scholarly journals Segmented analysis of official statistical indicators dynamic series for osteoarthritis in 1994–2018 in Russia, the North-Western Federal district and the Arkhangelsk region

2021 ◽  
Vol 59 (5) ◽  
pp. 584-591
Author(s):  
M. V. Makarova ◽  
M. Yu. Valkov
Keyword(s):  
Russian Federation ◽  
Statistical Significance ◽  
Adult Population ◽  
Federal District ◽  
Arkhangelsk Region ◽  
The North ◽  
Detailed Assessment ◽  
The Russian Federation ◽  
Dynamic Series ◽  
North Western

To improve the rheumatology service in the Russian Federation, it is necessary to determine the true extent of primary and general incidence of osteoarthritis (OA).The aim of the study is a detailed assessment of trends in the dynamics of OA incidence in the Russian Federation, the North-Western Federal district (NWFD) and the Arkhangelsk region (AR).Materials and methods. We evaluated trends in the dynamics of both incidence and prevalence of OA in the Russian Federation (RF), NWFD and AR in the period 1994–2018 based on data from the annual statistical reports of the Ministry of health of the Russian Federation (form 12). Data on the population of AR were obtained in the regional Bureau of statistics – Archangelskstat, for the northwestern Federal district and the Russian Federation from freely available statistical collections of Rosstat. We analyzed the indicators of the adult population (over 18 years old). To evaluate time trends, we used segmented analysis using the Joinpoint Regression Program (National Cancer Institute, USA) to analyze linear trends, evaluate their statistical significance, and identify time points of their change (joinpoints).Results. In the period from 2004 to 2012 in Russia was a decline in the number of annually detected cases of OA, the prevalence of OA increased steadily in the 2016 year recorded a decline in the number of cases of OA in NWFD and AR. The analysis showed a discrepancy in the trends of incidence of OA in the Russian Federation, the northwestern Federal district and AR, which was nonlinear and chaotic. In all territories, the prevalence was increasing. In the Russian Federation, the period from 2004 to 2008, when the primary incidence of OA fell sharply, was marked by a stable increase in the prevalence from 2041.6 to 3383.3 per 100 thousand population. Conclusion. Analysis of official statistical information on the both incidence and prevalence of OA shows a significant variation in indicators, their fluctuations are not related to changes in the practice of diagnosis and treatment of this disease and, most likely, are associated with gaps in its accounting. Improving the epidemiological assessment of OA is possible with the introduction of a system of personalized patient registration-the osteoarthritis registry.

scholarly journals THE EPIDEMIOLOGICAL CHARACTERISTIC OF DISEASES OF MUSCULOSKELETAL SYSTEM

2019 ◽  
Vol 62 (1) ◽  
pp. 13-17
Author(s):  
L. V. Titova ◽  
Mariya V. Makarova ◽  
A. A. Smirnova ◽  
I. V. Obukhova ◽  
S. N. Ivanova
Keyword(s):  
Russian Federation ◽  
Musculoskeletal System ◽  
Adult Population ◽  
Objective Assessment ◽  
Joint Inflammation ◽  
Epidemiological Characteristic ◽  
Arkhangelsk Region ◽  
The North ◽  
The Russian Federation ◽  
North Western

The purpose of the study. To analyze prevalence of diseases of musculoskeletal system in the Arkhangelsk region. The methods. The data of official statistics was used to implement analysis of general morbidity of main diseases of musculoskeletal system of adult population the Arkhangelsk region during 2010-2015 as compared with corresponding morbidity in the North-Western Federal and the Russian Federation in general. The results. In the Arkhangelsk region, among general morbidity percentage of diseases of musculoskeletal system made up to 4.2% (7th rank). The increasing of common morbidity of diseases of musculoskeletal system in adult population was marked in the Arkhangelsk region up to 14% and in the Russian Federation up to 7%. Since 2010, in the Arkhangelsk region the study established increasing of common morbidity rheumatoid joint inflammation up to 22%, spondylopathy up to 65%, osteoarthrosis up to 32.4%, osteoporosis up to 46% and systemic diseases of connective tissue up to 11.5% surpassing average Russian indices. At that, number of cases of reactive arthritis decreased up to 17.2% Conclusions. In the Arkhangelsk region, the register of diseases of musculoskeletal system on the basis of region rheumatological center is to be developed to implement an objective assessment in the existent situation.

MORBIDITY, MORTALITY AND RELIABILITY OF ACCOUNTING OF PATIENTS OF DIFFERENT AGE GROUPS WITH LIVER CANCER IN RUSSIA

2020 ◽  
pp. 240-245
Author(s):  
В. М. Мерабишвили ◽  
В. К. Гуркало ◽  
Э. Н. Мерабишвили
Keyword(s):  
Liver Cancer ◽  
Russian Federation ◽  
Malignant Tumors ◽  
Primary Liver Cancer ◽  
Age Groups ◽  
Federal District ◽  
Cancer Register ◽  
The North ◽  
The Russian Federation ◽  
North Western

Рак печени (РП) - тяжелейшая онкопатология. В России смертность превышает число первично-учтенных больных в среднем. Ежегодно в России регистрируют более 8 тыс. (8 810 - в 2018 г.) случаев рака печени и более 10 тыс. (10 018 - в 2018 г.) случаев смерти от этой причины. Использованы стандартные методы медицинской статистики, все зарегистрированные первичные случаи РП в России. Углубленная разработка материала проведена на основе базы данных Популяционного ракового регистра Северо-Западного Федерального округа РФ. Проанализированы данные всего комплекса доступной информации в целом по России. Установлен прирост заболеваемости РП населения России за 18 лет в «грубых» показателях и абсолютных числах на 20% и в стандартизованных - на 1,22%. У женщин отмечено снижение учтенных случаев РП на 4,55%. Смертность населения России в стандартизованных показателях снизилась за 18 лет практически на 3%. Превышение числа умерших над заболевшими от РП существенно возрастает в старших возрастных группах. Индекс достоверности учета (ИДУ) - это отношение абсолютных чисел или «грубых» показателей смертности населения к заболеваемости. Для всех злокачественных новообразований (ЗНО) величина в среднем по России составила 0,47, практически совпадающая со среднеевропейской. ИДУ у мужчин - 0,55, выше расчетных показателей для женщин - 0,40, что в первую очередь связано с более благоприятной структурой заболеваемости женщин ЗНО. Медиана выживаемости первичных больных РП составляет немногим более 3 мес. Пятилетняя выживаемость больных РП даже на ранних стадиях составляет у лиц моложе 60 лет с I стадией - 25,3%, старше 60 лет - только 17,2%, со II стадией - 17,9 и 11% соответственно. Liver cancer is a severe oncopathology. Mortality exceeds the number of primary-accounted patients in Russia on average. Every year in Russia more than eight thousand (8 810 in 2018) cases of liver cancer and more than 10 000 (10 018 in 2018) deaths from this cause are registered. Used Standard methods of medical statistics, all registered primary cases of liver cancer in Russia. In-depth development of the material was carried out on the basis of the database of the Population cancer register of the North-Western Federal district of the Russian Federation. The analysis of the data of the whole complex of available information in Russia as a whole is carried out. In-depth data development was carried out on the basis of the database of the Population cancer register of the North-Western Federal district of the Russian Federation. The increase in the incidence of liver cancer in Russia over 18 years in «rough» indicators and absolute numbers by 20 % and in standardized by 1,22 % was established. In women, there was a decrease in reported cases of liver cancer by 4,55 %. The mortality rate of the Russian population in standardized indicators has decreased by almost 3 % over 18 years. The excess of the number of deaths over those from liver cancer increases significantly in older age groups. The index of reliability of accounting is the ratio of absolute numbers or «rough» indicators of mortality to morbidity. For all malignant tumors, its value on average in Russia was 0,47, almost coinciding with the average European. The index of reliability of accounting for men is 0,55, higher than the calculated indicators for women - 0,40, which is primarily due to a more favorable structure of the incidence of malignant tumors in women. The median survival of primary liver cancer patients is a little more than three months. The fi ve-year survival rate of patients with liver cancer even in the early stages is in the first among persons younger than 60 years - 25,3 %, over 60 years - only 17,2 %, in the second, respectively, 17,9 and 11%.

scholarly journals Ecologically oriented humanitarian education managementin the context of the Russian federation subject’s boarder territories sustainable development

2020 ◽  
Vol 208 ◽  
pp. 09041
Author(s):  
Y.V. Dmitrieva ◽  
G.A. Galkovskiy
Keyword(s):  
Higher Education ◽  
Sustainable Development ◽  
Russian Federation ◽  
Federal District ◽  
Educational Technologies ◽  
The North ◽  
Pskov Region ◽  
The Russian Federation ◽  
Interdisciplinary Study ◽  
North Western

This article presents the results of an interdisciplinary study aimed at identifying the effectiveness of introducing productive educational technologies into the system of ecologically oriented higher education in the Humanities. The system of higher humanitarian education is viewed in the context of sustainable development of the Russian Federation border territories (on the example of the Pskov Region). The author’s solution for the development of higher humanitarian education in the context of sustainable development of the border territories of the North-Western Federal District is presented.

THE FIRST RESULTS OF THE ANALYSIS OF THE ACTIVITY OF THE CANCER SERVICE OF THE NORTH-WESTERN FEDERAL DISTRICT OF THE RUSSIAN FEDERATION, CONDUCTED ON THE BASIS OF THE CREATED POPULATION CANCER REGISTER OF THE FEDERAL DISTRICT

2020 ◽  
pp. 228-239
Author(s):  
В. М. Мерабишвили ◽  
А. М. Беляев
Keyword(s):  
Russian Federation ◽  
Cancer Incidence ◽  
Malignant Tumors ◽  
Survival Rates ◽  
Age Groups ◽  
Federal District ◽  
Cancer Service ◽  
The North ◽  
The Russian Federation ◽  
North Western

Полностью сформированная база данных Популяционного ракового регистра (БД ПРР) Северо-Западного Федерального округа Российской Федерации (СЗФО РФ) в феврале 2019 г. позволила существенно расширить возможности объективной оценки деятельности онкологической службы на более надежной основе аналитических материалов. В России впервые появилась возможность проводить эпидемиологические исследования злокачественных новообразований по редким локализациям опухолей, любым возрастным группам и расчеты показателей выживаемости больных. БД ПРР насчитывает более 1 млн наблюдений, включает все рубрики и подрубрики МКБ-10 по II классу - коды С00-96. В работе представлена динамика заболеваемости и смертности населения СЗФО РФ в сравнении со среднероссийскими показателями, достоверность учета и выживаемость больных злокачественными новообразованиями. Установлено увеличение онкологической заболеваемости в СЗФО РФ за 8 лет на 10,4% в стандартизованных показателях и снижение смертности населения в СЗФО РФ на 11,4% в тех же показателях. Рассчитана динамика пятилетней наблюдаемой выживаемости больных СЗФО РФ с учетом возрастных групп. Надежность БД ПРР СЗФО РФ подтверждается тем, что материалы трех административных территорий после тщательной проверки включены в монографию МАИР «Рак на 5 континентах», том XI (Санкт-Петербург, Архангельская обл. и Республика Карелия). The completely formed database of the Population Cancer Registry (PCR database) of the North-Western Federal district of the Russian Federation in February 2019 has significantly expanded the ability to objectively assess the activities of the cancer service on a more reliable basis of analytical materials. In Russia, for the first time, it was possible to conduct epidemiological studies of malignant tumors for rare tumor locations, any age groups, and calculations of patient survival rates. The PCR database has more than 1 million observations and includes all the headings and subheadings of ICD-10 for class II - codes C00-96. The article will present the dynamics of morbidity and mortality of the population of the northwestern Federal district of the Russian Federation in comparison with the national average, the reliability of accounting and survival of patients with malignant tumors. For 8 years, the growth of cancer incidence in the Northwestern Federal district of the Russian Federation by 10,4 % in standardized indicators and a decrease in population mortality in the Northwestern Federal district of the Russian Federation by 11,4 % in the same indicators. The dynamics of the 5-year observed survival rate of patients with Northwestern Federal district of the Russian Federation, taking into account age groups, is calculated. The reliability of the PCR database of the Northwestern Federal district of the Russian Federation is confirmed by the fact that the materials of 3 administrative territories are included in the IARC monograph «Cancer incidence in five continents. Vol. XI» (Saint-Petersburg, Arkhangelsk region and the Republic of Karelia).

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

scholarly journals Structure of Oncological Pathology and Survival of Patients with Malignant Tumors of the Eye and Adnexa (C69) Taking into Account Sex, Age and Histological Characteristics (Population Study)

2021 ◽  
Vol 18 (3) ◽  
pp. 578-583
Author(s):  
V. M. Merabishvili ◽  
E. N. Merabishvili
Keyword(s):  
Survival Rate ◽  
Russian Federation ◽  
Malignant Tumors ◽  
Federal District ◽  
Histological Structure ◽  
Cancer Register ◽  
The North ◽  
Anti Cancer ◽  
The Russian Federation ◽  
North Western

Objective. In February 2019, we completed work on creating a unified database of the population cancer registry of the NorthWestern Federal district of the Russian Federation. The development of data on the material of a large area significantly increases the reliability of the material under study, especially for RARE localities of malignant tumors, which include tumors of the eye and and adnexa.For the first time in Russia to present an analysis of the effectiveness of anti-cancer activities in relation to malignant tumors of the eye and adnexa (C69) at the Federal district level with calculations of 5-year survival rates of patients taking into account sex, age and histological structure of tumors.Methods. The development of the 5-year survival rate of patients with malignant tumors of the eye (C69) included information from the database created by us Population cancer register of all administrative territories of the North-Western Federal district of Russia for the period from 1999 to 2013, more than 1000 observations (1022).Results. The study revealed a positive dynamics of survival in patients of the North-Western Federal district of Russia with malignant tumors of the eye. The 5-year survival rate increased among males from 58.8 to 63.1 %, and among females from 64.7 to 69.6 %. A significant overestimation of the proportion of early stages among primary patients with malignant tumors of the eye and adnexa (C69) was found, which may be due to medical errors. Calculations of patient survival (with careful tracking of the deceased) allow us to get a more objective picture.Conclusion. Excellent achievements in the treatment of patients of advanced research centers and institutes can be welcomed only if similar successes are recorded at the population level and are available to all patients. Our in-depth development of population data in the Federal district confirmed the success in the treatment of patients with the malignant tumors of the eye and adnexa (C69), and the patterns we found first in the database of the Population cancer register of St. Petersburg, and now in the North-Western Federal district of the Russian Federation. Similar studies in other Federal districts could be an important component in the planning, monitoring and evaluation of anti-cancer measures in relation to the malignant tumors of the eye and adnexa (C69).

scholarly journals Seasonal and regional features of the distribution of rotavirus incidence in the Russian Federation

2015 ◽  
Vol 20 (2) ◽  
pp. 52-54
Author(s):  
A. T Podkolzin ◽  
D. E Kurochkina ◽  
G. A Shipulin
Keyword(s):  
Russian Federation ◽  
Temporal Distribution ◽  
Federal District ◽  
North Caucasus ◽  
The North ◽  
Regional Features ◽  
Rotavirus Vaccines ◽  
Rostov Region ◽  
The Russian Federation ◽  
Nizhny Novgorod Region

In the work there was performed an analysis of the indices of recorded incidence of rotavirus infection (RVI) in the territory of 40 subjects of the Russian Federation for the period 2008-2012. For the identification of the monthly peak of the incidence there was evaluated the temporal distribution of the relative indices of the RVI incidence within each subject of the observation. There was revealed the independent beginning of the winter-spring seasonal rise of the RVI incidence in three groups of territories of the Russian Federation (1 - Kirov, Kostroma, Nizhny Novgorod region; 2- Republic of Khakassia, Kemerovo region; 3 - Amur region). In the territory of the South and the North Caucasus Federal District (Krasnodarsky and Stavropolsky Krai, Rostov region) there was noted the second, summer-autumn seasonal rise in the RVI incidence. The obtained data provide an overview of the seasonal-geographical distribution of the RVI incidence in the territory of Russia in conditions of the absence of the use of rotavirus vaccines

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