More than a third of the Russian regions for the year 2017 increased cancer mortality, calculated in the ONF and the Health Foundation. In several other subjects, oncological diseases are only detected in the late stages in half of the cases
Photo: Valery Sharifulin / TASS
In 30 of the 85 regions in Russia, cancer deaths have increased during the year, monitoring of the All-Russian People & # 39; s Front and the Health Foundation (the results are in RBC) , in which experts have analyzed data from the Ministry of Health on the incidence and detectability of cancer in 2016-2017. The worst is cancer mortality in the Magadan region (7.7%), Dagestan (7.2%), Bashkiria (6.9%), Kalmykia (6.8%) and Sevastopol (6.5%).
The study shows that the decrease was 2.4% – from 198.9 cases per 100 thousand inhabitants in 2016 to 194.2 per 100 thousand in 2017.
The increase in mortality in some regions is explained by a multitude of factors, the director of the National Medical Research Center for Oncology named after Vitaliy Kuznetsov noted in a conversation with RBC. NN Petrova Alexei Belyaev. For example, the principle of specifying the cause of death may change if there is a complex of diseases among the deceased or if the accountability of cancer patients in the region needs to be improved, explained the expert. "Reducing mortality from cancer is a system of organizational measures, one can not wait for results in the short term, we have to create this system, train specialists, create criteria for the quality of its work at different stages, specialized medical institutions build and rest, "he concluded.
How Russia intends to strengthen the fight against cancer
In June Russian President Vladimir Putin declared in a straight line that about 1 trillion rubles will be allocated for the construction and equipment of oncological centers in the country until 2024.
The government will allocate 330 billion rubles from the federal budget to the compulsory medical insurance fund in 2019-2021. in violation of oncological diseases, Deputy Prime Minister Tatiana Golikova stated in July. In 2019, 70 billion rubles will be allocated for this, 120 billion rubles in 2020 and 140 billion rubles in 2021.
Cancer is discovered late
In 2017 the number of newly diagnosed oncological diseases in Russia grew by almost 3%, it was registered in the ONF. Experts believe that this indicator should grow, because doctors are wary and the diagnosis becomes more thorough. This helps to detect cancer in the early stages of development – the first or second.
Most of the detectability increased in the autonomous district of Chukotka (with 33.1%), the Khabarovsk territory (14.2%), the Amur area (11.5%), the Crimea (9%) and Chuvashia (8.5%). Belyaev agrees that an increase in detectability is a positive factor in the fight against cancer. "The greatest growth is occurring in those regions where they finally addressed the issue of cancer care," he said.
Worst of all, with detectability in 2017, was the situation in Kalmykia and Yakutia. Here cancer is most often diagnosed in the final stages – in 53 and 52.6% of cases, respectively. In the top five, anti-leaders were also Magadan Oblast (49%), Dagestan (47.3%) and Buryatia (46.9%).
RBC sent questions to this region & # 39; s.
Overall, the malignant neoplasms ratio, which doctors discovered in the early and late stages, was 55.6 to 39% in 2017. In 2016, the figures were 54.7 and 39.6% respectively. The rest is an unidentified phase. For a more effective treatment of cancer, detection must reach 70% at an early stage, this is at the level of European countries, explains the director of the "Health" foundation Eduard Gavrilov.
In ONF suggest that the causes of increased mortality and low detection in the early stages in some regions – the lack of specialized medical care. "In the Magadan region, diagnosing cancer in the early stages is generally impossible. Patients must wait about two months before they go to the oncologist to wait their turn, and then – another two months to take exams. And during this time the disease has time to develop into more complex stages, which are not always susceptible to treatment, "said Sergey Zelenkov, a member of the ONF's regional headquarters in the Magadan region.
Alexei Belyaev explains that an effective early diagnosis is possible due to complex efforts. "We need equipment, specialists, organizational measures, including alertness and the proper use of the possibilities of medical research."
Many die within a year
Experts also estimate how many patients die within a year of the discovery of the disease. This figure in Russia is 22.5%, which is quite critical, noted in the ONF. At the same time, the indicator declined by 0.7% for the year.
Above the average Russian indicator, mortality a year in 57 regions & # 39; s. The highest percentages are in the Chukotka Autonomous Okrug – 36.6%, Yakutia – 32.1%, Khakassia – 30.3%, the Jewish Autonomous Oblast – 29.8%, Tula Region – 29.2%.
Belyaev emphasizes that a one-year lethality is the most important indicator, which is usually dependent on early detection. "But one year is too short a time to reliably follow this relationship, which is why regions where the poor detection of diseases at an early stage and regions with a one-year fatality are not always coincide, if you look at the results of the year, it is necessary to look at a longer term, "the expert believes.
In March 2018, Health Minister Veronika Skvortsova said that annual mortality should be increased from 22.5 to 12% and that early detection of cancer and survival of patients after the diagnosis of cancer (within five years) in Russia should be up to 70% in developed European countries. In Russia they are now at the level of 56 and 54% respectively, RBC specified in the press service of the Ministry of Health.
According to the Ministry of Health, the total number of diagnoses for cancer in 2017 in Russia increased by 3% year-on-year, from 599.3 thousand to 617.2 thousand cases.