TRENDS IN THE INCIDENCE AND MORTALITY OF CERVICAL CANCER IN THE KYRGYZ REPUBLIC

VANINOV S.A, AKHUNBAEV S.M, IBRAIMOVA D.D, NASIROVA N.M, BOLBACHAN O.A.

Key words:

INCIDENCE, MALIGNANT NEOPLASMS, MORTALITY, PREVALENCE, CERVICAL CANCER, YEARS OF POTENTIAL LIFE LOST, ECONOMIC DAMAGE

Abstract:

Cervical cancer is one of the most important medical and social problems that cause enormous social and economic damage to society. The activities of medical institutions providing cancer care should be aimed at cancer prevention, timely detection, and treatment of cancer patients. The study used statistical data from the Health care Center, the National Center for Oncology and Hematology of the Kyrgyz Republic from 2012 to 2017. The study was conducted using a systematic approach, which consists of assessing the dynamics of the prevalence, structure, and dynamics of mortality from cervical cancer by age and region of the Kyrgyz Republic. The object of the study was women with a diagnosis of cervical cancer. The subject of study: appealability, the prevalence of incidence and mortality in women with this disease. Research method: statistical (intensive, extensive indicator, credibility, time series indicators, reliability criterion). In the Kyrgyz Republic, there has been a significant increase in the prevalence of incidence from 97.5 ± 1.8 in 2012 to 105.3 ± 1.8 in 2017, p <0.001. Most often, patients of the I-II stage are found in all regions of the republic. The main age groups with a high proportion of cervical cancer were patients from 35 to 65 years of age and older. Also, there were patients from 20 to 35 years of age. Single cases were also observed at 0-6 years of age in 2013 and 7-14 years of age in 2017. Chui, Osh, and Jalal-Abad regions, as well as Bishkek, are regions with a high proportion of patients with cervical cancer. The tendency of a sharp increase in mortality from cervical cancer was observed in fairly young age groups (25-29, 30-34, 40-44 years of age). It should be noted that the growth rate of the mortality rate prevailed in 2013, 2015. One case of mortality at the age of 0-4 years was detected in 2014. To identify trends in women's health, identify the importance of cervical cancer and causes of mortality, the negative impact of the disease, premature deaths on society, the indicator of lost years of potential life, and economic losses are calculated. In the republic in 2017, the years of potential life lost amounted to 13.47 years in total, the economic losses from premature mortality from cervical cancer amounted to 940.2 million soms. Thus, the leading place in the structure of oncological incidence and mortality in women takes cervical cancer, while providing significant economic damage.