Primary disability due to malignant neoplasms of the colon, taking into account the nosological spectrum among the adult population of Moscow in 2016-2022

Authors:

Zapariy Natalia Sergeevna – Grand PhD in Medical Sciences (Dr. Med. Sci.), Associate Professor, Head of The Educational and Methodological Center, Federal State Budgetary Institution “Federal Bureau of Medical and Social Expertise” of the Ministry of Labor and Social Protection, 3 Ivan Susanin Street, 127486 Moscow, Russian Federation; e-mail: zapariy_n@fbmse.ru; https://orcid.org/0000-0002-7687-763X.

Shuikova Ekaterina Alekseevna – doctor for medical and social expertise of the expert staff N 8, Federal State Institution “Main Bureau for Medical and Social Expertise in the Moscow” of the Ministry of Labor and Social Protection, 13 Leningradsky Ave, building 1, 125040 Moscow, Russian Federation; e-mail: shuykova160388@yandex.ru.

Letskaya Olga Alexandrovna – PhD in Medical Sciences (Cand. Med. Sci), Deputy Head of Expert Work, Doctor for Medical and Social Expertise, Federal State Institution “Main Bureau for Medical and Social Expertise in the Moscow” of the Ministry of Labor and Social Protection, 13 Leningradsky Ave, building 1, 125040 Moscow, Russian Federation; e-mail: letskaya.oa@mse77.ru.

Sokurov Andrey Vladimirovich – Grand PhD in Medical sciences (Dr. Med. Sci), Associate Professor, Director of the Institute of Further Professional 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; http://orcid.org/0000-0001-5621-0240.

Annotation:

Introduction. Oncological diseases are a global medical and social problem characterized by an increase in morbidity and the need to improve treatment and rehabilitation strategies. Malignant neoplasms of the colon occupy a leading place in the structure of oncopathology, determining a significant medical and economic burden. Analysis of primary disability and nosological features of this pathology is of key importance for optimizing rehabilitation measures and improving clinical outcomes.

Aim. To study the structure and nosological spectrum of primary disability due to malignant neoplasms of the colon among the adult population in Moscow for 2016-2022.

Materials and methods. The study is continuous, using statistical observation forms N 7-sobes, the EAVIIAS MSE database of the Federal State Institution «State Bureau of Medical and Social Expertise in Moscow». The object of the study was the population aged 18 years and older, primarily recognized as disabled due to malignant neoplasms of the colon in Moscow.

Results. The main share of disabled people due to malignant neoplasms of the colon were people over working age, with a predominance of women in the gender structure, but a higher level of primary disability among men. In the nosological structure, sigmoid colon lesions prevailed. Among those recognized as disabled for the first time, people of group II prevailed, with a tendency for the share of group I to increase and group III to decrease.

Discussion. The study revealed key patterns of disability in colon cancer, including age and gender characteristics, as well as the predominance of severe disability groups. The data obtained substantiate the need to optimize screening and develop personalized rehabilitation strategies for this category of patients.

Conclusion. The results of the study substantiate the need to improve the system of care for patients with colon cancer through the introduction of differentiated approaches to rehabilitation, taking into account the identified age, gender and nosological features of disability formation. The identified patterns are important for planning medical and social support for patients, allowing for optimization of resource allocation and development of targeted rehabilitation programs.

List of cited literature:

1. Gordienko VP, Il’yushenok AS. Zabolevaemost’, smertnost’ i sostoyanie onkologicheskoi pomoshchi bol’nym rakom obodochnoi kishki v usloviyakh
Dal’nego Vostoka [Morbidity, mortality and the state of oncological care for colon cancer patients in the Far East]. Sibirskii onkologicheskii zhurnal [Siberian Oncological Journal].2022;21(5):5-16. (In Russian).

2. Kaprin AD, Starinskii VV, Shakhzodova AO. Sostoyanie onkologicheskoi pomoshchi naseleniyu Rossii v 2022 godu. M.: MNIOI im. P.A. Gertsena – filial FGBU «NMITs radiologii» Minzdrava Rossii [The state of oncological care for the Russian population in 2022. Moscow: P.A. Herzen Moscow Institute of Medical Sciences – branch of the Federal State Budgetary Institution “NMITS of Radiology” of the Ministry of Health of the Russian Federation], 2022. 239 p. (In Russian).

3. Aksenova EI, Podchernina AM. Osnovnye pokazateli zdorov’ya naseleniya goroda Moskvy, deyatel’nost’ meditsinskikh organizatsii gosudarstvennoi sistemy zdravookhraneniya goroda Moskvy v 2022 g. M.: GBU “NIIOZMM DZM” [The main indicators of the health of the population of the city of Moscow, the activities of medical organizations of the state healthcare system of the city of Moscow in 2022. Moscow: Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department], 2023. 122 p. (In Russian).

4. Bocharova MO, Erashova GA, Kurakina TY, et al. Pokazateli zabolevaemosti naseleniya goroda Moskvy za 2016-2020 gg. M.: GBU “NIIOZMM DZM” [[Morbidity rates of the Moscow city population for 2016-2020. Moscow: Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department], 2021. 224 p. (In Russian).

5. Verigina NB, Shkurko MA, Krasnovskaya ES. Dinamika urovnya pervichnoi invalidnosti vsledstvie osnovnykh klassov boleznei sredi vzroslogo naseleniya Rossiiskoi Federatsii za 2012-2020 g. [Dynamics of the level of primary disability due to the main classes of diseases among the adult population of the Russian Federation in 2012-2020]. Mediko-sotsial’nye problemy invalidnosti [Medical and social problems of disability]. 2021;(2):73-82. (In Russian).

6. Ivanova RM, Mitina KA, Viktorova LV, Aleksandrova TL. Zabolevaemost’ i pervichnaya invalidnost’ vsledstvie zlokachestvennykh novoobrazovanii obodochnoi kishki v Chuvashskoi Respublike za period 2016-2020 gg. [Morbidity and primary disability due to malignant neoplasms of the colon in the Chuvash Republic for the period 2016-2020]. Mediko-sotsial’nye problemy invalidnosti [Medical and social problems of disability].2022;(1):53-61. (In Russian).

7. Kalashnikov AI, Salikova SI, Yurevich LV, et al. Analiz invalidnosti vsledstvie zlokachestvennykh novoobrazovanii u vzroslogo naseleniya Omskoi oblasti za period 2015-2019 gg. [Analysis of disability due to malignant neoplasms in the adult population of the Omsk region for the period 2015-2019] Sbornik materialov nauchno-prakticheskoi konferentsii po problemam mediko-sotsial’noi ekspertizy. M. [Collection of materials of the scientific and practical conference on the problems of medical and social expertise. Moscow], 2020:90-9. (In Russian).

8. Gameeva EV, Stepanova AM, Tkachenko GA, Gridnev OV, et al. Kompleksnaya reabilitatsiya onkologicheskikh patsientov [Comprehensive rehabilitation of cancer patients]. Sovremennaya onkologiya [Modern oncology]. 2022;24(1):90-6. (In Russian).

9. Kamilova TA, Golota AS, et al. Reabilitatsiya v onkologii. Meditsina ekstremal’nyi situatsii [Rehabilitation in oncology. Emergency medicine]. 2021;23(2):27-33. (In Russian).

10. Red’kin AN, Ustinova EY, Ivanova YS, et al. Mediko-sotsial’naya reabilitatsiya bol’nykh so zlokachestvennymi opukholyami i drugimi invalidiziruyushchimi zabolevaniyami [Medical and social rehabilitation of patients with malignant tumors and other disabling diseases]. Palliativnaya meditsina i reabilitatsiya [Palliative medicine and rehabilitation]. 2019;3:31-3. (In Russian).

11. Ponomarenko GN. Fizicheskaya i reabilitatsionnaya meditsina: fundamental’nye osnovy i klinicheskaya praktika [Physical and rehabilitation medicine:
fundamental principles and clinical practice]. Fizioterapiya, bal’neologiya i reabilitatsiya [Physiotherapy, balneology and rehabilitation]. 2016;15(6):284-9. DOI: 10.18821/1681-3456-2016-156-284-289. (In Russian).

12. Ponomarenko GN. Printsipy dokazatel’noi meditsiny v fizioterapii [Principles of evidence-based medicine in physiotherapy] Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kul’tury [Problems of Balneology, Physiotherapy and Exercise Therapy]. 2004;2:46. (In Russian).

13. Ponomarenko GN. Kontseptsiya translyatsionnoi meditsiny v fizioterapii i reabilitatsii [The concept of translational medicine in physiotherapy and rehabilitation]. Fizioterapiya, bal’neologiya i reabilitatsiya [Physiotherapy, balneology and rehabilitation]. 2014;3:4-12. (In Russian).