Use of population survival rates as evaluation criteria of oncological care to patients with cancer of genitourinary organs
Summary. Research on the state of oncological care to patients with cancer of genitourinary organs in Ukraine and in the areas affected by the consequences of the Chernobyl accident has been conducted. The basic indicators that characterize state of the diagnostic and treatment process were applied, and first the survival rate of patients as an integral criterion of the quality of medical care for such patients is proposed. The database of the National Cancer Registry of Ukraine was used for the research. The use of survival rate allowed objective evaluation of organization of medical care to patients with malignant neoplasms of genitourinary organs; it was found that when rate of the early diagnostics of cancer annually grow and rate of advanced cancers annually decrease, the 1- and 5-year survival rates in Ukraine and the contaminated areas remain low, and their values are 1.5–2 times less than those in Europe and the United States. It is revealed that the most critical in terms of the 5-year survival rate is the state of cancer care to patients with malignant neoplasms of genitourinary organs in Rivnenska and Zhytomyrska oblasts. The results can be scientific evidence for the appropriateness of practical application of survival rates for objective estimation of the state of cancer care, while traditionally used by the Ministry of Health of Ukraine indicators are often corrected to improve the ranking of the region.
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