1. Results of simulation of performance indicators for the oncological service when introducing innovative technologies for treatment of stage IV lung cancer
- Author
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O. V. Zelenova, N. A. Golubev, V. M. Danilov, S. A. Sterlikov, S. I. Аbramov, and Yu. V. Mikhaylova
- Subjects
Oncology ,medicine.medical_specialty ,Chemotherapy ,Bronchus ,RC705-779 ,business.industry ,medicine.medical_treatment ,Cancer ,Tumor cells ,General Medicine ,respiratory system ,effects of malignant tumors chemotherapy improvement ,medicine.disease ,lung cancer ,lung cancer chemotherapy ,Diseases of the respiratory system ,medicine.anatomical_structure ,Internal medicine ,Case fatality rate ,medicine ,Performance indicator ,Stage iv ,Lung cancer ,business - Abstract
Malignant tumors of the trachea, bronchi, lungs represent a serious medical and social problem. Most cases of cancer of the trachea, bronchus, and lung are detected at stage IV, and therefore, to improve the survival of patients, a new treatment strategy is proposed based on modern data on mutagenesis and receptor status of tumor cells, which has a personalized approach for each specific case. To make managerial decisions about the introduction of innovative drugs, a forecast of expected results is required which should be improved indicators of the State Program On Healthcare Development. It has been found out that the transition to a new strategy for lung cancer chemotherapy will reduce mortality from malignant tumors by 1.2-0.7%, including lung cancer by 3.9%, as well as one-year case fatality by 3% for all malignant tumors, including 15% for lung cancer. At the same time, within 5 years after the introduction of the new strategy for lung cancer treatment, the indicator reflecting the proportion of patients with malignant tumors registered for 5 years or more is expected to decrease, which is related to specific parameters of the calculation method.The authors state that they have no conflict of interests.
- Published
- 2020