Affiliation:
1. Medical Information and Analytical Center
Abstract
Introduction. Breast cancer (BC) incidence is on the top positions among women cancer diseases. Medical care (MC) organization improvement to BC patients - an important problem of healthcare management. Research purpose. To estimate the results of routing patients with suspected BC. Methods. A cohort study conducted at the St. Petersburg Medical Information and Analytical Center from January 1, 2017 to December 31, 2019. Analysis the data on 14 629 BC suspected women, accumulated in the automatic accounting system “City register of routing maps” (AAS CRRM), considering the age and diagnostic timing. Results. Interquartile range of patients waiting time to receive a level 1 oncologist consultation decreased from 1-8 to 1-3 days (p = 0.0000). In 2017-2019 yr. Patients with suspected BC were to wait 8 days to receive a level 2 oncologist consultation (p = 0.1629). Clinical diagnosis in suspected BC cases in St. Petersburg in 2017-2019 yr. was confirmed in 21 days (p = 0.5141). Limitations. Cohort nature of the study. Conclusion. The AAS CRRM use in BC suspected women allows better control MC providing and the timing of diagnosis of BC at all levels of medical care provision.
Publisher
Federal Scientific Center for Hygiene F.F.Erisman
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference16 articles.
1. Khizha Val.Vas., Movchan K.N., Romanenkov N.S., Rusakevich K.I., Khizha Vit.Val. Main breast cancer epidemiological data in Saint-Petersburg residents in 2011–2015. Zdorov’e naseleniya i sreda obitaniya. 2018; (1): 20–3. https://doi.org/10.35627/2219-5238/2018-298-1-20-23 (in Russian)
2. Orlov G.M., Movchan K.N., Startsev V.Yu., Dolgov V.P., Khizha V.V., Alekseev P.S., et al. The Main Medical and Statistical Indicators of the Provision of Cancer Care to Residents of St. Petersburg in 2009–2013 [Osnovnye mediko-statisticheskie pokazateli okazaniya onkologicheskoy pomoshchi zhitelyam Sankt-Peterburga v 2009–2013 godakh]. St. Petersburg; 2014. (in Russian)
3. Carioli G., Malvezzi M., Rodriguez T., Bertuccio P., Negri E., La Vecchia C. Trends and predictions to 2020 in breast cancer mortality in Europe. Breast. 2017; 36: 89–95. https://doi.org/10.1016/j.breast.2017.06.003
4. Ghoncheh M., Pournamdar Z., Salehiniya H. Incidence and mortality and epidemiology of breast cancer in the world. Asian Pac. J. Cancer Prev. 2016; 17(S3): 43–6. https://doi.org/10.7314/apjcp.2016.17.s3.43
5. Guo F., Kuo Y.F., Shih Y.C.T., Giordano S.H., Berenson A.B. Trends in breast cancer mortality by stage at diagnosis among young women in the United States. Cancer. 2018; 124(17): 3500–9. https://doi.org/10.1002/cncr.31638