Tendencies In Initial Disability Determination In Patients With Gynecologic Cancers In Belgorod Region In Dynamics For The Period 2005-2013
Objective of the study. To identify the trends in determining initial disability in adult population as a result of malignant tumors of female genital organs in Belgorod Region. Materials and Methods. The analysis of the levels, structure and trends of disability determination in adult population of Belgorod region due to malignant neoplasms of female internal genital organs in dynamics for period 2005-2013 was performed. The study was conducted by a continuous method. The analysis that investigated the rate at which the indicators of primary disability changed was carried out using the parameters received as a result of comparing the levels of population growth rate or a rate of population decline per 10 thousand of female population. Results. It was estimated that the proportion of malignant tumors of female internal genital organs in the nosological structure of establishing initial disability due to cancer diseases in Belgorod region is significant. Among the contingent of people who were approved for disability the first time they applied the share of persons of young age prevailed in the group of people with cervical cancer, of middle age and of retirement age prevailed in the group of individuals with ovarian cancer, and the group of people who had endometrial cancer was predominated by individuals of retirement age. These observations show negative tendency to the increase of the proportion of the above stated age groups in the overall number of people whose initial disability claims were approved. In the contingent of people who were approved for disability due to malignant neoplasms of female genital organs the first time they applied the persons with grade 2 of disability are prevalent with an evidential trend to a decrease of their proportion among the persons with endometrial cancer. The disability of the severest grade 1 is more common for the people with ovarian cancer and has a tendency to inconsiderable decrease of its share. Conclusions. The levels, age structure and major trends in the dynamics of the indicators of initial medical determination of disability as a consequence of malignant diseases of female genital organs can be used as information database for the development of the programs of prevention of incidence of cancer and reducing disability of population caused by malignant diseases.