In the first quarter of 2022 4257 inhabitants of the Vladimir region were examined and dispensary observation. 1373 patients were sent for diagnosis due to suspected oncological pathologies, and 509 people were diagnosed with malignant neoplasms. Of these citizens, 54% were diagnosed with cancer at an early stage, the press service of the regional health department said.
The indicator of early detection of cancer in the first half of the year was reported by the regional health authorities in 2017. Then the figure was 53.5%. In the first half of 2016 it was 48.9%.
According to the “If You’re Exact” project, in 2020 due to the coronavirus pandemic and a sharp decline in the volume of medical examinations, the Vladimir region was among the regions where the detection of certain types of cancer worsened significantly. Thus, in the case of trachea, bronchial and lung cancer, 43.5% of Vladimir patients were diagnosed at the fourth stage in 2020. For these diseases, almost 100% of patients with metastases die within a year.
Low detection of cancer in the early stages has led to high mortality. If on average in Russia in 2020 200 people per 100 thousand inhabitants died of cancer, in our region it was 250. The Vladimir region was in the top ten of the least prosperous regions.
According to the regional public health department, by 2024 the Vladimir region will receive over 1.5 bln rubles from the federal budget to modernize regional oncology service. The region already has outpatient oncology centers in Vladimir, Kovrov, Murom, Gus-Khrustalny and Kirzhach. This year another oncology center will start providing specialized care in full, deployed on the basis of the Aleksandrovsky regional hospital.
The arsenal of Vladimir oncologists includes computer tomographs, ultrasound machines, X-ray machines, mammographs and video endoscopes. There is a regional program “Combating Cancer” aimed at improving the accessibility of care for patients with cancer.
To a large extent the health of Vladimir patient is his personal responsibility. The main factor that can increase the chances of survival as well as save health and money is regular diagnostics with modern equipment. Most cancers are successfully and relatively cheaply treated when detected at an early stage, while the treatment of tumors at a later stage requires significant monetary expenses.
In 2020 and 2021, some Vladimir patients faced delays in the provision of drugs. As of today, the Regional Health Department states that there is money for drugs, and the procurement contracts are concluded as planned. The Vladimir Health Department is changing the drugs prescribed in the prescriptions by selecting their domestic analogues. Patients who have been diagnosed in Moscow and received recommendations for treatment there, in reality take other drugs.
“We make inquiries to these clinics – is the drug really recommended by trade name? And I can tell you that in nine out of ten cases we get an answer that it was just a recommendation. Of course, the medication should have been prescribed by its international nonproprietary name”, – Artem Osipov, the acting Head of the Regional Health Department, told a press conference on March 29, 2022.
The regional health authorities claim that the effectiveness of analogues is no less, and patients receive only certified medicines.
According to the site “If you’re right”, the Vladimir Regional Health Department spends an average of 22.4 thousand rubles per patient on drugs. In Moscow – 77.8 thousand rubles.