IMPACT OF FEDERAL CANCER PROGRAMS ON EPIDEMIOLOGY OF MALIGNANT NEOPLASMS OF THE FEMALE REPRODUCTIVE ORGANS IN KRASNOYARSK AND STAVROPOL TERRITORIES
Great economic loss and high cost of reduction in cancer mortality substantiate significance of impact analysis of the Federal cancer programs. Evidence of their influence may be similarity in dynamics of mortality from such types of cancer which are relatively easy to detect at early stages in regions with the highest and lowest levels of morbidity. Purpose: to compare dynamics of morbidity and mortality from cancer of the female reproductive organs in Stavropol and Krasnoyarsk territories and in the country as a whole. Materials and methods. We analyzed morbidity and mortality of women from cancer of breast, cervix, uterine body and ovaries in Krasnoyarsk and Stavropol territories and Russia in 2000-2013 years. We compared average values for three years at the beginning and end of the observation period. We used data from Form #7 of the Federal statistical observation as well as Rosstat data on distribution of deaths from malignant neoplasms by sex and age (Form # C51) and on the average population number. Conclusions. A more pronounced increase in morbidity and a greater reduction in mortality from malignant neoplasms of the female reproductive organs compared to other malignancies along with an increase in the expected age of death from these diseases show effectiveness of the Federal cancer programs. Implementation of the Federal programs on cancer care at the regional level has its own characteristics, apparently due to the selected priorities. In Krasnoyarsk territory the main focus was placed on work of primary care physicians, while Stavropol territory focused on secondary prevention of gynecological mortality from cancer. There are vast reserves for increasing performance of the Federal National Cancer Program in Russia through improvements in all areas of death prevention.