Priority of women’s health protection at National Oncology Service development programme

Abstract

The system of health service in the world today is characterized by the ever-present attention to the problems of early diagnosis and prevention of oncologic diseases among women. The prevalence rates of breast cancer have skyrocketed by 30.3 % in Russia only for the past 10 years and amounted to 439 cases per 100,000 people. The trend of «rejuvenation» of breast cancer and its increasing occurrence among women aged 19-39 by 42.2 % is of particular concern. The screening mammography was introduced in 2006 to solve the problem. The mortality rate per year and general mortality rate decreased by 26-28 %o, the age-standardized death rate decreased by 14.9 % and the detection of breast cancer in the stages 1-2 increased up to 70.4 % due to systematic screening of 42 % of women in Russia over the past 10 years. A more active role of digital non-invasive and invasive diagnostic technologies instead of hospitalization is becoming more prevalent, also the using of high energy-treatment, including targeted therapy, and oncoplastic breast surgery are necessary to enhance the effectiveness of screening. Interdisciplinary integration in the system of continuing medical education, timely adjustment of normative documents according to rapid re-equipment, solving drug shortage situation, attracting attention of public organizations, social movements, foundations, voluntary clubs for outreach activity set up a whole new level of cancer care.