2022 № 6 Risk-Based Approaches to Endoscopic Diagnosis of Gastrointestinal tract сancer in the medical organizations of primary healthcare (on the example of GAUZ SO GB № 1, Nizhny Tagil)
Early detection of gastrointestinal cancer is an actual public health problem. The implementation of the modern endoscopic diagnostic methods based on the progressive digital technologies significantly reduce the risks of diagnostic errors and contributes to the effective solution of that problem.
P u r p o s e : to clarify the possibilities of the early detection of gastrointestinal cancer by equipping the endoscopy unit of the city district hospital with the modern digital endoscopes, including devices with zoom functions – ZOOM.
M a t e r i a l s a n d m e t h o d s . The article analyzes the statistical data of the work of the endoscopy unit of Nizniy Tagil State city hospital № 1 from 2013 to 2022 (except 2020–21, when the hospital was completely redesigned as a COVID-hospital).
R e s u l t s . A clear relationship between the increase in the number of detected oncopathologies of the gastrointestinal tract and the modern technical equipment of the endoscopic units under the modernization of primary health care program in the Sverdlovsk region in 2021 is presented. Based on risk-based approaches and evidence-based medicine data, the importance expert-class equipment in the routine endoscopic practice in the primary healthcare district hospital for diagnosing gastrointestinal cancer at an early stage is shown. Modern approaches to optical endoscopic diagnostics are analyzed, as well as the potential risks of diagnostic errors associated with technical equipment and possible measures to reduce these risks for further improvement of primary endoscopic diagnostics aimed at detecting gastrointestinal cancer in the early stages are determined, the expediency of equipping endoscopic units of primary care medical organizations with endoscopes inreached magnification functions – ZOOM, as well as photo and video
recording of digital images with the possibility of archiving, color printing and further expert analysis of endoscopic images.
C o n s e q u e n c e . From the presented statistical data, it is clearly seen how with the improvement of the equipment quality, the detection of gastrointestinal cancer of various localizations is growing.
2013 № 9 National and regional assessment of the use of diagnostic resources in the Russian Federation (Moscow, Russia)
The article examines the use of magnetic resonance imaging, nuclear diagnostic, endoscopic and functional diagnostics in public healthcare in Russia. Differences in availability of MRI diagnostic equipment, PET, gastroscopy, colonoscopy, Holter monitoring of ECG and blood pressure equipment among Russian region are discussed. Differences in the number of diagnostic tests performed (including difference in per capita numbers), and a significant difference in operating efficiency are observed and discussed.