The Medical Social Aspects of Repeated Disability of Adult Population Due to Malignant Neoplasms in the Russian Federation

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Puzin S. N. ◽  
◽  
Shurgaya M. A. ◽  
Achkasov E. E. ◽  
Memetov S. S. ◽  
...  
Keyword(s):  
Russian Federation ◽  
Adult Population ◽  
Social Aspects ◽  
Malignant Neoplasms ◽  
The Russian Federation

scholarly journals REPEATED DISABILITY DUE TO CANCER IN THE CHECHEN REPUBLIC

2018 ◽  
Vol 21 (3-4) ◽  
pp. 152-155
Author(s):  
Liliya S. Idrisova
Keyword(s):  
Young People ◽  
Russian Federation ◽  
Adult Population ◽  
The Elderly ◽  
Malignant Neoplasms ◽  
Middle Aged ◽  
Growth Trend ◽  
The Russian Federation ◽  
Visibility Index ◽  
Negative Growth

The article presents the results of a study of the dynamics of recurrent disability due to malignant neoplasms (ZNO) of the adult population in the Chechen Republic for the period 2008-2017. in comparison with the figures for the Russian Federation. In the Russian Federation, the dynamics of re-disability of the adult population due to the ZNO in the period 2008-2017 was characterized by an increase in the number of repeatedly recognized disabled (PPI), the level of which increased from 19.9 to 27.0 per 10 thousand people. Compared to 2008 (taken as 100%), the indicator of visibility of PPI was 135%. In the PPI contingent, the elderly prevailed with a negative trend of growth in their numbers. The proportion of young and middle-aged PPI decreased. In the Chechen Republic, the epidemiological picture of the disability of the adult population due to the ZNO was characterized by different dynamics. The number of PPI due to ZNO in the country decreased. Compared to 2008 (taken as 100%), the visibility index of the PPI was 57.0%; In the structure of recurrent disability due to ZNO, middle-aged and old-aged PPI prevailed, however, their proportion declined. There is a negative growth trend in the proportion of young people.

scholarly journals Trends in Morbidity and Hospital Lethality from Neoplasms before and during the New Coronavirus Infection COVID-19

2021 ◽  
Vol 76 (6) ◽  
pp. 612-621
Author(s):  
Vladimir I. Starodubov ◽  
Valerij S. Stupak ◽  
Elena M. Manoshkina ◽  
Irina M. Son
Keyword(s):  
Russian Federation ◽  
Adult Population ◽  
Malignant Neoplasms ◽  
Observation Data ◽  
Social Significance ◽  
Difficult Situation ◽  
Continuous Growth ◽  
Coronavirus Infection ◽  
The Russian Federation ◽  
The Impact

Background. Taking into account the special medical and social significance of oncological diseases, as well as taking into account that patients suffering from neoplasms are a special risk group for developing complications of coronavirus infection, it seems relevant to study the impact of the COVID-19 pandemic on the level of morbidity and hospital lethality of patients with neoplasms. Aims to study the trends of morbidity and hospital lethality due to neoplasms in the Russian Federation before and during the pandemic of the new coronavirus infection COVID-19. Methods. The indicators of primary and general morbidity, hospital lethality from neoplasms of the adult population were calculated on the basis of federal statistical observation data contained in reporting forms No. 12 and No. 14 of all subjects of the Russian Federation for 20152020. Results. During the period from 2015 to 2019, an increase in the general (by 14.8%) and primary (by 4.8%) incidence of neoplasms was noted in the Russian Federation. In 2020, compared with 2019, on the contrary, the indicators of general (by 5.0%) and primary (by 17.4%) incidence of neoplasms decreased. Hospital lethality due to neoplasms also increased during 20152019, in total it increased by 19.2%, in one year (2020) hospital lethality increased by 6.6%. A similar situation has developed in all federal districts and most regions of the country. Conclusions. The decline in the incidence of neoplasms in 2020, with their previous continuous growth, reflects the difficult situation that has developed during the pandemic of a new coronavirus infection in the healthcare of the Russian Federation. The increase in hospital lethality from neoplasms indicates a more severe course of coronavirus infection in adult patients with malignant neoplasms and a more frequent development of fatal complications in them.

scholarly journals Modern trends in repeated disability due to diseases of the musculoskeletal system and connective tissue in retirement age citizens of the Russian Federation

2016 ◽  
Vol 19 (2) ◽  
pp. 89-95 ◽  
Author(s):  
Marina A. Shurgaya
Keyword(s):  
Connective Tissue ◽  
Russian Federation ◽  
Musculoskeletal System ◽  
Adult Population ◽  
Circulatory System ◽  
Specific Weight ◽  
Absolute Number ◽  
Malignant Neoplasms ◽  
Retirement Age ◽  
The Russian Federation

The article presents results of the study ofproblems of the repeated disability due to diseases of the musculoskeletal system and connective tissue in retirement age citizens of the Russian Federation in the period of from 2005 to 2014. There were analyzed the number of this category of invalids, their specific weight among re-recognized as disabled cases with account of classes of diseases and the age, structure of the repeated disability in groups, the level of repeated disability and ranking places of subjects of the Russian Federation on this index in 2014. The results of the executed analysis indicate that only in the Russian Federation for 10 years (2005-2014) there were re-recognized as disabled due to diseases of the musculoskeletal system and connective tissue 487.1 thousand people from citizens of retirement age with distinct dynamics of the increase as their absolute number (from 22.1 thousand persons in 2005 to 69.3 thousand people in 2014) and the index of disability level (respectively from 7.6 to 20.5 per 10 thousand of the corresponding adult population). This pathology was established to determine a high level of repeated disability in this age group (20.5 per 10 thousand population). Comparative analysis by age revealed that in the Russian Federation in the structure of the repeated disability due to diseases of the musculoskeletal system and connective tissue in the adult population invalids of the retirement age prevail (42.8% in 2014). Along with diseases of the circulatory system (of rank 1) and malignant neoplasms (rank 2), diseases of the musculoskeletal system and connective tissue form the contingent of cases repeatedly recognized as disabled of retirement age (3th rank place). A ranking ofall subjects of the Russian Federation by the level of repeated disability of citizens of retirement age due to diseases of the musculoskeletal system and connective tissue allowed to select 70 ranking places, that with bearing in mind the present demographic situation, has a practical orientation for planning the organization of medical and social care for the given large category of the population.

scholarly journals RESULTS OF AN EPIDEMIOLOGICAL STUDY OF PRIMARY DISABILITY DUE TO MALIGNANT NEOPLASMS OF THE ADULT POPULATION IN THE RUSSIAN FEDERATION

2018 ◽  
Vol 21 (3-4) ◽  
pp. 144-148
Author(s):  
S. N Puzin ◽  
M. A Shurgaya ◽  
G. E Pogosyan ◽  
T. A Chludeeva ◽  
L. S Idrisova
Keyword(s):  
Russian Federation ◽  
Adult Population ◽  
Regional Differentiation ◽  
Malignant Neoplasms ◽  
Disabled People ◽  
Elderly Age ◽  
Primary Disability ◽  
The Russian Federation ◽  
All Diseases

The 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.

Malignant mesothelioma in the Russian Federation

2020 ◽  
pp. 646-646
Author(s):  
E. V. Kovalevskiy ◽  
S. V. Kashanskiy ◽  
I. M. Tskhomariia
Keyword(s):  
Malignant Mesothelioma ◽  
Russian Federation ◽  
Preventive Measures ◽  
Convincing Evidence ◽  
Malignant Neoplasms ◽  
Asbestos Fibers ◽  
The Russian Federation

One of the malignant neoplasms, which is associated with exposure to only one factor - asbestos fibers, is malignant mesothelioma. At the same time, today there is already convincing evidence of its polyetiology. This indicates the urgent need to expand research in this direction in order to develop targeted preventive measures.

scholarly journals THE DISABILITY OF CITIZEN OF ELDERLY AGE IN THE RUSSIAN FEDERATION

2019 ◽  
Vol 61 (6) ◽  
pp. 292-299
Author(s):  
Marina A. Shurgaya
Keyword(s):  
Social Support ◽  
Health Care ◽  
Russian Federation ◽  
Disabled Persons ◽  
Regional Differentiation ◽  
Malignant Neoplasms ◽  
Urogenital System ◽  
Elderly Age ◽  
Gender Characteristics ◽  
The Russian Federation

During the period of health care reforming, study of a true picture of population health and medical social needs in particular age-gender groups, including elderly age, is a necessary condition for planning development of health care, social support and scientific substantiation of prevention programs. The article presents the results of comparative analysis of indices of disability of main age groups of adult population of the Russian Federation during 2005-2016. The methods of study: documentary, data sampling, statistical and graphic techniques. The volume of study made up to 34,840,933 individuals aged from 18 years and older, recognized as disabled, including disabled persons of elderly age - 12,971,062 individuals. The established characteristics of primary and repeated disability of citizen of elderly age in the Russian Federation (gender characteristics, nosological structure, regional differentiation) are covered that reflect demographic tendencies of aging of population. The dynamics of disability of citizen of elderly age during long term period (2005-2016) testifies alteration of ratio between primary and repeated established cases of disability. In 2005 overwhelming exceeding of primary recognized as disabled persons over repeatedly recognized was marked: 81.2% against 18.9%. In 2016 in total contingent of the examined the disabled persons with repeatedly established disability prevailed: 62.7% against 37.3%. During the period of observation, the level of repeatedly established disability among citizen of elderly age increased up to 74,5% (R2 = 0,546), whereas in contingents of young and middle age is marked a stable tendency to decreasing of value of indicator (R2 = 0,934, R2 = 0,5873 correspondingly). The citizen of elderly age prevails in the structure of disability due to malignant neoplasms, diseases of blood circulation system, diseases of musculoskeletal system and connective tissue, diseases of eye, ear and mastoid bone, diseases of endocrine, nervous and urogenital system. In connection with high invalidation, the elderly category of population is in need of significant medical social support. The development of activities targeted to medical social rehabilitation of citizen of elderly age it is appropriate considering regional differentiation of the subjects in the Russian Federation related to prevalence of disability and also gender characteristics of disability.

scholarly journals Economic consequences of mandatory price re-registration for medicines from the high-cost nosology program

2020 ◽  
pp. 27-33
Author(s):  
A. V. Rudakova ◽  
D. T. Ugrekhelidze ◽  
V. A. Krylov
Keyword(s):  
Russian Federation ◽  
Economic Consequences ◽  
Malignant Neoplasms ◽  
Selling Price ◽  
Pricing Policy ◽  
Essential Drug List ◽  
Before And After ◽  
The Russian Federation ◽  
The Government ◽  
Reference Stock

The Government Decree, approved in December 2019, required registration certificates holders of reference drugs, included in the essential drug list (EDL), submit applications for mandatory price re-registration. Drugs included in the high-cost nosology list (high-cost list) must be included in the EDL.Objective: to assess the budget impact of price re-registration for high-cost list drugs.Material and methods. The comparing economic analysis of high-cost nosology program before and after price re-registration based on the Government Decree N 1683 (effective from 16.12.2019). 125 reference stock keeping units (SKUs), included in the high-cost list, were evaluated.Results. The analysis showed, that after re-registration the prices of 66 SKUs will remain the same. The prices of 43 reference SKUs will be reduced after setting a single maximum selling price («equalization»). Prices for 16 SKUs will be reduced due to lower registered prices in the reference countries. Considering the contracts executed in 20192020, the budget of the high-cost program is up to 74.430 billion rubles, and after re-registration it will be equal to 64.162 billion rubles, so the savings will amount 10.267 billion (13.8 %). The main drivers of re-registration prices savings are: Advagraf (1.175 billion rubles), Elizaria (2.083 billion rubles) and Revlimid (2.247 billion rubles). Separately, we analyzed the consequences ofprices re-registration in the V-thgroup ofhigh-cost list, which are provided topatients with malignant neoplasms of lymphoid, hematopoietic and related tissues. It was calculated, that in 2019 the contracts for V-th group of high-cost list were signed for 19.217 billion rubles, and after the price re-registration for the purchase of the same number of drugs 16.762 billion rubles will be spent, so the savings from the price re-registration will amount to 2.455 billion rubles (12.8 %), among which 2.247 billion rubles will be provided by price re-registration of Revlimid.Conclusions. The pricing policy implemented in the Russian Federation is aimed at increasing the availability of highly effective medical care to the population of the Russian Federation and significantly reduces the burden on the budget of the healthcare system.

DYNAMICS IN INCIDENCE OF DISEASES OF THE CIRCULATORY SYSTEM AMONG ADULTS IN THE RUSSIAN FEDERATION IN 2007-2019

2021 ◽  
Vol 67 (2) ◽  
pp. 1-1
Author(s):  
A.A. Savina ◽  
◽  
S.I. Feyginova ◽  
Keyword(s):  
Russian Federation ◽  
Heart Diseases ◽  
Adult Population ◽  
Incidence Structure ◽  
Circulatory System ◽  
Total Mortality ◽  
The State ◽  
Ministry Of Health ◽  
Study Results ◽  
The Russian Federation

Significance. Diseases of the circulatory system remain one of the leading causes of death and morbidity of the adult population. Over the years, the efforts of the State aimed at controlling diseases of the circulatory system have made the contribution of this disease class to the total mortality in Russia gradually reduce. Nevertheless, diseases of the circulatory system remain the leading ones among diseases, characterized by a steady growth and rapidly increasing prevalence among the population. The purpose of the study is to analyze dynamics in incidence and prevalence of the diseases of the circulatory system among the Russian adult population in 2007-2019. Material and methods. The study used data of the statistical collections of the Ministry of Health of the Russian Federation and the Federal Research Institute for Health Organization and Informatics of the Ministry of Health of Russia: "Morbidity of the adult population of the Russian Federation" for 2007-2019. The study, which is a continuous statistical observation, used the method of direct ranking, calculation of indicators of time series. Results. Diseases of the circulatory system in 2019 ranked fourth in the incidence structure of the adult population (8%), while its prevalence ranked second to none (21%). Over 13 years, the incidence of diseases of the circulatory system in adults increased by 42% (2007-2019) while its prevalence increased by 24%. The highest levels of incidence of diseases of the circulatory system in 2019 are registered in the Krasnodar Territory (9,024.3 per 100 000 population, + 324%), the Kurgan Region (7,404.2, + 103%) and the Karachayevo-Circassian Republic (7 286.2, + 268%), and prevalence - in the Altai Territory (52 557.6, + 2%), the Chuvash Republic (51 814.6, + 38%) and the Voronezh Region (45 339.4, + 59%). The maximum rates of increase in morbidity with diseases of the circulatory system from 2007 to 2019 are registered in the South Federal district (incidence - by 119%, prevalence - by 56%), among the constituent entities of the Russian Federation: incidence - in the Krasnodar Territory (by 324%), prevalence – the Karachayevo-Circassian Republic (by 136%). According to the state statistical reporting, on average, every 7th acute myocardial infarction is complicated by recurrent heart attack in Russia. Conclusions. Throughout the study period of 13 years, the leading nosological forms include: Hypertensive diseases (35%; 45%, respectively), Ischemic heart diseases (22%; 21,6%) and Cerebrovascular diseases (23%; 20%). Over half of the diseases of the circulatory system are registered in the older working ages (55-60 and over). Scope of application. The study results can be useful to regional authorities in public health in planning and implementing regional programs aimed at controlling diseases of the circulatory system.

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