scholarly journals Cervical cancer incidence in the Siberian Federal District

2021 ◽  
Vol 16 (4) ◽  
pp. 76-83
Author(s):  
L. D. Zhuikova ◽  
I. N. Odintsova ◽  
О. A. Ananina ◽  
L. V. Pikalova ◽  
N. Р. Lyakhova

Background. When planning preventive measures and providing specialized care, it is important to take into account the epidemiology of malignant neoplasms.Objective: to analyze the incidence of cervical cancer in 10 territories of the Siberian Federal District.Materials and methods. Based on the data of the Federal State Statistics Service, the incidence of cervical cancer and the quality of cancer care were analyzed in 10 cancer centers for the years 2005–2019. Results. During the study period, an increase in the incidence of cervical cancer was observed in the Siberian Federal District. The maximum increase in the incidence rate was observed in most territories of the Tyva Republic (102.3 %). The decrease in the incidence rate was recorded in the Altai Republic (–15.4 %) and Tomsk Oblast (–14.3 %). The age-specific incidence rates were stable in patients aged 65 years and older, and a 1.4-fold increase was observed in women of the reproductive age (20–44 years). The highest incidence rates were observed in the age groups 35–39 years (37.8 %) and 40–44 years (42.0 %). The improvement in the rates of quality of cancer care indicated the high proportion of morphologically verified cancers, early cancer detection and high proportion of patients who were followed up for 5 years or more. The rates of late-stage cervical cancer and one-year mortality remain high.Conclusions. From 2004 to 2019, an increase in the incidence of cervical cancer was observed in the female population of the Siberian Federal District. The highest risk of cervical cancer was observed in women of the reproductive age (20–44 years). It is necessary to develop and organize anti-cancer measures to improve cancer care

2021 ◽  
Vol 67 (2) ◽  
pp. 227-232
Author(s):  
Tat`yana Chimitdorzhieva

Analysis of the morbidity and mortality dynamics of the female population of cervical cancer (CC) of the Siberian Federal District (SFO) as a whole, as well as by its individual subjects for 18 years, from 2000 to 2017. It showed a steady increase in the incidence of this form of cancer (an increase of 37.3%) and a decrease in mortality (a decrease of 11.7%) in the region as a whole and in all its subjects in comparison with those in the Russian Federation (RF). The steadily high incidence rate of cervical cancer during the period analyzed was recorded in Buryatia - 23.1 ± 1.9, after the Trans-Baikal Territory - 29.6 ± 1.7; and the Republic of Tyva - 27.7 ± 2.3; in the neighboring Irkutsk region - 19.3 ± 0.7 cases per standardized 100 thousand population, the lowest - in Kemerovo - 12.8 ± 0.5 and Novosibirsk region - 12.2 ± 0.3 regions. The consistently high incidence rate of cervical cancer during the analyzed period was recorded in the Trans-Baikal Territory - 29.6 ± 1.7; in the Republics of Tyva - 27.7 ± 2.3 and Buryatia - 23.1 ± 1.9, in the Irkutsk region - 19.3 ± 0.7 cases per standardized 100 thousand people, the lowest - in Kemerovo - 12.8 ± 0.5 and Novosibirsk - 12.2 ± 0.3 regions.The Siberian Federal District leads among other regions of Russia in the incidence of cervical cancer in women (especially in Transbaikalia, Tuva, Buryatia and Irkutsk): from 2000 to 2017, theincidence in the region increased 1.4 times with a forecast of further growth, while mortality rates indicate a positive trend - stabilization of the process. In these territories, the carcinogenic situation is determined by the interaction of a complex of various subsystems comprising it: natural, industrial, and social. Key words: cervical cancer; incidence rate; Siberian Federal District.  


2016 ◽  
Vol 2 (3_suppl) ◽  
pp. 49s-49s
Author(s):  
E.T.M. Dams ◽  
W.B. Hawkins ◽  
M.Y. Lichtveld

Abstract 7 Background: Cervical cancer is the second most frequent cancer and is the leading cause of cancer-related death in Surinamese women. Radiotherapy is an essential part of treatment, but until recently was not available in Suriname. Previously, affected women were treated abroad. This study evaluated the effect of the introduction of radiotherapy in 2012 on treatment coverage and quality of care. Methods: A retrospective cohort study was conducted, comparing treatment of women diagnosed with cervical cancer in the period 2008-2011, prior to introduction of radiotherapy, to treatment of women diagnosed in the period 2012-2013, who received radiotherapy locally. Results: During the study period January 2008–December 2013, 339 women received a first diagnosis of cervical cancer, corresponding to an average annual incidence rate of 21.3 ± 1.7 per 100,000 female population, with no significant changes during the study period. More than 80% of the women presented with late-stage disease. Creoles and indigenous women showed much higher incidence rates than the other ethnic groups. The proportion of women receiving appropriate radiotherapy increased from 71.6% in the period 2008-2011 to 82.4% in 2012-2013. The waiting time between diagnosis and treatment diminished with 38 days on average. In addition, the percentage women with a delay of >150 days decreased from 29% to 7%. Conclusion: Cervical cancer continues to pose an important health problem for women in Suriname. The introduction of radiotherapy has demonstrated improved treatment of invasive cervical cancer. However, additional prevention and early detection strategies are needed to lower incidence and mortality rates. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST: No COIs from the authors.


2020 ◽  
Vol 23 (7) ◽  
pp. 434-444
Author(s):  
Sahar Eftekharzadeh ◽  
Narges Ebrahimi ◽  
Mehrnoosh Samaei ◽  
Farnam Mohebi ◽  
Bahram Mohajer ◽  
...  

Background: The present study aims to assess the incidence and mortality rates of gynecological cancers and their changes from 1990 to 2016 at national and subnational levels in Iran. Methods: Annual estimates of incidence and mortality for gynecological cancers from 1990 to 2016 at national and subnational levels were generated as part of a larger project entitled National and Subnational Burden of Diseases, Injuries, and Risk Factors (NASBOD). After the precise processing of data extracted from the Iran Cancer Registry, annual age-standardized incidence and mortality rates were calculated for each cancer, province, year and age group during the period of the study. Results: In 2016, gynecological cancers constituted 8.0% of new cancer cases among women of all ages compared to 3.7% of new cases of cancer among women in 1990. The incidence rate of gynecological cancers has increased from 2.5 (0.9-5.6) per 100000 women in 1990 to 12.3 (9.3–15.7) per 100000 women in 2016, and the most common gynecological cancer has changed from cervical cancer in 1990 to corpus uteri cancer in 2016. Age-standardized incidence rates of ovarian, corpus uteri and vulvovaginal cancers increased from 1.3 (0.5–2.4), 1.7 (0.6–3.0), and 0.3 (0.0–0.7) in 1990 to 4.4 (3.6–5.2), 9.9 (6.8–13.4), and 0.6 (0.2–1.0) in 2016, respectively, showing a 3.3, 5.8 and 1.7-fold increase during this period. Age-standardized incidence rate of cervical cancer was 2.4 (1.7–3.3) cases per 100000 women in 2016 and did not differ significantly from the beginning of the study. An overall reduction was seen in national mortality to incidence ratios (MIR) from 2000 to 2015. Conclusion: The incidence rates of all gynecological cancers in different provinces have shown a converging trend that could indicate that attempts toward health equality have been effective. The declining trend of MIR could be interpreted as advancements in detection of cancer in its early stages and also improvements in treatments, in turn reflecting improvements in access to and quality of care.


2019 ◽  
Vol 61 (3) ◽  
pp. 123-128
Author(s):  
Irina N. Odintsova ◽  
L. F. Pisareva ◽  
O. A. Ananina ◽  
E. V. Panferova

The breast cancer is one of main localizations among malignant tumors in women of the Siberian Federal District. In the structure of morbidity it holds first place with such percentage as 20.4% and index of morbidity makes up to 51.2 per 100 000 of female population. The territories with increased and decreased risk are established. The features of prevalence of disease in a certain degree are conditioned by differences in demographic characteristics of populations. The indices of life-span, birth-rate in fertile age and divorce rate effect the level of morbidity of breast cancer in population.


2018 ◽  
Vol 8 (5-s) ◽  
pp. 394-399
Author(s):  
Subhash Kumar Mishra Golden ◽  
Nidhi Vishnoi

Background: The objective of this study was to estimate the incidence of invasive cervical cancer (ICC) in women with human immunodeficiency virus (HIV) and compare it with the incidence in HIV-uninfected women. Methods: In a cohort study of HIV-infected and uninfected women who had Papanicolaou tests obtained every 6 months, pathology reports were retrieved for women who had biopsy results or a self report of ICC. Histology was reviewed when reports confirmed ICC. Incidence rates were calculated and compared with those in HIV-negative women. Results: After a median follow-up of 10.3 years, 3 ICCs were confirmed in HIV-seropositive women, and none were confirmed in HIV-seronegative women. The ICC incidence rate was not found to be associated significantly with HIV status (HIV-negative women [0 of 100,000 person-years] vs HIV-positive women [21.4 of 100,000 person-years]; P = .59). A calculated incidence rate ratio standardized to expected results from the Surveillance Epidemiology and End Results database that was restricted to HIV-infected Women’s Interagency HIV Study participants was 1.32 (95% confidence interval, 0.27-3.85; P = 0.80). Conclusions: Among women with HIV in a prospective study that incorporated cervical cancer prevention measures, the incidence of ICC was not significantly higher than that in a comparison group of HIV-negative women. Keywords: Cervical Cancer, Human Immunodeficiency Virus, Women, Cancer Prevention.


GYNECOLOGY ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. 155-160
Author(s):  
Tatyana Yu. Pestrikova ◽  
Ainur F. Ismaylova ◽  
Sergey N. Kiselev

Aim. Conduct a comparative assessment of the main indicators of the incidence of cervical cancer in Khabarovsk Krai (20092019) аnd the prevalence of types of human papillomavirus among the female population. Materials and methods. A comparative analysis of the data of the official statistics of the Ministry of Health of Khabarovsk Krai, using the Rosstat database for the period 20092019, taking into account the incidence, mortality, prevalence of types of human papillomavirus, was carried out. The dynamics trend was determined in the process of graphical analysis of the diagram and by modeling trends. The results of the studies were subjected to the methods of statistical information processing. Results. The results revealed in our study indicate that the increase in the incidence of cervical cancer in Khabarovsk Krai from 2009 to 2019 was 44.4% (with an average annual growth rate of 4.5%). Most often, cervical cancer in Khabarovsk Krai is detected in urban residents. The share of urban women with this pathology in 2019 reached 77.2%. The proportion of stage III cancer detected exceeds the proportion of stage IIIIV cancer by 2.5 times. Mortality in patients with cervical cancer in Khabarovsk Krai exceeds that in the Russian Federation. Of the 1617 residents of the city of Khabarovsk of reproductive age, 883 (54%) women had the presence of human papillomavirus. For our region, most often, women had highly oncogenic types of human papillomavirus 16, 56, 51. Conclusion. Statistical analysis based on the results of diagnosing early and advanced stages of cervical cancer, mortality from this nosological form, and the spread of the human papillomavirus remain among the most important criteria. The data obtained make it possible to assess the effectiveness of the chosen tactics in the regions and take timely corrective measures aimed at both early detection of cervical cancer and a decrease in the persistence of the human papillomavirus in women with background cervical pathology.


2020 ◽  
pp. 107-112
Author(s):  
T. M. Harelik ◽  
I. A. Naumov

Objective: to develop a healthcare organizational model of secondary prevention of cervical cancer. Material and methods. The work analyzes the quality of medical care given to women of reproductive age living in Grodno region in whom cases of cervical intraepithelial neoplasia and cervical cancer were detected from 2010 to 2019. On the basis of the results of questioning of 200 women who had been treated in Oncology Ward No.3 of Grodno University Clinic, the most significant risk factors of the development of the pathology were identified. Statistical processing was performed by means of the program «Statistica» 10.0.Results. An effective model of secondary prevention of cervical cancer has been developed: from 2015 to 2019 compared to the previous quinquennium the detectability of cervical intraepithelial neoplasia and non-invasive cervical cancer increased by more than 17 % and 25 %, and the average parameters of the newly diagnosed morbidity were 69.97 ± 2.42 and 19.91 ± 2.28 per 100,000 women of reproductive age (p < 0.05). This made it possible to take timely measures for carcinogenesis interruption.Conclusion. The implementation of the healthcare organizational model of secondary prevention of cervical cancer contributes to improvement of the quality of medical care, and, therefore, maintainance of perspective realization of the child-bearing function for women of reproductive age.


Author(s):  
Виктор Гордиенко ◽  
Viktor Gordienko ◽  
А. Вахненко ◽  
A. Vahnenko ◽  
Д. Екония ◽  
...  

The first two decades of the XXI century in the Far Eastern Federal District continue to be characterized by a constantly decreasing level of the population living on its territory with an annual increase in the number of patients with cancer pathology, which makes a negative contribution to the already negative demographic situation in the region. The purpose of this study was to make a scientific assessment of the main morbidity and mortality rates of the population from malignant tumors of the trachea, bronchi and lung in the Far Eastern Federal District over the past ten years (2008-2017). In the course of the work, morbidity and mortality indicators, reporting forms of statistical records of cancer patients and regulatory documents of higher organizations, information on ten-year observations of the dynamics of changes in the numerical values of indicators of the studied pathology were used. The main indicators of medical care for oncology patients in the Far Eastern Federal District are shown, and it was found out that 3180 new cases of tracheal, bronchial and lung malignant neoplasms were registered in 2017, which is 30.9% more than ten years ago (in 2008 there were 2429 cases). The maximum number of cases was in the age group of 50-69 years. The number of patients with stages I-II (29.4%) of the cancer process increased slightly whereas the number of patients with advanced forms of the disease increased significantly (41.5%). The percentage of patients identified during routine check-ups was 28.0% (in 2008 it was 15.8%). Mortality in the first year from the time of diagnosis was reduced to 49.2% (in 2008 – 55.0%) remaining, at the same time, at very high numbers, which makes it impossible to characterize medical care for oncology patients as adequate for the time required. In the structure of total mortality, trachea, bronchus and lung tumors (20.7%) take the first place significantly exceeding the Russian level (17.3%). There was designated the quality of the service’s activity according to the confidence index of accounting for this category of patients, which in 2017 did not fall below 0.6 in any of the territories forming the Far Eastern Federal District. A great deal of work of primary health care institutions responsible for identifying malignant neoplasms in the initial stages of the process, unfortunately, has not led to the desired reduction in morbidity and mortality in the Far Eastern Federal District in the last decade. On the contrary, the level of intensive indicators of medical care for cancer patients in the region remains high, with an annual increase in mortality and the number of cases, especially among the female population


Author(s):  
Т. Стукен ◽  
T. Stuken

<p>The current research features employment of university graduates in the Siberian Federal District. The objective is to assess the quality of employment among higher education system graduates. The study is based on microdata obtained from a survey on employment conducted by the Federal Service of State Statistics (Rosstat). The methodology is based on a comparison of employment haracteristics (the level and profile of education, formal / informal, full / part-time employment) that reflect a possible demand for graduates on the local labour market. The main research methods are descriptive and regression analysis. The obtained results indicate that approximately one third of graduates fail to find work according to their specialty and perform jobs that do not require higher education. Every eighth graduate is employed in the informal sector. These figures indicate a lower quality of employment of graduates in the Siberian Federal District, compared with the average indicators for Russia. A regression analysis has showed that employment in accordance with the level and profile of education is determined mainly by individual characteristics of individuals. The best chances are in the field of medicine, the worst – in agriculture. The assumptions about<br />a high demand for specialists in the field of engineering and technology and a lower demand for specialists in economics and management have not been confirmed. These employment rates turned out to be approximately equal and correspond to average values. The obtained results can be used in the formation of programs of education development (primarily at the level of flagship universities) and improvement of educational programs.</p>


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