MEDICAL STATISTICS: ARE WE RIGHT IN EVALUATING THE MORTALITY RATES OF ONCOLOGIC DISEASES?

Abstract

The issues of medical statistics on mortality from cancer, especially the correctness of such indicators, attract general interest. In a comparative aspect, mortality rates in different countries are given and the possible influence of various factors on the distortion of these indicators is described. The death rates in the Russian Federation, the Republic of Bashkortostan and Ufa are considered in detail. Comparison of the number of doctors and oncologists in the republics of Bashkortostan and Dagestan revealed some differences in the territories by the availability of doctors, especially oncologists. At the same time, the ratio of morbidity and mortality in these territories are in similar and correct parameters. A detailed analysis of the letters of the Ministry of Health of Russia with recommendations relating to the principles of coding for cancer in combination with another pathology. The statistical incident was the change in the coding rules for a post-mortem diagnosis in 2011 and the peculiarities of the translation of the text from ICD-10. According to the results of the analysis, proposals were developed aimed at the objectification of mortality rates and 5-year survival of cancer patients.