EPIDEMIOLOGICAL ANALYSIS OF THYROID CANCER AND THE SPECIFICS OF MEDICAL CARE TO THE POPULATION OF THE ARCTIC REGIONS OF NORTHWESTERN RUSSIA (ARCHANGELSK REGION)
Relevance. High morbidity and mortality from oncological pathology is an urgent problem of public health. Current trends in the epidemiological situation around the world do not reflect particularly positive forecasts, even though new methods of early diagnosis and treatment of such patients are being developed. The proportion of thyroid cancer among oncological neoplasms of the endocrine system is high and continues to increase. The purpose of the study is to conduct an epidemiological assessment of thyroid cancer among the population of the Arkhangelsk region in order to determine further prospects for providing medical care to patients. Materials and methods. The analysis was carried out on the basis of information materials from the database of the Unified Interdepartmental Information and Statistical System. The main epidemiological indicators of thyroid cancer have been studied: primary morbidity, mortality, and detection at various stages. A comparison of their changes over the studied time period with the all-Russian values is carried out. Results and their discussion. In general, the epidemiological features of thyroid cancer in the Arkhangelsk region have been determined in comparison with the national values. Thus, the incidence in the region is higher relative to the Russian Federation as a whole. These differences were especially significant among the female population. The trend towards an increase in morbidity has been determined over the past 10 years. At the same time, the regional mortality rate from thyroid cancer is lower compared to the national one. The dynamic mortality curve has been undulating; recent years have been characterized by an increase in. A positive aspect was the relatively high detection rate of thyroid cancer in the initial stages, which is attributed to the developing cancer service system in the region. Conclusions. Despite significant progress in the work of the cancer service in the Arkhangelsk region, there are several problems that require operational decisions.