Argumentarea ştiinţifică a managementului depistării precoce a cancerului în Republica Moldova, avînd la bază analiza cauzelor depistării tardive

Abstract

Author sustain that bases indices of oncological service in Moldova are: mortality indice of malignant tumor; early detection indice in III stages including by localizations of malignant tumors; supersivion indice of 5 years and more survival from the establishment of diagnosis of malignant tumors; the indice of death cases of malignant tumors in first year of depistation; he indice of patients detected with malignant tumors in III stages after profilaxy examinations with pulmonary tumors, breast cancer, colorectal cancer, cervix cancer, prostate cancer; raport of mortality indice on incidence of malignant tumors. The article elucides the causes of late detection of tumors in Republic of Moldova between 1961 – 2015. It appears an increase of morbidity from oncology tumors fro 2972 (96,7%oo) in 1961 till 9480 (266,4%oo) in 2015. Corelatively it notes a raise of prevalence from 8871 (285,6%) till 51170 (1437%oo) on this period, of mortality from 2336 (76%oo) till 4867 (136,9%oo). Mortality raised from 2336 (76%oo) in 1961 till 4867 (136,9%oo) in 2015. Matherials and methods: there were examined ambulatory files of patients diagnosed eith tumors, Governement Archive by using mathematics, statitics and comparative methods. There were examinde as well The Management of Oncology Service in TEC and E, CSI states, UE directives, OMS, a BE OMS, foreign experts. Keywords: morbidity, oncological death, early detection, screening, late survival and management.

Автор статьи аргументирует, что онкологической службе основные покозатели являются– смертность, ранее выявление по стадиям и нозологиям, покозатель запушености, 5 летняя выживаемость и другие. Статья показывает причины запушености в диагностике злокачествиных опухолей в Р.Молдова, в период 1961 до 2015 г. Отличается рост онкологической заболеваемости с 2972(96,0) в 1961 г до 9480 (266,4) в 2015 г. Смертность от злокачественных новообразованни выросла на этот период с 2336(76,0) до 4867(136,9). Ключевые слова: заболеваемость, смертность онкологическая, ранее выявление, скрининг, поздняя выживаемость, манаджмент