/jehp.jehp_1093_21
- Hossain MS, Karuniawati H, Jairoun AA, et al. Colorectal Cancer: A Review of Carcinogenesis, Global Epidemiology, Current Challenges, Risk Factors, Preventive and Treatment Strategies. Cancers (Basel). 2022;14(7):1732. doi: 10.3390/cancers14071732
- Patel SG, Karlitz JJ, Yen T, et al. The rising tide of early-onset colorectal cancer: a comprehensive review of epidemiology, clinical features, biology, risk factors, prevention, and early detection. The lancet. Gastroenterology and Hepatology. 2022;7:262–274. doi: 10.1016/S2468-1253(21)00426-X
Supplementary files


