Results of the implementation of information and analytical systems for routing monitoring patients with suspected breast cancer in medical institutions
- Authors: Orlov G.M.1, Romanenkov N.S.1, Alekseev P.S.1, Movchan K.N.1, Dolgov V.P.1, Daryina M.G.1, Zharkov A.V.1, Yakovenko O.I.1, Gedgafov R.M.1
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Affiliations:
- Medical Information and Analytical Center
- Issue: Vol 66, No 4 (2022)
- Pages: 296-301
- Section: HEALTH CARE ORGANIZATION
- Submitted: 25.10.2024
- URL: https://gynecology.orscience.ru/0044-197X/article/view/637983
- DOI: https://doi.org/10.47470/0044-197X-2022-66-4-296-301
- ID: 637983
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Full Text
Abstract
Introduction. Breast cancer (BC) incidence is on the top positions among women cancer diseases. Medical care (MC) organization improvement to BC patients — an important problem of healthcare management.
Research purpose. To estimate the results of routing patients with suspected BC.
Methods. A cohort study conducted at the St. Petersburg Medical Information and Analytical Center from January 1, 2017 to December 31, 2019. Analysis the data on 14 629 BC suspected women, accumulated in the automatic accounting system “City register of routing maps” (AAS CRRM), considering the age and diagnostic timing.
Results. Interquartile range of patients waiting time to receive a level 1 oncologist consultation decreased from 1–8 to 1–3 days (p = 0.0000). In 2017–2019 yr. Patients with suspected BC were to wait 8 days to receive a level 2 oncologist consultation (p = 0.1629). Clinical diagnosis in suspected BC cases in St. Petersburg in 2017–2019 yr. was confirmed in 21 days (p = 0.5141).
Limitations. Cohort nature of the study.
Conclusion. The AAS CRRM use in BC suspected women allows better control MC providing and the timing of diagnosis of BC at all levels of medical care provision.
Compliance with ethical standards. The study does not require the submission of the biomedical ethics committee or other documents.
Contribution of the authors:
Orlov G.M. — research concept and design, editing.
Romanenkov N.S. — research concept and design, collection and processing of material, writing the text, editing.
Alekseev P.S. — research concept and design, statistical data processing.
Movchan K.N. — research concept and design, editing.
Dolgov V.P. — compilation of the list of literature, editing.
Daryina M.G. — writing the text, compilation of the list of literature, statistical data processing.
Zharkov A.V. — writing the text, statistical data processing.
Yakovenko O.I. — collection and processing of material.
Gedgafov R.M. — collection and processing of material.
All со-authors are responsible for the integrity of all parts of the manuscript and approval of its final version.
Acknowledgment. The study had no sponsorship.
Conflict of interest. The authors declare no conflict of interest.
Received: December 24, 2020
Accepted: February 24, 2021
Published: August 30, 2022
About the authors
Gennadij M. Orlov
Medical Information and Analytical Center
Author for correspondence.
Email: noemail@neicon.ru
ORCID iD: 0000-0003-2206-6265
Russian Federation
Nikolay S. Romanenkov
Medical Information and Analytical Center
Email: nickrom@inbox.ru
ORCID iD: 0000-0002-2715-7396
MD, PhD, expert, Medical Information and Analytical Center, Saint-Petersburg, 198095, Russian Federation.
e-mail: nickrom@inbox.ru
Russian FederationPavel S. Alekseev
Medical Information and Analytical Center
Email: noemail@neicon.ru
ORCID iD: 0000-0003-2851-6407
Russian Federation
Konstantin N. Movchan
Medical Information and Analytical Center
Email: noemail@neicon.ru
ORCID iD: 0000-0001-5969-9918
Russian Federation
Vladimir P. Dolgov
Medical Information and Analytical Center
Email: noemail@neicon.ru
ORCID iD: 0000-0001-5985-4981
Russian Federation
Mariya G. Daryina
Medical Information and Analytical Center
Email: noemail@neicon.ru
ORCID iD: 0000-0002-6642-4717
Russian Federation
Alexandr V. Zharkov
Medical Information and Analytical Center
Email: noemail@neicon.ru
ORCID iD: 0000-0001-6649-0928
Russian Federation
Olga I. Yakovenko
Medical Information and Analytical Center
Email: noemail@neicon.ru
ORCID iD: 0000-0002-5617-3440
Russian Federation
Rustam M. Gedgafov
Medical Information and Analytical Center
Email: noemail@neicon.ru
ORCID iD: 0000-0001-7704-0084
Russian Federation
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