ANALYSIS OF CANCER INCIDENCE AND MORTALITY IN THE ADULT POPULATION OF THE ARKHANGELSK REGION

Significance. High mortality rates from malignant neoplasms are one of the negative trends in the dynamics of the health of the population of the region and the country as a whole. The level of cancer incidence and mortality in the Arkhangelsk region significantly exceeds the Russian average and has significant regional characteristics, which requires the development of effective measures of primary, secondary and tertiary prevention. Subject of the study: incidence, prevalence and mortality of the population from malignant neoplasms. Purpose. Assessment of the dynamics and structure of malignant neoplasms of the population of the Arkhangelsk region in 2018-2023 in comparison with data for the Northwestern Federal District and the Russian Federation as a whole. Materials and methods. Statistical data for 2018-2023 according to form No. 7 of the federal statistical observation "Information on malignant neoplasms" for the Arkhangelsk region. All indicators are calculated taking into account the statistical data of the Territorial Body of the Federal State Statistics Service for the Arkhangelsk Region on the average population. For comparison, data on the Northwestern Federal District and the Russian Federation were taken from the official reference materials of the P.A. Herzen Moscow Oncology Research Institute published in the public domain ("Malignant neoplasms in Russia 2018-2023 (incidence and mortality)", "State of oncological care for the population of Russia 2018-2023"), information from the Federal State Statistics Service, and the Passport of the Federal Project "Fight against cancer". Results. A decrease in the incidence rate in 2020-2021 due to the limitation of planned medical care due to the epidemiological situation, a significant increase in the indicator in 2022-2023, an excess of cancer incidence in men compared to the female population, the distribution of the proportion of morbidity and mortality by nosological forms in the region coincides with the data for the district and the country as a whole. At the same time, the values of crude and standardized indicators of morbidity and mortality from malignant neoplasms in the Arkhangelsk region significantly exceed similar indicators for the Northwestern Federal District and the Russian Federation as a whole. The growth rate and average annual growth rate of regional indicators of morbidity and mortality are also higher. Conclusions. The identified regional features in the structure and dynamics of morbidity and mortality indicators require management decisions to improve the organization of medical care in the "oncology" profile in the region. Scope of application of the results. Making management decisions to improve the availability and quality of oncological care at the regional and institutional levels. Keywords: morbidity; mortality; malignant neoplasms; cancer morbidity; cancer mortality