scholarly journals COMMUNITY-ACQUIRED PNEUMONIA IN ST. PETERSBURG: MAIN RESULTS AND TRENDS IN 2009-2016

2019 ◽  
Vol 62 (5) ◽  
pp. 228-233
Author(s):  
O. N. Titova ◽  
N. A. Kuzubova ◽  
T. E. Gembitskaya ◽  
M. A. Petrova ◽  
Andrey G. Kozyrev ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Russian Federation ◽  
Medical Records ◽  
Federal District ◽  
Mortality Rates ◽  
Community Acquired Pneumonia ◽  
Prognostic Impact ◽  
Incidence And Mortality ◽  
Epidemiological Characteristics ◽  
The Relationship

The article considers the incidence, mortality and in-hospital mortality rates from community-acquired pneumonia in St. Petersburg, 2009-2016. Epidemiological characteristics were studied in comparison with values in Russian Federation, as well as levels in Moscow and the Northwestern Federal District. The relationship between incidence and mortality rates from community-acquired pneumonia and epidemics of influenza was demonstrated. After the analysis of the medical records of patients who died of community-acquired pneumonia, defects in the organization of medical care, which had a negative prognostic impact, were indicated. A series of measures was proposed to improve the situation with community-acquired pneumonia in St. Petersburg.

scholarly journals Epidemiological characteristics of community-acquired pneumonia during the COVID-19 epidemic in the Russian Federation

2021 ◽  
Author(s):  
BA Zhigarlovskiy ◽  
NF Nikityuk ◽  
VB Postupailo ◽  
AA Goryaev ◽  
EV Belov ◽  
...  
Keyword(s):  
Russian Federation ◽  
Respiratory Infections ◽  
Adult Population ◽  
Community Acquired Pneumonia ◽  
Annual Growth Rate ◽  
The Russian Federation ◽  
Epidemiological Characteristics ◽  
The Relationship ◽  
Actual Incidence

COVID-19 belongs to the group of acute respiratory infections and it is often complicated with pneumonia. This study aimed to investigate manifestations of community-acquired pneumonia (CAP) epidemic process during the COVID-19 epidemic in the Russian Federation. We analyzed the official statistical data reporting the incidence of CAP in the Russian Federation in 2013–2020 and incidence of COVID-19 as registered in March–July 2020. The mean average annual CAP incidence rate that we calculated and the 2020 CAP incidence prediction allowed assessing the relationship between CAP and COVID-19. It is shown that the long-term dynamics of the incidence of CAP in the Russian Federation is characterized by a pronounced upward trend with an average annual growth rate of 6.4%. The share of adult population among the CAP cases is the largest; on average, it is 64.7% (95% CI [63.1; 66.3]). In 2020, against the background of SARS-CoV-2 circulation, the discrepancy between the actual incidence of CAP and the predicted figures reached and exceeded 558% (in July 2020). As the COVID-19 epidemic developed, the incidence of CAP was registered to increase. There was established a direct and significant correlation between the incidence of CAP and COVID-19 (rxy = 0.932; p <0.01).

scholarly journals Descriptive-epidemiological characteristics of lung cancer in Serbia

2008 ◽  
Vol 61 (1-2) ◽  
pp. 16-21 ◽  
Author(s):  
Natasa Maksimovic ◽  
Kyriakos Spanopoulos
Keyword(s):  
Lung Cancer ◽  
Direct Method ◽  
Age Groups ◽  
Malignant Tumour ◽  
Mortality Rates ◽  
Malignant Tumours ◽  
Mortality Trends ◽  
Incidence And Mortality ◽  
The Republic ◽  
Epidemiological Characteristics

Introduction. Lung cancer represents the most common malignant tumour among men, and appears more and more frequently among women in many countries worldwide. The aims of this descriptive epidemiological study were to evaluate the mortality trends of all malignant tumours and lung cancer in Central Serbia from 1990 to 1999, and to estimate the incidence, mortality and the basic demographic characteristics of lung cancer in Central Serbia in 1999. Material and methods. The source of data concerning cancer cases in 1999 was the Cancer Registry of Central Serbia, while data of the Republic Statistics Institute were used for the analysis of mortality trends for the period 1990-1999. All rates were standardized by the direct method, to the world standard population. Confidence intervals for mortality rates were assessed with 95% level of probability. Linear regression coefficient was determined by Fisher's test. Results. The mortality rates showed rising tendencies for both lung cancer (y=-1876.26+0.96x, p=0.028 for men; y=654.78U).33x, p-0.001 for women) and all malignant tumours (y=-4139.88+2.15x, p=0.163 for men; y=3649.68 + 1.88x, p=0.016 for women), with statistically significant increase being observed for all trends, except all malignant tumours among men. In the year 1999, lung cancer ranked first among men and third among women, with 29.2% and 10.3% of cancer mortality respectively. The age-specific mortality rates were much higher in men in all age groups. Mortality increased with age and the highest rates were found in the age group 70-74 for both sexes. The highest incidence and mortality rates were reported in Belgrade, Moravicki and Sumadijski district. .

scholarly journals COVID-19 hospital activity and in-hospital mortality during the first and second waves of the pandemic in England: an observational study

Thorax ◽  
2021 ◽  
pp. thoraxjnl-2021-218025
Author(s):  
William K Gray ◽  
Annakan V Navaratnam ◽  
Jamie Day ◽  
Julia Wendon ◽  
Tim W R Briggs
Keyword(s):  
Hospital Mortality ◽  
Hospital Stay ◽  
Ethnic Groups ◽  
Mortality Rates ◽  
Data Set ◽  
Black African ◽  
Substantial Decline ◽  
The Relationship ◽  
Second Wave

IntroductionWe aimed to examine the profile of, and outcomes for, all people hospitalised with COVID-19 across the first and second waves of the pandemic in England.MethodsThis was an exploratory retrospective analysis of observational data from the Hospital Episode Statistics data set for England. All patients aged ≥18 years in England with a diagnosis of COVID-19 who had a hospital stay that was completed between 1 March 2020 and 31 March 2021 were included. In-hospital mortality was the primary outcome of interest. The second wave was identified as starting on 1 September 2020. Multilevel logistic regression modelling was used to investigate the relationship between mortality and demographic, comorbidity and temporal covariates.ResultsOver the 13 months, 374 244 unique patients had a diagnosis of COVID-19 during a hospital stay, of whom 93 701 (25%) died in hospital. Adjusted mortality rates fell from 40%–50% in March 2020 to 11% in August 2020 before rising to 21% in January 2021 and declining steadily to March 2021. Improvements in mortality rates were less apparent in older and comorbid patients. Although mortality rates fell for all ethnic groups from the first to the second wave, declines were less pronounced for Bangladeshi, Indian, Pakistani, other Asian and black African ethnic groups.ConclusionsThere was a substantial decline in adjusted mortality rates during the early part of the first wave which was largely maintained during the second wave. The underlying reasons for consistently higher mortality risk in some ethnic groups merits further study.

scholarly journals Temporal Trends in Sepsis Incidence and Mortality in Patients With Cancer in the US Population

2021 ◽  
Vol 30 (4) ◽  
pp. e71-e79
Author(s):  
Michael A. Liu ◽  
Brianna R. Bakow ◽  
Tzu-Chun Hsu ◽  
Jia-Yu Chen ◽  
Ke-Ying Su ◽  
...  
Keyword(s):  
Propensity Score ◽  
Hospital Mortality ◽  
Propensity Score Matching ◽  
Cox Regression ◽  
Temporal Trends ◽  
Mortality Rates ◽  
Hazard Ratio ◽  
Patients With Cancer ◽  
Incidence And Mortality ◽  
The Impact

Background Few population-based studies assess the impact of cancer on sepsis incidence and mortality. Objectives To evaluate epidemiological trends of sepsis in patients with cancer. Methods This retrospective cohort study included adults (≥20 years old) identified using sepsis-indicator International Classification of Diseases codes from the Nationwide Inpatient Sample database (2006-2014). A generalized linear model was used to trend incidence and mortality. Outcomes in patients with cancer and patients without cancer were compared using propensity score matching. Cox regression modeling was used to calculate hazard ratios for mortality rates. Results The study included 13 996 374 patients, 13.6% of whom had cancer. Gram-positive infections were most common, but the incidence of gram-negative infections increased at a greater rate. Compared with patients without cancer, those with cancer had significantly higher rates of lower respiratory tract (35.0% vs 31.6%), intra-abdominal (5.5% vs 4.6%), fungal (4.8% vs 2.9%), and anaerobic (1.2% vs 0.9%) infections. Sepsis incidence increased at a higher rate in patients with cancer than in those without cancer, but hospital mortality rates improved equally in both groups. After propensity score matching, hospital mortality was higher in patients with cancer than in those without cancer (hazard ratio, 1.25; 95% CI, 1.24-1.26). Of patients with sepsis and cancer, those with lung cancer had the lowest survival (hazard ratio, 1.65) compared with those with breast cancer, who had the highest survival. Conclusions Cancer patients are at high risk for sepsis and associated mortality. Research is needed to guide sepsis monitoring and prevention in patients with cancer.

Bronchial asthma incidence and mortality dynamics in adult population of the North-Western federal district

MedAlliance ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 31-39
Keyword(s):  
Bronchial Asthma ◽  
Russian Federation ◽  
Adult Population ◽  
Federal District ◽  
Mortality Level ◽  
North West ◽  
Asthma Incidence ◽  
The North ◽  
Incidence And Mortality ◽  
The Russian Federation

SummaryAim. Study the BA incidence and mortality dynamics in adult population of the North-West Federal District (SZFО) throughout 2010–2019, as well as compare these param-eters of SZFO subjects with other regions. Маterials and methods. Official data from statistical books of the Min-istry of Healthcare of the Russian Federation have been used, in particular adults’ presentation to the medical in-stitutions of the Russian Federation, Moscow and SZFO subjects with BA throughout 2010–2019, as well as BA deaths. Microsoft Excel and SPSS programmes were used to process statistical data. Results. Among the federal districts of the Russian Federation, the North-West was #3 in 2018 with primary BA incidence. Сomparative analysis of 2010–2019 data showed that both general BA inci-dence and newly diagnosed cases of BA among the adult population of SZFO may be assessed as not very high on a global scale. The BA incidence dynamics throughout the period under study had an ascending trend. Mortality due to bronchial asthma on the whole tend to de-crease, but there is a significant variability among various regions of SZFO. BA primary incidence is much higher in Nenets Autonomous District and Arkhangelsk Region (М=191.1±12.6 and 106.4±5.7, respectively), while gener-al incidence was much higher in Arkhangelsk and Pskov Regions, higher than the average levels over Russia and the incidence levels in the majority of SZFO subjects. BA general incidence had minimal levels in the adult popu-lation of SZFO in 2010 (934.6), and maximum ones — in 2019 (1233.1). The BA general incidence in all the regions showed pronounced ascending trend, except Saint Pe-tersburg where it was stable (Тпр.ср.=0.73%). The highest BA mortality level among SZFO population was noted in 2010 — 1.6 сases per 100,000 population, the lowest — in 2016 (0.5 сases). Сomparative analysis demonstrated that BA mortality level in 2017 in the overall population of Russia was 22.2% higher than among SZFO population. Conclusion. Higher bronchial asthma incidence among adult population of SZFO regions is due to commonly recognized factors that promote the development of this condition, including ecology, pollution (environment, air) and climate and geographic features, but also are con-nected with improvement in BA diagnostics, last but not least thanks to better quality of continuous education of pulmonology specialists

Non-Melanoma Skin Cancer Distribution in the Russian Federation

Dermatology ◽  
2020 ◽  
pp. 1-9
Author(s):  
Anastasiya Muntyanu ◽  
Feras M. Ghazawi ◽  
Hacene Nedjar ◽  
Elham Rahme ◽  
Akram Alakel ◽  
...  
Keyword(s):  
Skin Cancer ◽  
Russian Federation ◽  
Mortality Rates ◽  
Awareness Campaigns ◽  
Oncology Research ◽  
Non Melanoma Skin Cancer ◽  
Incidence And Mortality ◽  
The Russian Federation ◽  
Incident Cases ◽  
Melanoma Skin

<b><i>Background:</i></b> Non-melanoma skin cancer (NMSC) incidence has been increasing steadily around the world. The aim of the study is to describe geographic trends in incidence and mortality of NMSC in Russia between 2007 and 2017 and compare findings to other European countries. <b><i>Methods:</i></b> We used geospatial analysis to map the incident cases and descriptive statistical analysis to analyze trends. Additionally, we assessed the relationship between ethnicity, geographic latitude/longitude, and NMSC incidence/mortality rates. We retrospectively analyzed the data from the Moscow Oncology Research Institute, Ministry of Health of the Russian Federation, for 2007–2017. Routine methods of descriptive epidemiology were used to study incidence and mortality rates by age groups, years, and jurisdictions (i.e., Federal Districts and Federal Subjects). <b><i>Results:</i></b> In total, 733,723 patients were diagnosed with NMSC in Russia over the period 2007–2017, of whom 63% were women. The overall age-standardized incidence and mortality rates were 29.64/100,000 and 0.70/100,000, respectively. There was a consistent increase in age-standardized incidence rates over the study period, with a decreasing mortality rate. Geographic mapping revealed north-to-south and east-to-west gradients for NMSC. <b><i>Conclusions:</i></b> This study demonstrated longitudinal trends for NMSC incidence in Russia documenting that skin phototype, latitude/longitude, climate zones, and cultural practices remain dominant risk factors defining the epidemiology of NMSC. Moreover, this work identified several regions in the country (i.e., Republic of Adygea, Samara, Krasnodar Krai, etc.), where patient education/sun awareness campaigns will be useful to help reduce the risk of this malignancy.

scholarly journals Medical care for children with cancer in the Siberian Federal District

2019 ◽  
Vol 18 (1) ◽  
pp. 5-12
Author(s):  
M. Yu. Rykov
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Russian Federation ◽  
Federal District ◽  
Siberian Federal District ◽  
Children With Cancer ◽  
Aim Analysis ◽  
Incidence And Mortality ◽  
Hospital Beds ◽  
The Russian Federation

background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results obtained is also the basis of the strategy for the development of medical care for this category of patients. aim: analysis of the main parameters characterizing medical care for children with cancer in the Siberian Federal District. material and methods. The reports for 2017 on the health protection of 11/12 (91.6 %) constituent entities of the Russian Federation belonging to the Siberian Federal District were analyzed (Irkutsk Region did not provide data). results. In 2017 the number of children aged 0–17 years was 3 722 470, the number of pediatric hospital beds for children with cancer (ages 0–17 years) was 260 (0,7 per 10,000), and the average number of bed-days per year was 342.2. In 3 (25 %) constituent entities of the Russian Federation, there were no departments of pediatric oncology and in 1 (8,3 %) there were no hospital beds for children with cancer. The number of physicians, who specialized in children’s cancer was 49, of them 32 (65,3 %, 0,08 per 10,000, ages 0–17 years) had a certificate of a pediatric oncologist. In 1 (8,3 %) constituent entity of the Russian Federation, there were no pediatric oncologists. For children aged 0–17 years, the cancer incidence rate was 11.7 per 100,000 children, the cancer mortality rate was 2,2 per 100,000, and one-year mortality rate was 7,4 %. 188 (43,2 %) primary cancer patients were referred to medical institutions of the Federal District, and 17 (3,9 %) primary patients left the territory of the Russian Federation. conclusion. The low incidence and mortality rates can be explained by the lost of reliable follow-up data. It is advisable to introduce electronic health record systems. For reliable estimation of hospital bed supply for children with cancer and percent of patients referred to medical centers for treatment, it is necessary to carry out a clinical audit. Deficiency of pediatric oncologists should be eliminated by reforming the training of medical personnel.

HETEROGENEITY OF MARKET POWER IN RUSSIAN RETAIL GASOLINE MARKETS

2020 ◽  
Vol 2 (11) ◽  
pp. 102-111
Author(s):  
M. E. FILKIN ◽  
Keyword(s):  
Russian Federation ◽  
Negative Correlation ◽  
Positive Relationship ◽  
Concentration Level ◽  
Federal District ◽  
Gasoline Prices ◽  
Gasoline Market ◽  
Retail Gasoline ◽  
The Relationship ◽  
Concentration Indices

The paper is devoted to empirical monitoring of the gasoline market structure in Russian Federation. Concentration indices of the retail gasoline market in all Federal subjects of Russia are determined. The relationship between the average level of gasoline prices in the region and the concentration level expressed by the Herfindahl – Hirschman index, as well as the volume of production of the corresponding brand of gasoline in the Federal district to which the region belongs, is analyzed. We revealed a weakly positive relationship between prices and level of concentration and a weakly negative correlation between price and level of production in the regions.

Gender Differences in Cancer of the Larynx

1995 ◽  
Vol 104 (6) ◽  
pp. 419-424 ◽  
Author(s):  
Mimi S. Kokoska ◽  
Jay F. Piccirillo ◽  
Bruce H. Haughey
Keyword(s):  
Gender Differences ◽  
Gender Difference ◽  
Symptom Severity ◽  
Medical Records ◽  
Mortality Rates ◽  
Prognostic Variables ◽  
Men And Women ◽  
Patients With Cancer ◽  
Incidence And Mortality ◽  
Anatomic Subsite

Gender differences in the incidence and mortality rates for cancers of the lung, colon, and larynx have previously been noted. The goal of this project was to identify gender differences in prognostic variables for survival and recurrence for patients with cancer of the larynx. The medical records of 193 patients with cancer of the larynx treated initially between 1973 and 1985 were examined retrospectively. A total of 151 men and 42 women were included. A majority of men developed glottic cancers, whereas a majority of women developed supraglottic cancers. Age was prognostically important for both genders; however, comorbidity, symptom severity, anatomic subsite, and TNM stage all had different impacts on survival and recurrence in men and women. No gender difference in initial treatment was found. This study suggests that when designing and analyzing the results from clinical studies of cancer of the larynx, it is important to employ stratification based on gender.

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