Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and Rehabilitation1560-95372412-2092Eco-Vector3599510.18821/1560-9537-2018-21-3-144-148Research ArticleRESULTS OF AN EPIDEMIOLOGICAL STUDY OF PRIMARY DISABILITY DUE TO MALIGNANT NEOPLASMS OF THE ADULT POPULATION IN THE RUSSIAN FEDERATIONPuzinS. N-ShurgayaM. A-PogosyanG. E-ChludeevaT. A-IdrisovaL. S-I.M. Sechenov First Moscow State Medical UniversityRussian Medical Academy of Continuous Professional EducationCity Clinical Hospital №70 of the Department of Health of Moscow CityDepartment of medical and health work and insurance of the Administrative Department of the Central Bank of the Russian Federation (Bank of Russia)Republican Clinical Center of Maternal and Child Health Care named after A. Kadyrova15122018213-414414821072020Copyright © 2018, Eco-Vector2018The article presents the results of the analysis of the long-term dynamics of indicators of primary disability due to malignant neoplasms of the adult population in the Russian Federation. The study volume was 1919677 people aged 18 years and older. An increase in the share of newly recognized disabled people (VPI) in the structure of the total number of VPI as a result of all diseases from 17.6% in 2008 to 32.4% in 2017 (an average of 24.2% per year) was found. In the structure of the primary disability due to ZNO, elderly and middle age IDDs prevail. The level of primary disability among the middle-aged population is decreasing, while among the young and elderly age segments, is increasing. The structure of primary disability due to ZNO by severity is characterized by the predominance of VPI II and I groups of disability with a lower proportion of VPI III group. It has been established that in the Russian Federation there is a regional differentiation of subjects according to the level of disability due to EIT, which allows us to identify regions with an unfavorable situation and the need to optimize measures for primary and secondary medical and social prevention and rehabilitation.disabilityprimaryadult populationmalignant neoplasmsинвалидностьпервичная инвалидностьвзрослое населениезлокачественные новообразования[Состояние онкологической помощи населению России в 2017 году. ред. А.Д. Каприн, В.В. Старинский, Г.В. Петрова. М.: МНИОИ им. П.А. Герцена - филиал ФГБУ «НМИЦ радиологии» Минздрава России; 2018.][Мерабишвили В.М. Статистическая оценка возникновения риска злокачественных новообразований и анализ онкологической ситуации на популяционном уровне. Вопросы онкологии. 2008; 2: 148-56.][World Health Organization. Global status report on noncommunicable diseases “Attaining the nine global noncommunicable diseases targets; a shared responsibility”. Printed in Switzerland. 2014.][World Cancer Declaration Progress Report 2016. World Health Organization, 2016.][Сон И.М., Леонов С.А., Огрызко Е.В. Современные особенности заболеваемости взрослого населения. Здрав. Росс. Федерации. 2010; 1: 3-6.][Чиссов В.И. Модернизация онкологической службы - важнейшее направление системного совершенствования онкологической помощи населению России. Терапевтический архив. 2012; 84 (10): 4-8.][Johansen D., Stocks T., Jonsson H. et al. Metabolic factors and the risk of pancreatic cancer: a prospective analysis of almost 580,000 men and women in the Metabolic Syndrome and Cancer Project [Text].Cancer Epidemiol. Biomarkers Prev. 2010;19 (9): 2307-17.][World Health Organization, World Bank. World Report on Disability. Geneva. WHO, 2011.][World Health Organization. World Report on Ageing and Health. Geneva, 2015.][Денисенко М.Б., Овчарова Л.Н., Варшавская Е.Я., Васина С.А., Козлова В.А. Демографический контекст повышения возраста выхода на пенсию. НИУ ВШЭ, 2018.][Шургая М.А. Нозологический спектр инвалидности пожилой категории населения в Российской Федерации и особенности реабилитационно-экспертной диагностики, реабилитации и абилитации. Медико-социальная экспертиза и реабилитация. 2017; 3: 136-43.][Здравоохранение в России. 2015. Статистический сборник. Росстат. М., 2015.][Основные показатели первичной инвалидности взрослого населения Российской Федерации в 2015 г. Статистический сборник. М.: ФГБУ «ФБ МСЭ»; 2016.]