Regional peculiarities of disability due to uterine cancer

ABSTRACT BACKGROUND: In Russia, within the framework of the national project Healthcare, the federal project Fight against oncological diseases for 2018-2024 has been launched. There is a significant regional variability in the level and severity of malignant neoplasms (MN), which determines the relevance of studying and monitoring the characteristics of health disorders due to MN in the regions. AIMS: to analyze the dynamics and structure of the disability of the female population due to uterine cancer in the Chechen Republic. MATERIAL AND METHODS. Units of observation: newly recognized disabled (NRD) and repeated recognized disabled (RRD) due to uterine cancer during the year. The analysis was carried out by three age groups of the population (young, middle and old). Study period 2014-2020. Research methods: documentary, data copying, statistical and graphic. RESULTS.In the age structure of disability due to uterine cancer, the proportion of elderly people prevailed (65.5%). It has been established that in dynamics by 2020 the contingent of young people with disabilities has not changed significantly, the middle age has decreased, and the elderly has increased (p=0.0070). The third group of disability was more often established during the repeated (66.1%), and the second group - during the newly examination (45.6%). At the same time, the proportion of disabled people who were assigned the first disability group was higher in the RRD cohort. In disabled people, persistent dysfunctions of the blood system and immune system (100%) were accompanied by various types of capacity limitations, with the predominance first degree of their severity. CONCLUSION. Within the framework of the project "Fight against oncological diseases for 2018-2024" it is necessary to take into account the regional features of the dynamics and structure of the disability of the female population due to uterine cancer in the Chechen Republic. The presented results of epidemiological and clinical-expert diagnostics should be used in the development of priority areas of anticancer medical and social activities for the prevention of disability due to oncogynecological diseases at the regional level of health care.

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