Medizinische und chirurgische Urologie
Offener Zugang

Abstrakt

Statistical Data of Onco Urology Healthcare in Saint-Petersburg in 2009-2013

V Startsev*, V Khizha and K Movchan

Malignant tumors (MT) play important role among sociallysignificant diseases. Last years in St. Petersburg (SPb) verify an increase of MT incidence. We perform the analysis of statistics of urological cancer care (UMT) for SPb’s inhabitants during 20092013. The increase in morbidity and mortality marked in UMT patients: Whole Russia (RF) indicators +0.8%; +0.1%, respectively; in SPb - +3.6%; +4.6%. Index ratio of the dead/diseased UMT in RF -4.0% in SPb +5.1% is the result of untimely treatment. We state an increasing number of cases with newly diagnosed prostate (PC; +18.3%), bladder (BC; +15.0%) and kidney cancer (KC; +5.7%) which led to an increase of UMT contingents (+14.2%). The “crude” index grew in BC (men +4.7%, women +5.2%); KC in  women +1.5%; PC +7.3%, with maximum increase of UMT in men of 45-50 years old (+16.9%) and in women >65 years (+11.3%). The greatest number of cases UMT (2013)-verified at initial stages (61.0%), the similar to RF situation. Group of BC stage IV cases increased +2.1% while reducing in KC and PC (-3.7%; -0.3%). One year mortality rate for BC +3.0% are the result of the late detection of those tumors. In total deaths rate from MT (2013) UMT rating was 9.1%. “Crude” index in absolute number of PC deaths +35.1% (2000-2013). It is advisable: To organize a monitoring system of suspected UMT’s; consider a single coding of UMT due to ICD-10; conduct training of onco urology basics for oncologists; improve the medical care of newly diagnosed PC cases; perform oncoepidemiological studies to prevent the development of new UMT in SPb.