The role of the pediatrician in the early diagnosis of malignant neoplasms in children
Malignant neoplasms prevail in the structure of mortality in children all over the world, while most patients are diagnosed at the common stages; the second place is taken by external causes. It determines a particular relevance of developing new approaches to strengthen the role of district pediatr...
Published in: | Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) |
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Ltd. “The National Academy of Pediatric Science and Innovation”
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Online Access: | https://doi.org/10.21508/1027-4065-2020-65-1-94-99 https://doaj.org/article/3a3a6b39301e44708743fe17f1d335e1 |
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ftdoajarticles:oai:doaj.org/article:3a3a6b39301e44708743fe17f1d335e1 2023-05-15T15:23:37+02:00 The role of the pediatrician in the early diagnosis of malignant neoplasms in children M. Yu. Rykov O. A. Manerova I. A. Turabov V. V. Kozlov V. A. Reshetnikov 2020-03-01T00:00:00Z https://doi.org/10.21508/1027-4065-2020-65-1-94-99 https://doaj.org/article/3a3a6b39301e44708743fe17f1d335e1 RU rus Ltd. “The National Academy of Pediatric Science and Innovation” https://www.ped-perinatology.ru/jour/article/view/1063 https://doaj.org/toc/1027-4065 https://doaj.org/toc/2500-2228 1027-4065 2500-2228 doi:10.21508/1027-4065-2020-65-1-94-99 https://doaj.org/article/3a3a6b39301e44708743fe17f1d335e1 Rossijskij Vestnik Perinatologii i Pediatrii, Vol 65, Iss 1, Pp 94-99 (2020) дети онкология злокачественные новообразования ранняя выявляемость Pediatrics RJ1-570 article 2020 ftdoajarticles https://doi.org/10.21508/1027-4065-2020-65-1-94-99 2023-03-19T01:37:35Z Malignant neoplasms prevail in the structure of mortality in children all over the world, while most patients are diagnosed at the common stages; the second place is taken by external causes. It determines a particular relevance of developing new approaches to strengthen the role of district pediatricians in the early diagnosis of malignant neoplasms in children.Material and methods. The Algorithm for determining the appropriateness of referring a patient to a pediatric oncologist was introduced in the medical organizations of the Arkhangelsk region in 2016. To evalute the effectiveness of the Algorithm, we compared two groups of patients with histologically verified solid malignant neoplasms: Group 1: 49 patients who received medical care in the Arkhangelsk region in 2011–2015 (prior to the experiment); Group 2: 51 patients who received medical care in the Department of Pediatric Oncology of the Arkhangelsk region in 2016–2018. Results. The average survival time was significantly increased in Group 2016–2018 (30.3 ± 1.57 months) as compared with the survival time of patients receiving treatment in 2011–2015 (25.04 ± 2.05 months) (p=0.045). The following time parameters were reduced: from the moment of contacting the pediatric oncologist to the verification of the diagnosis – from 9.0 to 7.0 days; from verification of the diagnosis to the start of specialized treatment – from 12.0 to 8.0 days; from the moment of contacting the local pediatrician to the referral to the pediatric oncologist – from 11.0 to 2.0 days; from the moment of contacting the local pediatrician to the start of specialized treatment – from 23.0 to 9.0 days. Conclusion: The organizational experiment confirmed the effectiveness of the Algorithm and the expediency of its implementation in the medical organizations. Article in Journal/Newspaper Arkhangelsk Directory of Open Access Journals: DOAJ Articles Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) 65 1 94 99 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
Russian |
topic |
дети онкология злокачественные новообразования ранняя выявляемость Pediatrics RJ1-570 |
spellingShingle |
дети онкология злокачественные новообразования ранняя выявляемость Pediatrics RJ1-570 M. Yu. Rykov O. A. Manerova I. A. Turabov V. V. Kozlov V. A. Reshetnikov The role of the pediatrician in the early diagnosis of malignant neoplasms in children |
topic_facet |
дети онкология злокачественные новообразования ранняя выявляемость Pediatrics RJ1-570 |
description |
Malignant neoplasms prevail in the structure of mortality in children all over the world, while most patients are diagnosed at the common stages; the second place is taken by external causes. It determines a particular relevance of developing new approaches to strengthen the role of district pediatricians in the early diagnosis of malignant neoplasms in children.Material and methods. The Algorithm for determining the appropriateness of referring a patient to a pediatric oncologist was introduced in the medical organizations of the Arkhangelsk region in 2016. To evalute the effectiveness of the Algorithm, we compared two groups of patients with histologically verified solid malignant neoplasms: Group 1: 49 patients who received medical care in the Arkhangelsk region in 2011–2015 (prior to the experiment); Group 2: 51 patients who received medical care in the Department of Pediatric Oncology of the Arkhangelsk region in 2016–2018. Results. The average survival time was significantly increased in Group 2016–2018 (30.3 ± 1.57 months) as compared with the survival time of patients receiving treatment in 2011–2015 (25.04 ± 2.05 months) (p=0.045). The following time parameters were reduced: from the moment of contacting the pediatric oncologist to the verification of the diagnosis – from 9.0 to 7.0 days; from verification of the diagnosis to the start of specialized treatment – from 12.0 to 8.0 days; from the moment of contacting the local pediatrician to the referral to the pediatric oncologist – from 11.0 to 2.0 days; from the moment of contacting the local pediatrician to the start of specialized treatment – from 23.0 to 9.0 days. Conclusion: The organizational experiment confirmed the effectiveness of the Algorithm and the expediency of its implementation in the medical organizations. |
format |
Article in Journal/Newspaper |
author |
M. Yu. Rykov O. A. Manerova I. A. Turabov V. V. Kozlov V. A. Reshetnikov |
author_facet |
M. Yu. Rykov O. A. Manerova I. A. Turabov V. V. Kozlov V. A. Reshetnikov |
author_sort |
M. Yu. Rykov |
title |
The role of the pediatrician in the early diagnosis of malignant neoplasms in children |
title_short |
The role of the pediatrician in the early diagnosis of malignant neoplasms in children |
title_full |
The role of the pediatrician in the early diagnosis of malignant neoplasms in children |
title_fullStr |
The role of the pediatrician in the early diagnosis of malignant neoplasms in children |
title_full_unstemmed |
The role of the pediatrician in the early diagnosis of malignant neoplasms in children |
title_sort |
role of the pediatrician in the early diagnosis of malignant neoplasms in children |
publisher |
Ltd. “The National Academy of Pediatric Science and Innovation” |
publishDate |
2020 |
url |
https://doi.org/10.21508/1027-4065-2020-65-1-94-99 https://doaj.org/article/3a3a6b39301e44708743fe17f1d335e1 |
genre |
Arkhangelsk |
genre_facet |
Arkhangelsk |
op_source |
Rossijskij Vestnik Perinatologii i Pediatrii, Vol 65, Iss 1, Pp 94-99 (2020) |
op_relation |
https://www.ped-perinatology.ru/jour/article/view/1063 https://doaj.org/toc/1027-4065 https://doaj.org/toc/2500-2228 1027-4065 2500-2228 doi:10.21508/1027-4065-2020-65-1-94-99 https://doaj.org/article/3a3a6b39301e44708743fe17f1d335e1 |
op_doi |
https://doi.org/10.21508/1027-4065-2020-65-1-94-99 |
container_title |
Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) |
container_volume |
65 |
container_issue |
1 |
container_start_page |
94 |
op_container_end_page |
99 |
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