Reproductive system cancer in females of the Tyva Republic. Epidemiological characteristics

Background. The incidence of female reproductive system cancer, including breast, cervical, ovarian and uterine cancers, is steadily increasing, and therefore it is advisable to conduct an epidemiological analysis and assess the quality of medical care. The purpose of the study was to analyze the ep...

Full description

Saved in:
Bibliographic Details
Main Authors: G. A. Kononova, L. D. Zhuikova, O. A. Ananina, L. A. Kolomiets, L. V. Pikalova, A. S. Zhuikova
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Tomsk National Research Medical Center 2024-07-01
Series:Сибирский онкологический журнал
Subjects:
Online Access:https://www.siboncoj.ru/jour/article/view/3107
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849341232602415104
author G. A. Kononova
L. D. Zhuikova
O. A. Ananina
L. A. Kolomiets
L. V. Pikalova
A. S. Zhuikova
author_facet G. A. Kononova
L. D. Zhuikova
O. A. Ananina
L. A. Kolomiets
L. V. Pikalova
A. S. Zhuikova
author_sort G. A. Kononova
collection DOAJ
description Background. The incidence of female reproductive system cancer, including breast, cervical, ovarian and uterine cancers, is steadily increasing, and therefore it is advisable to conduct an epidemiological analysis and assess the quality of medical care. The purpose of the study was to analyze the epidemiological characteristics of reproductive system cancer in females of the Tyva Republic. Material and Methods. The reporting forms № 7 “Cancer incidence in the Tyva Republic” for 2013–2022 were used. Age-standardized incidence rates were calculated using the “Oncostat” program, and cancer care quality was assessed using “Cancer Care Indicators” program. Results. Reproductive system cancer in the Tyva Republic accounted for 46.3 % of all malignant neoplasms in females during 2013–2022. In 2022, breast cancer was the most common cancer (16.2 %) followed by cervical cancer (13.7 %), ovarian cancer (6.7 %), and uterine cancer (4.0 %). During the study period, none of these cancers showed a statistically significant increase in agestandardized incidence rates (AS R). In 2022, age-standardized incidence rates in the Tyva Republic were higher than those in the Siberian Federal District for cervical cancer (27.5 ± 3.7 vs 16.3 ± 0.4 0/0000) and for ovarian cancer (14.1 ± 2.8 vs 12.7 ± 0.3 0/0000), but lower for breast cancer (32.4 ± 4.1 vs 58.7 ± 0.6 0/0000) and uterine cancer (8.6 ± 2.2 vs 19.7 ± 0.4 0/0000). Overall, cancer care quality indicators for reproductive system cancers had improved. Active detection increased from 22.0 to 29.8 %, p=0.039 (in the Siberian Federal District: from 27.6 to 37.2 %, p=0.001). The detection rate at I–II stages increased from 53.7 to 75.2 %, p=0.004 (in the Siberian Federal District: from 63.0 to 71.3 %, p=0.001). The percentage of advanced stages decreased from 37.4 % to 15.5 %, p=0.001 (from 27.4 % to 23.1 % in the Siberian Federal District, p=0.013). The oneyear mortality rates also decreased from 19.0 to 5.4 %, p=0.013 (in the Siberian Federal District: from 11.8 to 8.5 %, р<0.001). The high incidence of cervical cancer, the absence of noticeable optimal changes in the early detection and the high prevalence of HPV infection among the female population of the Tyva Republic indicate the relevance of mass HPV testing as a part of secondary cancer prevention. Conclusion. The high incidence of female reproductive system cancer and the current status of reproductive cancer care in the Republic of Tyva dictate the need to strengthen primary, secondary and tertiary cancer prevention.
format Article
id doaj-art-d5cebf0fb0b849ecaf45ada5a3e6a2a0
institution Kabale University
issn 1814-4861
2312-3168
language Russian
publishDate 2024-07-01
publisher Russian Academy of Sciences, Tomsk National Research Medical Center
record_format Article
series Сибирский онкологический журнал
spelling doaj-art-d5cebf0fb0b849ecaf45ada5a3e6a2a02025-08-20T03:43:40ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682024-07-0123351410.21294/1814-4861-2024-23-3-5-141231Reproductive system cancer in females of the Tyva Republic. Epidemiological characteristicsG. A. Kononova0L. D. Zhuikova1O. A. Ananina2L. A. Kolomiets3L. V. Pikalova4A. S. Zhuikova5Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesCancer Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesCancer Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesCancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences; Siberian State Medical University of the Ministry of Health of RussiaCancer Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesSiberian State Medical University of the Ministry of Health of Russia Background. The incidence of female reproductive system cancer, including breast, cervical, ovarian and uterine cancers, is steadily increasing, and therefore it is advisable to conduct an epidemiological analysis and assess the quality of medical care. The purpose of the study was to analyze the epidemiological characteristics of reproductive system cancer in females of the Tyva Republic. Material and Methods. The reporting forms № 7 “Cancer incidence in the Tyva Republic” for 2013–2022 were used. Age-standardized incidence rates were calculated using the “Oncostat” program, and cancer care quality was assessed using “Cancer Care Indicators” program. Results. Reproductive system cancer in the Tyva Republic accounted for 46.3 % of all malignant neoplasms in females during 2013–2022. In 2022, breast cancer was the most common cancer (16.2 %) followed by cervical cancer (13.7 %), ovarian cancer (6.7 %), and uterine cancer (4.0 %). During the study period, none of these cancers showed a statistically significant increase in agestandardized incidence rates (AS R). In 2022, age-standardized incidence rates in the Tyva Republic were higher than those in the Siberian Federal District for cervical cancer (27.5 ± 3.7 vs 16.3 ± 0.4 0/0000) and for ovarian cancer (14.1 ± 2.8 vs 12.7 ± 0.3 0/0000), but lower for breast cancer (32.4 ± 4.1 vs 58.7 ± 0.6 0/0000) and uterine cancer (8.6 ± 2.2 vs 19.7 ± 0.4 0/0000). Overall, cancer care quality indicators for reproductive system cancers had improved. Active detection increased from 22.0 to 29.8 %, p=0.039 (in the Siberian Federal District: from 27.6 to 37.2 %, p=0.001). The detection rate at I–II stages increased from 53.7 to 75.2 %, p=0.004 (in the Siberian Federal District: from 63.0 to 71.3 %, p=0.001). The percentage of advanced stages decreased from 37.4 % to 15.5 %, p=0.001 (from 27.4 % to 23.1 % in the Siberian Federal District, p=0.013). The oneyear mortality rates also decreased from 19.0 to 5.4 %, p=0.013 (in the Siberian Federal District: from 11.8 to 8.5 %, р<0.001). The high incidence of cervical cancer, the absence of noticeable optimal changes in the early detection and the high prevalence of HPV infection among the female population of the Tyva Republic indicate the relevance of mass HPV testing as a part of secondary cancer prevention. Conclusion. The high incidence of female reproductive system cancer and the current status of reproductive cancer care in the Republic of Tyva dictate the need to strengthen primary, secondary and tertiary cancer prevention.https://www.siboncoj.ru/jour/article/view/3107breast cancercervix uteri cancercorpus uteri cancerovary cancermortalitycancer caretyva republicsiberian federal district.
spellingShingle G. A. Kononova
L. D. Zhuikova
O. A. Ananina
L. A. Kolomiets
L. V. Pikalova
A. S. Zhuikova
Reproductive system cancer in females of the Tyva Republic. Epidemiological characteristics
Сибирский онкологический журнал
breast cancer
cervix uteri cancer
corpus uteri cancer
ovary cancer
mortality
cancer care
tyva republic
siberian federal district.
title Reproductive system cancer in females of the Tyva Republic. Epidemiological characteristics
title_full Reproductive system cancer in females of the Tyva Republic. Epidemiological characteristics
title_fullStr Reproductive system cancer in females of the Tyva Republic. Epidemiological characteristics
title_full_unstemmed Reproductive system cancer in females of the Tyva Republic. Epidemiological characteristics
title_short Reproductive system cancer in females of the Tyva Republic. Epidemiological characteristics
title_sort reproductive system cancer in females of the tyva republic epidemiological characteristics
topic breast cancer
cervix uteri cancer
corpus uteri cancer
ovary cancer
mortality
cancer care
tyva republic
siberian federal district.
url https://www.siboncoj.ru/jour/article/view/3107
work_keys_str_mv AT gakononova reproductivesystemcancerinfemalesofthetyvarepublicepidemiologicalcharacteristics
AT ldzhuikova reproductivesystemcancerinfemalesofthetyvarepublicepidemiologicalcharacteristics
AT oaananina reproductivesystemcancerinfemalesofthetyvarepublicepidemiologicalcharacteristics
AT lakolomiets reproductivesystemcancerinfemalesofthetyvarepublicepidemiologicalcharacteristics
AT lvpikalova reproductivesystemcancerinfemalesofthetyvarepublicepidemiologicalcharacteristics
AT aszhuikova reproductivesystemcancerinfemalesofthetyvarepublicepidemiologicalcharacteristics