Colorectal cancer in Russia
Tóm tắt
Using peer-reviewed publications and official government documents, this paper covers three important issues concerning colorectal cancer (CRC) in Russia: (1) CRC epidemiology, (2) screening for CRC, (3) medical care for patients with CRC. Colon and rectal cancer are registered separately in Russia. When colon and rectal cancers are considered together, CRC is the second cause of cancer death for women (after breast cancer) and the third for men (after lung and stomach cancer), while both incidence and mortality have increased over the past decade. About a quarter of all new colon and rectal cancer cases are diagnosed at Stage IV and one-third of patients with newly diagnosed disease die in the first year after diagnosing, however, poor data collection and collation presents problems with reliability of cancer statistics. Screening for CRC is not included in the national programme of preventive medical examination. There are no data about treatment effectiveness and access to innovative drugs in common practice. New drugs for CRC are included in the documents that regulate access to care, notably, drug lists and standards of medical care. However, many cancer patients are not included in any reimbursement programme and have to pay for the drugs, and there are problems with drug supply even for patients who are entitled to reimbursement. A national programme for oncology care development was launched in 2009 but it does not cover routine treatment.
Tài liệu tham khảo
Chissov, V.I., Starinsky, V.V., Petrova, G.V.: Malignancies in RF in 2007 (morbidity and mortality) (Translated from Russian: Zlokachestvennye novoobrazovanija v Rossii v 2007 godu (zabolevarmost i smertnost)). Moscow (2008)
Merkov, A.M.: Population health and methods of its analysis. Selected works (Translated from Russian: Zdorovje naselenija i metody ego isuchenija. Izbrannyje proizvedenija). Bednyj MS (ed). Statistica, Moscow (1979)
Annual Report of the Ministry of Health and Social Care and Russian Academy of Medical Sciences about the health state of Russian population in 2006 (Translated from Russian: Gosudarstvenniy doklad o sostojanii zdorovja naselenija Rossijskoj Federatsii v 2006 godu). http://www.consultant.ru/online
Kharchenko, N.V., Petrova, G.V., Gretsova, O.P.: Assessment of quality of the reporting documents received from regional oncological dispensaries by forms 7 and 35 (Translated from Russian: Otsenka kachestva otchyotnoj documentatsii territorialnyh oncologicheskih dispanserov po formam 7 i 35). http://vestnik.mednet.ru/content/view/39/30/
Health care in Russia: XX century (Translated from Russian: Zdravookhranenije Rossii. XX vek). GEOTAR-MED, Moscow (2001)
Danishevsky, K.: How well the strategy of the Ministry of Health and Social Development proposed in the document “Mass health examination of the working population in 2008–2009” is reasoned? Primary analysis of the pros and cons (Translated from Russian Naskolko produmana srategija Minzdravsotsrazvitija izlozhennaja v dokumentakh O provedenii v 2008–2009 godah dopolnitelnoj distanserizatsii rabotajushego naselenija. Pervichnyj analiz za I protiv). http://www.osdm.org/modules.php?name=Smi&op=page&folder=8&contentsite=37.htm
Public Spending in Russia for Health Care: issues and options. Public expenditure review of the World Bank. http://www-wds.worldbank.org/
The report about the State Program of Free Medical Care Guarantees implementation in 2007 (Translated from Russian Doklad o khode realizatsii Programmy gosudarstvennykh garantij okazanija grazhdanam Rossijskoj Federatsii besplatnoj meditsinskoj pomoshi v 2007 godu). http://www.minzdravsoc.ru/docs/mzsr/letters/112
Statement of the Minister of Health and Social Development T. Golikova on Sept 15, 2008. http://www.minzdravsoc.ru/health/disease/2
Presentation of The Director of the Department of Health care organization and development of Ministry of Health and Social Development O. Krivonos at the meeting of the interregional non-government organization “Movement against cancer”, March 03, 2009
RF Government Regulation from March 3, 2009 N 189 “On federal financing of activities aimed at oncology care improvement in 2009” (Translated from Russian: Postanovlenije Pravitelstva Rossijskoj Federatsii ot 3 marta 2009 N 189 “O finansovom obespechenii v 2009 godu za schot assignovanij federalnogo byudzheta meroprijatij, napravlennykh na sovershenstvovanije organizatsii oncologicheskoj pomoshi naseleniyu”). http://www.consultant.ru/online/
Presentation of the Center of Marketing Research “Pharmexpert” (unpublished)
Shishkin, S.V.: Formal and informal methods of payment for medical care (Translated from Russian: Formalny I neformalny metody oplaty meditsinskoj pomoshi) Mir Rossii. Vol. XII. 3: 104–129 http://www.ecsocman.edu.ru/images/pubs/2007/01/21/0000300157/2003_n3_p104-129.pdf (2003). Accessed 14 Jan 2009
Chissov, V.I., Starinsky, V.V., Petrova, G.V.: Oncology care for Russian population in 2007 (Translated from Russian: Sostojanie onkologicheskoj pomoshi naseleniju Rossuu v 2007 godu). Moscow (2008)
Report on the realization of State Medical Guarantee Programme in 2007. http://www.minzdravsoc.ru/docs/mzsr/letters/112
Non-Profit-Making Partnership Promoting Social and Health Care Programs "Equal Right to Life". Drug supply of oncology patients in the Russian Federation (from Russian "O situatsii s obespecheniem lekarstvennymy preparatami oncologicheskikh bolnykh v RF"). http://www.ravnoe-pravo.org/docs/report.pdf. Accessed August 2009
The report about the State Program of Free Medical Care Guarantees implementation in 2006 (Translated from Russian: Doklad o khode realizatsii Programmy gosudarstvennykh garantij okazanija grazhdanam Rossijskoj Federatsii besplatnoj meditsinskoj pomoshi v 2006 godu). http://mzsrrf.ru/inf_cur/815.html