ORGANIZATION OF PROPHYLACTIC SCREENING OF PATIENTS WITH ONCOLOGICAL DISEASES

Abstract

Aim - to substantiate the measures aimed at improvement of the prophylactic screening of patients with oncological diseases, and to estimate the effectiveness of these measures. Materials and methods. The materials of the study were the data of the extracts from medical records (a personal patient’s card from the outpatient department, a control card of the dispensary patient, a questionnaire). The statistical processing of the material was carried out using parametric methods, with the determination of the confidence interval at a probability of 95.0%. Results. The study revealed that the implementation of measures aimed at improving medical care in outpatient settings led to the following results: the proportion of identified diseases in the IV stage of the disease decreased from 20.8% in 2010-2012 to 15.0% in 2013-2015; the one-year mortality rate decreased from 28.1% to 18.3%; the five-year survival rate increased by 5.2%; the number of oncologist’s consultations increased from 3.6 to 6.3%. It was established that those patients who follow doctors’ recommendations, regularly visit oncologists and other medical specialists, attend health schools, and keep a healthy lifestyle in comparison with the patients who do not follow the treatment regimen, consume alcohol, and refused from subsidized pharmaceutical provision less likely have progression of the disease (22.5% and 62.0%), lethal outcome (18.6% and 23.0%), and disability (65.4% and 85.0%). Conclusion. It was established that compliance with the recommendations of doctors and adherence to a healthy lifestyle led to the decrease in the lethality, disability and progression of the oncological disease.

Keywords

• malignant neoplasms
• health assessment