Clinical-functional and medical-social characteristics of patients with colorectal cancer in target rehabilitation groups

Authors:

Kuznetsova Elena Aleksandrovna – PhD in Medical sciences (Cand. Med. Sci.), Associate Professor of the Department of Therapy and General Medical Practice, N.A. Semashko National Research Institute of Public Health, 12 Vorontsovo Pole Street, Bldg 1, 105064 Moscow, Russian Federation; e-mail: drkuznetsova@gmail.com.

Karasaeva Lyudmila Alekseevna – Grand PhD in Medical sciences (Dr. Med. Sci.), Professor, Head of the Department of Healthcare Organization and Medical and Social Expertise, Albrecht Federal Scientific and Educational Centre of Medkal and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: ludkaras@yandex.ru; https://orcid.org/0000-0001-5621-0240.

Sokurov Andrey Vladimirovich – Grand PhD in Medical sciences (Dr. Med. Sci.), Associate Professor, Director of the Institute of Additional Education, Albrecht Federal Scientific and Educational Centre of Medkal and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: ansokurov@yandex.ru; https://orcid.org/0000-0002-3736-2895.

Goryaynova Marina Vladimirovna – PhD in Medical sciences (Cand. Med. Sci.), Associate Professor of the Department of Health Organization and Medical and Social Expertise, Albrecht Federal Scientific and Educational Centre of Medkal and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: marinagoryainova@mail.ru; https://orcid.org/0000-0001-8904-8614.

Annotation:

Introduction. Colorectal cancer is a common malignant disease of the colon and rectum and is one of the leading oncological diseases. Colorectal cancer is characterized by high morbidity and mortality, both in Russia and in many other countries of the world. The need for an individual approach to prescribing treatment and developing medical and social rehabilitation measures necessitates the study and comprehensive analysis of the clinical and medical and social status of patients.

Aim. Analysis of clinical, functional and medical-social indicators of patients with verified colorectal cancer in differentiated groups.

Materials and methods. The object of the study was 438 patients with verified colorectal cancer.
The study material is data from the case histories of inpatient examinations of the state budgetary healthcare institution City Clinical Hospital No. 24 of the Moscow City Health Department, questionnaires, sociological research data; federal statistical observation forms No. 7 Information on malignant neoplasms. The study is selective.
Research methods: documentary, data extracts, statistical. A comparative analysis of the studied qualitative indicators was performed by testing statistical hypotheses using the c2 criterion. If the result was c2 < 0.05, the hypothesis of a significant relationship (conjugacy) of the analyzed indicator was accepted; otherwise, the null statistical hypothesis of the absence of statistically significant differences was accepted; in this case, pairwise comparisons were not performed.

Results. The clinical, functional and medical-social characteristics of patients with colorectal cancer in target rehabilitation groups were reviewed and analyzed.
The target groups included: 1) non-operated patients who received neoadjuvant therapy; 2) patients who underwent radical surgery without stoma; 3) patients who underwent radical surgery with subsequent stoma; 4) non-operated patients in need of palliative care.
In each target rehabilitation group, the patients were studied for gender, age, stage of the disease, disability groups, and limitations of life activities.

Discussion. Reliable differences in clinical-functional and medical-social characteristics in the formed target groups were established. The identified features of the clinical-functional and medical-social statuses of patients in the target groups formed the basis for the development of differentiated programs for medical-social rehabilitation of patients with colorectal cancer.

Conclusion. The conducted comprehensive research on the study and analysis of clinical, functional and medical and social characteristics of patients with colorectal cancer in target groups substantiates the need for a differentiated and individual approach in the formation of rehabilitation, recovery and medical and social measures.

List of cited literature:

1. Kuznetsova EA. Osobennosti dispanserizatsii i me-diko-sotsial’noy reabilitatsii patsiyentov s zabolevani-yami tolstoy i pryamoy kishki [Features of medical examination and medical and social rehabilitation of patients with diseases of the colon and rectum]. Vestnik Vserossiyskogo obshchestva spetsialistov po mediko-sotsial’noy ekspertize, reabilitatsii i re-abilitatsionnoy industrii [Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and the Rehabilitation Industry]. 2023;1:52-9. DOI: 10.17238/issn1999-2351.2023.1.52-59. (In Russian).

2. Lesnykh SA, Ponomarenko EV. Rol’ nasledstvennykh faktorov v razvitii kolorektal’nogo raka [The role of hereditary factors in the development of colorectal cancer] S. A. Lesnykh]. Aktual’nyye problemy sotsial’no-gumanitarnogo i nauchno-tekhnicheskogo znaniya [Actual problems of social-humanitarian and scientific-technical knowledge]. 2023;4(35):53-55.

3. Goryaynova MV, Karasaeva LA, Nurova AA et al. Pokazateli invalidizatsii naseleniya kak indikatory planirovaniya sotsial’no-ekonomicheskogo i reabilitat-sionnogo resursa v sub”yektakh Rossiyskoy Federatsii [Indicators of disability of the population as indicators of planning socio-economic and rehabilitation resources in the constituent entities of the Russian Federation]. Mediko-sotsial’naya ekspertiza i reabili-tatsiya [Medical and social examination and rehabilitation]. 2022;25(1):23-30. DOI: 10.17816/MSER108557. (In Russian).

4. Sereda AN, Puzin SN, Memetov SS et al. Osobennosti organizatsii meditsinskoy reabilitatsii na sovremen-nom etape [Features of the organization of medical rehabilitation at the present stage]. Mediko-sotsial’naya ekspertiza i reabilitatsiya [Medical and social examination and rehabilitation]. 2021;24(2):41-6. DOI: 10.17816/MSER66721. (In Russian).

5. Shuikova EA, Letskaya OA, Zaparii SP, Sokurov AV. Nozologicheskiy spektr povtornoy invalidnosti vzro-slogo naseleniya vsledstviye zlokachestvennykh no-voobrazovaniy obodochnoy kishki za 2016-2022 gg [Nosological spectrum of repeated disability of the adult population due to malignant neoplasms of the colon for 2016-2022]. Fizicheskaya i reabilitatsionnaya meditsina [Physical and Rehabilitation Medicine]. 2024:6(4): 116-24. DOI: 10.26211/2658-4522-2024-64-116-124. (In Russian).