[The analysis of impact of medical social and economic factors on regional coloproctological morbidity of adult population].

Publisher: Akt︠s︡ionernoe obshchestvo “Shiko Country of Publication: Russia (Federation) NLM ID: 101270373 Publication Model: Print Cited Medium: Print ISSN: 0869-866X (Print) Linking ISSN: 0869866X NLM ISO Abbreviation: Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med Subsets: MEDLINE

Publication: Moskva : Akt︠s︡ionernoe obshchestvo “Shiko”
Original Publication: Moskva : Medit︠s︡ina, 1999-

Colorectal Neoplasms*/epidemiology ; Quality of Life*; Adult ; Economic Factors ; Humans ; Morbidity ; Retrospective Studies

Actually, there is constant increase of number of patients with coloproctological diseases, including corresponding malignant neoplasms. At that, issues of improving organization of specialized care of patients of this kind still remain unresolved in many positions. The retrospective analysis of regional coloproctological morbidity of adult population was carried out as exemplified by the Perm Kray. To forecast onset of colorectal cancer multiple logistic regression analysis was applied. To assess relationship of particular factors and morbidity, the Spearman rank correlation method was implemented. The ROC-analysis was applied using MedCalc software. The study established strong relationship between the presence of colorectal cancer and colon polyps (87.2%, Somers' D = 0.868). According to ROC analysis data, colon polyps are risk factor of development of colorectal cancer in 93.4% of cases. The pronounced relationship is demonstrated for presence of colon polyps and colorectal cancer detectability (OR 225.85, CI 61.5 - 829.15, p <0.0001). The results of analysis of regional coloproctological morbidity of adult population in 45 municipalities of the Perm Kray testify significant variability of territorial features. The study revealed that level of coloproctological morbidity in municipalities depends on such indices as provision of physicians and hospital beds and average salary. The study results testify necessity to consider territorial characteristics of Perm Kray in planning complex coloproctological care of population. The identified interrelationships of population morbidity, activities and resource support are to be taken into account in planning organizational measures to modernize treatment and preventive care of coloproctological patients, including early diagnosis of coloproctological cancer in combination with other measures to reduce overall level of coloproctological morbidity on territory of Perm Kray and to improve quality of life of patients.

Keywords: cancer; colon polyps; coloproctological morbidity; coloproctology; the Perm Kray

Date Created: 20220607 Date Completed: 20220608 Latest Revision: 20220608

20221213

10.32687/0869-866X-2022-30-3-402-406

35670394