Cancer alertness rules for outpatient therapist using stomach cancer example


DOI: https://dx.doi.org/10.18565/therapy.2024.10.143-151

Vertkin A.L., Rudnitskaya M.A., Vakhabova Yu.V., Knorring G.Yu.

Russian University of Medicine of the Ministry of Healthcare of Russia, Moscow
Abstract. Nowadays, in our country, as well as throughout the world, there is a stable increase in the prevalence of oncological diseases, which could be explained by aging of population, environmental, economic and other factors. The solution to this important problem depends on the efficacy of diagnosing the early stages of oncological diseases, including those at the level of outpatient therapeutic chain. Formation of oncological alertness skills in physicians can reduce the number of cases when tumors are detected already at advanced/late stages and facilitate earlier initiation of specialized treatment. Identification of symptoms and signs raising suspicion for malignant neoplasms by using algorithmic approaches and subsequent consultation of the patient by a specialist or oncologist are the key to treatment outcomes improving. The article offers a set of specially developed methodological materials making easier the implementation of oncological alertness rules for their use at the outpatient stage by therapists and general practitioners.
Keywords: oncological alertness, outpatient visit, stomach cancer, oncological diseases
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Literature

1. Каприн А.Д., Старинский В.В., Шахзадова О.А. Состояние онкологической помощи населению России в 2020 году. М.: МНИОИ им. П.А. Герцена – филиал ФГБУ «НМИРЦ» Минздрава России. 2021. Доступ: https://oncology-association.ru/wp-content/uploads/2022/05/sostoyanie-onkologicheskoj-pomoshhi-naseleniyu-rossii-v-2021-godu.pdf (дата обращения – 25.11.2024) (Kaprin A.D., Starinsky V.V., Shakhzadova O.A. The state of oncological care for the population of Russia in 2020. Moscow: P.A. Herzen Moscow State Medical Research Institute – a branch of the National Medical Research Center of Radiology of the Ministry of Healthcare of Russia. 2021. URL: https://oncology-association.ru/wp-content/uploads/2022/05/sostoyanie-onkologicheskoj-pomoshhi-naseleniyu-rossii-v-2021-godu.pdf (date of access – 25.11.2024) (In Russ.)).


2. Siegel R.L., Miller K.D., Wagle N.S., Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023; 73(1): 17–48.


https://doi.org/10.3322/caac.21763. PMID: 36633525.


3. Global cancer observatory of the International Agency for Research on Cancer. World Health Organization. URL: https://gco.iarc.fr/en (date of access – 25.11.2024).


4. Pharoah P.D., Guilford P., Caldas C.; International Gastric Cancer Linkage Consortium. Incidence of gastric cancer and breast cancer in CDH1 (E-cadherin) mutation carriers from hereditary diffuse gastric cancer families. Gastroenterology. 2001; 121(6): 1348–53.


https://doi.org/10.1053/gast.2001.29611. PMID: 11729114.


5. Хатьков И.Е., Абдулхаков С.Р., Алексеенко С.А. с соавт. Российский консенсус по профилактике, диагностике и лечению рака желудка. Злокачественные опухоли. 2023; 13(2): 56–68. (Khatkov I.E., Abdulkhakov S.R., Alekseenko S.A. et al. Russian consensus on prevention, diagnosis and treatment of gastric cancer. Zlokachestvennye opukholi = Malignant Tumours. 2023; 13(2): 56–68 (In Russ.)).


https://doi.org/10.18027/2224-5057-2023-13-2-4. EDN: DQVRBG.


6. Приказ Минздрава России от 27.04.2021 № 404н «Об утверждении Порядка проведения профилактического медицинского осмотра и диспансеризации определенных групп взрослого населения». Доступ: http://publication.pravo.gov.ru/document/0001202106300043 (дата обращения – 25.11.2024). (Order of the Ministry of Healthcare of Russia No. 404n dated 04/27/2021 “On approval of the Procedure for preventive medical examination and medical examination of certain groups of the adult population”. URL: http://publication.pravo.gov.ru/document/0001202106300043 (date of access – 25.11.2024) (In Russ.)).


7. Клинические рекомендации. Рак желудка. Ассоциация онкологов России, Общероссийская общественная организация «Российское общество клинической онкологии». Рубрикатор клинических рекомендаций Минздрава России. 2020. ID: 574. Доступ: https://cr.minzdrav.gov.ru/recomend/574_1 (дата обращения – 25.11.2024). (Clinical guidelines. Association of Oncologists of Russia, Russian Society of Clinical Oncology. 2020. Rubricator of clinical guidelines of the Ministry of Healthcare of Russia. ID: 574. URL: https://cr.minzdrav.gov.ru/recomend/574_1 (date of access – 25.11.2024) (In Russ.)).


8. The NCCN clinical practice guidelines in oncology (NCCN Guidelines). URL: https://www.nccn.org/guidelines (date of access – 25.11.2024).


9. ESMO clinical practice guidelines: Gastrointestinal cancers. URL: https://www.esmo.org/guidelines/guidelines-by-topic/esmo-clinical-practice-guidelines-gastrointestinal-cancers (date of access – 25.11.2024).


10. Приказ Минздрава России от 19.02.2021 № 116н «Об утверждении Порядка оказания медицинской помощи взрослому населению при онкологических заболеваниях». Доступ: http://publication.pravo.gov.ru/document/0001202104020002 (дата обращения – 25.11.2024) (Order of the Ministry of Healthcare of Russia No. 116n dated 02/19/2021 “On approval of the Procedure for providing medical care to adults with oncological diseases”. URL: http://publication.pravo.gov.ru/document/0001202104020002 (date of access – 25.11.2024) (In Russ.)).


11. Сычева А.С., Верткин А.Л., Кебина А.Л. Онкологическая настороженность у пациентов на амбулаторном терапевтическом этапе. Медицинский алфавит. 2021; (7): 41–45. (Sycheva A.S., Vertkin A.L., Kebina A.L. Oncological alertness in patients at outpatient therapeutic stage. Meditsinskiy alfavit = Medical Alphabet. 2021; (7): 41–45 (In Russ.)).


https://doi.org/10.33667/2078-5631-2021-7-41-45. EDN: BNCAQL.


About the Autors

Arkadiy L. Vertkin, MD, Dr. Sci. (Medicine), professor, head of the Department of therapy, clinical pharmacology and emergency medical care of the Faculty of general medicine of N.A. Semashko Scientific and Educational Institute of Clinical Medicine, Russian University of Medicine of the Ministry of Healthcare of Russia. Address: 127006, Moscow, 4 Dolgorukovskaya St.
E-mail: kafedrakf@mail.ru
ORCID: https://orcid.org/0000-0001-8975-8608
Maria A. Rudnitskaya, MD, assistant at the Department of therapy, clinical pharmacology and emergency medical care of the Faculty of general medicine of N.A. Semashko Scientific and Educational Institute of Clinical Medicine, Russian University of Medicine of the Ministry of Healthcare of Russia. Address: 127006, Moscow, 4 Dolgorukovskaya St.
E-mail: bondar3011@rambler.ru
Yulia V. Vakhabova, MD, PhD (Medicine), assistant at the Department of therapy, clinical pharmacology and emergency medical care of the Faculty of general medicine of N.A. Semashko Scientific and Educational Institute of Clinical Medicine, Russian University of Medicine of the Ministry of Healthcare of Russia, oncologist of the Department of chemotherapy and combined treatment of malignant tumors of Research Institute of Clinical Oncology, N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Healthcare of Russia. Address: 127006, Moscow, 4 Dolgorukovskaya St.
E-mail: alt78@mail.ru
German Yu. Knorring, MD, PhD (Medicine), associate professor of the Department of therapy, clinical pharmacology and emergency medical care of the Faculty of general medicine of N.A. Semashko Scientific and Educational Institute of Clinical Medicine, Russian University of Medicine of the Ministry of Healthcare of Russia. Address: 127006, Moscow, 4 Dolgorukovskaya St.
E-mail: knorring@mail.ru
ORCID: https://orcid.org/0000-0003-4391-2889


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