MANAGEMENT OF MEDICAL CARE FOR CHILDREN WITH CANCER IN THE REGION № 2, THE VOLGA FEDERAL DISTRICT
Background. To improve the quality of medical care for children with cancer should take into account peculiarities of the Russian Federation regions: geographical location, population density and the incidence of child population, medical equipment and staff. Methods. We performed the analysis of medical records for cases of solid tumors (except brain tumors) in children who received specialized and symptomatic treatment at the Department of Oncology and Hematology of the Republican Children’s Clinical Hospital, part of the Volga Federal District № 2 in the period 2011-2015. We assessed the treatment compliance with the federal clinical practice recommendations and evaluated the equipping of medical equipment and staffing of medical personnel. Results. We analyzed 20 items of medical equipment, only 11 (55%) positions comply with the recommendations of Annex № 6, 9 (45%) positions are missing. 81 patients with solid malignant tumors were registered in the region in 2011-2015: 43 (53.1%) girls and 38 (46.9%) boys, mean age 6.2 years (1 month - 17 years). 2 (2.5%) patients had stage I disease, 29 (35.8%) - stage II, 16 (19.8%) - stage III, 34 (42%) - stage IV. Federal clinical recommendations had been fully implemented in the treatment of 69 (85.2%) patients. Violations of treatment protocols were revealed in 12 (14.8%) cases. Conclusion. The majority of chemotherapeutic treatment procedures, simple surgery, including open biopsy can be performed at the analyzed department. Other phases of the treatment should be provided on the basis of specialized research institutes with the more qualified stuff.