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Really good results are still far away
The first international forum of oncology and radiology is taking place in Moscow. The event, in which more than 2,500 specialists from Russia and abroad take part, is timed to coincide with the 120th anniversary of the Moscow Oncological Research Institute. P.A. Herzen. A large-scale scientific program and a special, interdisciplinary and complex format cover almost all areas and aspects of oncology.
Photo: Yana Askerova /
The first international forum of oncology and radiology is taking place in Moscow. The event, in which more than 2,500 specialists from Russia and abroad take part, is timed to coincide with the 120th anniversary of the Moscow Research Oncological Institute named after V.I. P.A. Herzen. A large-scale scientific program and a special, interdisciplinary and complex format cover almost all areas and aspects of oncology.
Within the framework of the forum, 11 narrowly thematic congresses are held, including those on oncoorthopedics, neurooncology, photodynamic therapy, healthcare organization and nursing in oncology. Special attention is paid to the educational component - for the first time in Russia, the ESTRO (European Community of Radiology and Oncology Specialists) school on topical issues of radiotherapy is being held.
Discussions that flared up at the Congress of Health Organizers in Oncology related to the structure of the oncological service in Russia, the analysis of the treatment time from the start of the diagnosis, as well as the registration of patients with malignant neoplasms in the Federal Cancer Registry. According to the chief oncologist of the Ministry of Health, Director General of the National Medical Research Center of Radiology, Andrei Kaprin, official data on mortality from cancer may be incomplete. In particular, due to the fact that specialists do not always see the real picture: oncologists do not receive information about some of the deaths at home, the percentage of diagnoses that are made posthumously is still high.
The oncological service in Russia has been successfully functioning since 1945, but its structure is outdated and requires revision, the participants of the congress noted. In particular, cancer care is often referred to as drug and radiation therapy, while surgery is relegated to a different area of responsibility. This situation does not take into account the nature of the course of the disease and cannot have a beneficial effect on the patient, including sick children. As well as the fact that the normative base for intravital morphological diagnostics is catastrophically far from the realities of today, when it is the conclusion of pathomorphologists that becomes for oncologists the main guide to making decisions on further treatment tactics.
In addition, according to the scientific secretary of the Association of Oncologists of the Russian Federation, Deputy. Director for Science, Moscow Research Institute P.A. Herzen Valery Starinsky, today we should talk not just about the routing of patients, but also about the time it takes to complete all the necessary stages for patients with cancer diagnosis. And for this, it is necessary to unite the efforts of the chief doctors of oncological centers, chief oncologists of all regions, and general coordination of their activities.
“In recent years, the survival rate has been increased, the rates of detection of oncopathology have increased by stages 1-2, and the one-year mortality rate has decreased. Many indicators have improved, but there is still a long way to go to really good results, - admitted Caprin. - Unfortunately, the incidence will grow. And primary care physicians, as a rule, are not particularly strong in matters of cancer alertness. And in these conditions, we set the task to reduce mortality or at least keep it within the previous limits."
On the sidelines of the congress, its participants spoke about the isolation of domestic developers of medical equipment from those who use it, about the clumsy system of registration of new drugs and equipment that is hindering the development of the industry, which are already used all over the world, including in the partner countries of Russia in the EAEU. And also about the impoverishment of the industry and the direct dependence of the level of medicine on its funding.
However, now there is hope for an improvement in the situation. More than two-thirds of the funds allocated for the Healthcare national project (964.7 billion rubles), approved in early September, will be directed to the development of cancer care. It is planned to re-equip cancer centers and dispensaries with the replacement of heavy equipment - CT, MRI and accelerators, create 18 federal reference centers, develop outpatient oncological services for prompt diagnostics. The result of the federal program should also be a solution to the personnel problem and the creation of a comprehensive model for the provision of oncological care.