hematological care

Primary Incidence of Hematological Malignancies in Saint Petersburg in 1990–2011 and Prognosis till 2021

ORGANIZATION OF PUBLIC HEALTH , ,

L.Yu. Zhiguleva, K.M. Abdulkadyrov

Russian Scientific Research Institute of Hematology and Transfusiology under the Federal Medico-Biological Agency, 16 2-ya Sovetskaya str., Saint Petersburg, Russian Federation, 191024

For correspondence: Lyubov’ Yur’evna Zhiguleva, PhD, 16 2-ya Sovetskaya str., Saint Petersburg, Russian Federation, 191024; Tel.: +7(812)717-09-95; e-mail: RNIIHT@mail.ru

For citation: Zhiguleva LYu, Abdulkadyrov KM. Primary Incidence of Hematological Malignancies in Saint Petersburg in 1990–2011 and Prognosis till 2021. Clinical oncohematology. 2015;8(4):362–367 (In Russ).

DOI: 10.21320/2500-2139-2015-8-4-362-367

ABSTRACT

Background & Aims. Assessment of the incidence and dynamics of hematopoietic and lymphoid tissue malignancies is caused by the need in rational planning of hematological care, identification of risk factors in specific areas, and justification of prevention programs.

Methods. This paper analyzes the incidence and dynamics of the malignancies among the population of Saint Petersburg over the period from 1990 till 2011 and gives prognosis till 2021. Data from the Information Analysis Center of the Department of Public Healthcare under the Saint Petersburg Government and from Petrostat, a population cancer register (Saint Petersburg), were used. Besides, the paper analyzes materials of official reports Results of Activities in the Field of Public Healthcare of Saint Petersburg over the period from 2012 till 2013 and On Sanitary and Epidemiological Well-Being of Saint Petersburg Population over the period from 2010 till 2013, as well as data from the Federal State Statistics Service on the incidence of hematological malignancies in Russia. The sampled population was 19,456.

Results. The incidence of hematologic malignancies in Saint Petersburg is higher than that in Moscow, Russia and a number of other areas, and the extent of their occurrence among men is higher as compared to women. A steady growth of their incidence rate throughout the period under review has been revealed, with a maximum increasing rate in the working age.

Conclusion. According to the prognosis, by 2021, the incidence of hematopoietic and lymphoid tissue malignancies in Saint Petersburg will increase by 29.7 %. The findings suggest the increased need in specialized hematological care and its availability, and more efficient use of available resources.

Keywords: incidence, hematological care, hematopoietic and lymphoid tissue malignancies.

Received: April 1, 2015

Accepted: October 15, 2015

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Organization of specialized medical care for patients with blood disorders in Saint Petersburg

ORGANIZATION OF PUBLIC HEALTH , , , , , , , , , ,

L.U. Zhiguleva and К.М. Abdulkadyrov

Russian Research Institute of Hematology and Transfusiology, Saint Petersburg, Russian Federation

ABSTRACT

Over the past decade, the significant progress was achieved in the outcomes of treatment of blood disorders that reflects not only the advances in the medicine as a whole, but also in molecular biology, chemistry, genetics, nanotechnologies, etc. The rational organization is the key factor for the increased efficacy of specialized medical care. This article includes analysis of the structure, organization, and results of the work of St Petersburg hematological institutions and their influence on the city population health parameters in 2000–2012. The importance of the system approach to the organization of hematological care is also noted. The findings are the decreased mortality from malignancies of hematopoietic, lymphoid, and related tissues, increased their incidence (prevalence) due to increased mean life expectancy of patients, increased 5-year survival rate, decreased total and 1st-year mortality after the diagnosis. The weak link of the hematological care was identified, i.e. insufficient knowledge of hematology among general medical practitioners and pediatricians. The need for further research of personnel workload adequacy and its influence on of hematological care quality is indicated.

Keywords: morbidity, mortality, lethality, hematological care, blood disorders, malignancies of hematopoietic, lymphoid, and related tissues, out-patients-based follow-up, hematopoietic stem cells transplantation, high-tech medical care.

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