СОХРАНЕНИЕ РЕПРОДУКТИВНОГО ЗДОРОВЬЯ ПАЦИЕНТОК, СТРАДАЮЩИХ РАКОМ ШЕЙКИ МАТКИ, КАК ОТРАЖЕНИЕ КАЧЕСТВА ОКАЗАНИЯ ПЕРВИЧНОЙ МЕДИКО-САНИТАРНОЙ ПОМОЩИ (ОБЗОР ЛИТЕРАТУРЫ)
Аннотация
Введение. Рак шеки матки – одно из основных заболеваний, ухудшающих состояние репродуктивного здоровья женщин.
Цель работы: анализ результатов научных исследований по проблеме сохранения репродуктивного возраста пациенток, страдающим раком шейки матки, исходя из показателей качества оказания первичной медико-санитарной помощи.
Материал и методы. Проведен качественный анализ 55 русскоязычных и англоязычных источников, наиболее полно отражающих вопросы качества оказания первичной медико-санитарной помощи пациенткам репродуктивного возраста, страдающих раком шейки матки.
Результаты. Установлено, что качество оказания первичной медико-санитарной помощи определяет прогноз для состояния репродуктивного здоровья пациенток, страдающих раком шейки матки.
Выводы. Проведённый анализ литературы свидетельствует о наличии резервов повышения качества оказания первичной медико-санитарной помощи и требует разработки и совершенствования технологий профилактики для сохранения репродуктивного здоровья пациенток, страдающих раком шейки матки.
Литература
Solodovnikov SJu, Bobkova IN, Kuzmickaja, TV, Levkevich VE, Pateeva ZG, Petrakova JuN, Rogatko DA, Rybka DP, Chernysh SL, Shahotko LP, Shherbina NM; Nikitenko PG, ed. Chelovecheskij potencial Respubliki Belarus. Minsk: Belaruskaja navuka; 2009. 716 p. (Russian).
Albickij VJu, Andreeva OV, Bagnenko SF, Baranov AA, Vagner VD, Gerasimenko NF, Goluhov GN, Goncharov SF, Denisov IN, Zarubina TV, Izmalkov SN, Ilin AG, Ilin LA, Kadyrov FN. Obshhestvennoe zdorove i zdravoohranenie: nacionalnoe rukovodstvo. Moskva: GJeOTAR–Media; 2013. 619 p. (Russian).
Naumov IA. Ukreplenie reproduktivnogo zdorovja zhenshhin s vospalitelnymi zabolevanijami polovyh organov v ramkah sistemy perinatalnyh tehnologij. Grodno: GrGMU; 2010. 316 p. (Russian).
Liskovich VA, Snezhitskiy VA, Bogdan EL, Naumov IA. Klinicheskij menedzhment. T. 1. Grodno: GrGMU; 2014. 1548 p. (Russian).
Shhaveleva MV, Valchuk JeA, Glinskaja TN. Reformy zdravoohranenija: shagi k ukrepleniju zdorovja. Medicinskie novosti.2009;13:29-31. (Russian).
Pilipcevich NN, Pavlovich TP, Pilipcevich AN. Vazhnejshie napravlenija strategii razvitija zdravoohranenija Belarusi [Major strategic directions of the health care development of Belarus]. Medicinskij zhurnal [Medical journal]. 2009;1:124-127. (Russian).
Naumov IA, Tishchenko EM, Liskovich VA, Chasnojt RA; Naumov IA, ed. Obshhestvennoe zdorove i zdravoohranenie. Pt. 2. Minsk: Vyshjejshaja shkola; 2013. 350 p. (Russian).
Donabedian, A. The Criteria and Standards of Quality. Michigan: Health Administration Press; 1982. 504 p.
Shhepin OP, Starodubov VI, Lindenbraten AL, Galanova GI. Metodologicheskie osnovy i mehanizmy obespechenija kachestva medicinskoj pomoshhi. Moscow: Medicina; 2002. 176 p. (Russian).
Shaw Ch. The External Assessment of Health Services. World Hospitals and Health Services. 2008;40(1):24-27.
Aksel EM. Statistika zlokachestvennyh novoobrazovanij zhenskoj polovoj sfery [Statistics of malignant tumors of female reproductive system]. Onkoginekologija. 2012;1:18-23. (Russian).
Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. Cancer J. Clin. 2011;61:69-90. doi: 10.3322/caac.20107.
Rusakevich PS. Zabolevanija shejki matki: simptomatika, diagnostika, lechenie, profilaktika. Minsk: Vyshjejshaja shkola; 2000. 368 p. (Russian).
Kiselev FL. Geneticheskie i jepigeneticheskie faktory progressii opuholej shejki matki [Genetic and epigenetic factors of uterine neck tumor progression]. Vestnik Rossijskoj akademii medicinskih nauk [Annals of the Russian Academy of Medical Sciences]. 2007;11:25-32. (Russian).
Louie KS, Castellsague X, de Sanjose S, Herrero R, Meijer CJ, Shah K, Munoz N, Bosch FX. Smoking and passive smoking in cervical cancer risk: pooled analysis of couples from the IARC multicentric case-control studies. Cancer Epidemio. Biomark. Prev.2011;20(7):1379-1390. doi: 10.1158/1055-9965.EPI-11-0284.
Chen AA, Heideman DA, Boon D, Gheit T, Snijders PJ, Tommasino M, Franceschi S, Clifford GM. Human papillomavirus 45 genetic variation and cervical cancer risk worldwide. J. Virol. 2014;88(8):4514-4521. doi: 10.1128/ JVI.03534-13.
Denny LA, Franceschi S, de Sanjosé S, Heard I, Moscicki AB, Palefsky J. Human papillomavirus, human immunodeficiency virus and immunosuppression. Vaccine. 2012;30(Suppl 5):168-174. doi: 10.1016/j.vaccine.2012.06.045.
Alemany L, de Sanjosé S, Tous S, Quint W, Vallejos C, Shin HR, Bravo LE, Alonso P, Lima MA, Guimerà N, Klaustermeier J, Llombart-Bosch A, Kasamatsu E, Tatti SA, Felix A, Molina C, Velasco J, Lloveras B, Clavero O, Lerma E, Laco J, Bravo IG, Guarch R, Pelayo A, Ordi J, Andújar M, Sanchez GI, Castellsagué X, Muñoz N, Bosch FX. Time trends of human papillomavirus types in invasive cervical cancer, from 1940 to 2007. Int. J. Cancer. 2014;135(1):88-95. doi: 10.1002/ijc.28636.
Arzhanenkova LS, Sidorov GA, Sychov MD. Socialnopsihologicheskaja harakteristika bolnyh so zlokachestvennymi novoobrazovanijami zhenskoj reproduktivnoj sistemy [Social and psychological status of patients with tumors of reproductive organs]. Voprosy onkologii [Problems in oncology]. 2007;53(6):715-716. (Russian).
Castle PE, Stoler MH, Wright TC Jr, Sharma A, Wright TL, Behrens CM. Performance of carcinogenic human papillomavirus (HPV) testing and HPV 16 or HPV 18 genotyping for cervical screening of women aged 25 years and older: a subanalysis of the ATHENA study. Lancet Oncol. 2011;12:880-890. doi: 10.1016/S1470-2045(11)70188-7.
Bahlaev IE, Kovchur PI. Profilaktika raka shejki matki v uslovijah zhenskoj konsultacii [Prevention of cancer of the cervix uteri at an antenatal clinic]. Opuholi zhenskoj reproduktivnoj sistemy. 2009;3-4:94-98. (Russian).
Prilepskaja VN, Bebneva TN. Pervichnaja profilaktika raka shejki matki: dostizhenija i perspektivy [Primary prevention of cervical cancer: progress and prospects]. Farmateka. 2011;13:42-46. (Russian).
Pozharisskij KM, Vinokurov VL, Zharinov GM, Boldarjan NA, Kuznecova ME, Gasparjan NA, Samsonova EA. Immunogistohimicheskie markery v kachestve prognosticheskih kriteriev v onkoginekologii [Immunohistochemical markers as prognosticators in oncogynecology]. Voprosy onkologii [Problems in oncology]. 2008;54(4):463-470. (Russian).
Bahlaev IE, Kovchur PI, Mihetko AA, Volkova TO; Bahlaev IE, ed. Rak shejki matki v Karelii. Petrozavodsk: Izdatelstvo PetrGU; 2012. 205 p. (Russian).
Bohman JaV. Lekcii po onkoginekologii. Moskva: OOO «Medicinskoe informacionnoe agentstvo»; 2007. 304 p. (Russian).
Liskovich VA, Naumov IA, Chasnojt RA, Tishchenko YeM. Akushersko-ginekologicheskaja pomoshh na Grodnenshhine: istorija i sovremennost. Grodno: GrGMU; 2005. 624 p. (Russian).
Zharko VI, Malahova IV, Novik II, Sachek MM. Zdravoohranenie Respubliki Belarus: proshloe, nastojashhee i budushhee. Minsk: Minsktipproekt; 2012. 320 p. (Russian).
Antonenkova NN, Averkin JuI, Belocerkovskij IV, Zaluckij IV; Zaluckij IV, ed. Onkologija. Minsk: Vyshjejshaja shkola; 2007. 703 p. (Russian).
Kosinec AN, Glushanko VS, Adaskevich VP, Alekseenko JuV, Dejkalo VP, Zaborovskaja IG, Kanus II, Ljucko VV, Marchenko AA; Kosinec AN, Glushanko VS, eds. Organizacionnye tehnologii v sisteme zdravoohranenija XXI veka. Vitebsk: VGMU; 2006. 329 p. (Russian).
Valchuk JeA. Dispanserizacija i medicinskaja reabilitacija. Voprosy organizacii i informatizacii zdravoohranenija. 2009;2:16-21. (Russian).
Kompleksnaja borba s rakom shejki matki. Geneva: VOZ; 2008. 290 p. (Russian).
Kosenko IA. Rak shejki matki s neblagoprijatnym prognozom. Gomel: GGMU; 2007. 190 p. (Russian).
Starodubov VI. Galanova GI. Metodologicheskie tehnologii i rukovodstvo po upravleniju kachestvom medicinskoj pomoshhi. Moscow: ID «Menedzher zdravoohranenija»; 2011. 207 p. (Russian).
Belocerkovceva LD, Kovalenko LV, Leskova SV, Abazeva OV. Sovremennye aspekty skrininga raka shejki matki (obzor literatury) [Modern aspects of cervical cancer screening (literatury review)]. Vestnik SurGU. Medicina. 2012;12:50-59. (Russian).
Telnova EA. Kachestvo okazanija medicinskoj pomoshhi kak osnovnaja zadacha sistemy zdravoohranenija. Vestnik Roszdravnadzora. 2010;S5:4-9. (Russian).
Siegel R, Naishadham D, Jemal A. Cancer Statistics. Cancer J. Clin. 2012;62:10-29. doi:10.3322/caac.20138.
Dinkelspiel H, Fetterman B, Poitras N, Kinney W, Cox JT, Lorey T, Castle PE. Cervical cancer rates after the transition from annual Pap to 3-year HPV and Pap. J. Low. Genit. Tract. Dis. 2014;18(1):57-60. doi: 10.1097/LGT.0b013e31829325c3.
Novik VI. Skrining raka shejki matki. Prakticheskaja onkologija. 2010;11(2):66-73. (Russian).
Apolihina IA, Filippenkova EV, Dodova EG, Gasanova GF, Gorbunova EA. Sovremennye vozmozhnosti organizovannogo skrininga raka shejki matki Akusherstvo i ginekologija. 2016;9:12-18. doi: 10.18565/aig.2016.9.12-8. (Russian).
Malceva LI, Ahmetzjanova AV, Farrahova LN, Nigmatullina NA. Cervikalnaja intrajepitelialnaja neoplazija: vozmozhnosti diagnostiki i lechenija [Cervical intraepithelial neoplasia: possibilities of diagnosis and treatment]. Prakticheskaja medicina. 2012;9(65):52-55. (Russian).
Elnikova VO, Kudencova GV. Optimizacija organizacionnyh meroprijatij po sovershenstvovaniju okazanija onkologicheskoj pomoshhi bolnym s novoobrazovanijami shejki matki v Kurskoj oblasti [Optimization of rganizational actions for perfection of rendering oncological help to the patients with new growths of the uterine cervix in Kursk region]. Sibirskij medicinskij zhurnal. 2012;27(1):169-174. (Russian).
Kesic V. Prevention of cervical cancer in Central and Eastern Europe and Central Asia: a challenge for the future. Vaccine. 2013;31:7-9. doi: 10.1016/j.vaccine.2012.11.105.
Davydov MI, Aksel EM. Zabolevaemost zlokachestvennymi novoobrazovanijami naselenija Rossii i stran SNG v 2008 g. Vestnik RONC im. N. N. Blohina RAMN. 2011;22(3 Suppl 1):54-92. (Russian).
Littell RD, Kinney W, Fetterman B, Cox JT, Shaber R, Poitras N, Lorey T, Castle PE. Risk of cervical precancer and cancer in women aged 30 years and older with an HPV-negative low grade squamous intraepithelial lesion screening result. J. Low. Genit. Tract. Dis. 2011;15(1):54-59. doi: 10.1097/LGT.0b013e3181f2d659.
Komarova LE. Sovremennye aspekty citologicheskogo skrininga raka shejki matki: obzor [Current aspects of cytological screening for cancer of the cervix uteri: a review]. Opuholi zhenskoj reproduktivnoj sistemy. 2009;3-4:78-83. (Russian).
Kedrova AG, Levakov SA, Chelnokova NN, Kozhurina EV, Levakova SE, Sarkisova AA. Rol profilakticheskih osmotrov i pervichnogo priema vracha v zhenskoj konsultacii v vyjavlenii subklinicheskih i latentnyh form papillomavirusnoj infekcii shejki matki i ih monitoring. Ginekologija. 2012;14(1):75-81. (Russian).
Suhih GT, Prilepskaja VN, Bebneva TN, Galickaja MG, Zarochenceva NV, Kozachenko VP, Kolomiec LA, Kostava MN, Krasnopolskij VI, Kuevda DA, Meshkova RJa, Minkina GN, Namazova-Baranova LS, Podzolkova NM, Rogovskaja SI, Savicheva AM, Tatochenko VK, Urmancheeva AF, Urmancheeva AF, Harit SM, Shabalova IP, Shahanina IL, Shipicyna EV, Shipulina OJu; Suhih GT, Prilepskaja VN, eds. Profilaktika raka shejki matki. 3rd ed. Moscow: MEDpressinform; 2012. 192 p. (Russian).
Okeanov AE, Moiseev PA, Evmenenko EA, Mavrichev SA. Rak shejki matki v Respublike Belarus. Jepidemiologija i sostojanie onkologicheskoj pomoshhi. Onkologicheskij zhurnal. 2013;7(4):20-27. (Russian).
Cervical human papillomavirus prevalence in 5 continents: meta-analysis of 1 million women with normal cytological findings. J. Infect. Dis. 2010;202(12):1789-1799. doi: 10.1086/657321.
Rogovskaja SI. Papillomavirusnaja infekcija u zhenshhin i patologija shejki matki: v pomoshh praktikujushhemu vrachu. 2nd ed. Moscow: GJeOTAR-Media; 2008. 188 p. (Russian).
Bray F, Lortet-Tieulent J, Znaor A, Brotons M, Poljak M, Arbyn M. Patterns and trends in human papillomavirus-related diseases in Central and Eastern Europe and Central Asia. Vaccine. 2013;31:32-45. doi: 10.1016/j.vaccine.2013.02.071.
Merabishvili VM, Lalianci JeI, Subbotina OJu. Rak shejki matki: zabolevaemost, smertnost (populjacionnoe issledovanie). Voprosy onkologii [Problems in oncology]. 2012;58(1):41-44. (Russian).
Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JW, Comber H, Forman D, Bray F. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur. J. Cancer. 2013;49(6):1374-1403. doi: 10.1016/j.ejca.2012.12.027.
Garelik TM. Naumov IA. Pervichnaja zabolevaemost rakom shejki matki v Grodnenskoj oblasti v 2012-2016 godah kak problema sohranenija reproduktivnogo zdorovja zhenshhin. In : Naumov IA, ed. Sovremennye problemy gigieny, radiacionnoj i jekologicheskoj mediciny. Iss. 7. Grodno: GrGMU; 2017. p. 45-54. (Russian).
Sovet Ministrov Respubliki Belarus. Gosudarstvennaja programma «Zdorove naroda i demograficheskaja bezopasnost Respubliki Belarus» na 2016-2020 gody. Postanovlenie № 200 (mar. 14, 2016) [Internet]. Available from: http://www.pravo. by/document/?guid=12551&p0=C21600200& 1=1.(Russian).
