ASSESSMENT OF THE QUALITY OF ACCOUNTING OF DEATHS OF PATIENTS WITH MALIGNANT NEOPLASMS IN RUSSIA

It is presented the comparative assessment of the quality of the records of patients who died from malignant neoplasms (MN), according to the report of Rosstat used to calculate mortality rates (form No. 5 “the Distribution of deaths by sex, age groups and causes of death”), and according to the report of the Ministry of health (form № 35 “Data on patients with malignant neoplasms”), used to calculate the mortality rate of patients under medical observation. Improving the quality and completeness of information about cancer patients is associated not only with the necessity of improving the accounting system, but with a best option compared with the most used in the world practice, as with any organizational issues.

The following materials will be used. Rosstat data:

• the distribution of deaths from MN by age and sex (form No. 5);

• average annual number of population in administrative territories of Russia. The data of the Ministry of health (form No. 35):

• the number of deaths from the MN from the number taken into account;

• the number of deaths from the MN, not consisting on the account of cancer institution, including:

– with the diagnosis established postmortem, including autopsy;

– consisted on the account in medical institutions of other ministries and departments;

• the number of deaths (from those considered), the cause of death was non-oncological disease;

• the number of deaths from complications related to the treatment (from the number registered during the previous year and died from the MN).

The study was conducted with the use of information and analytical support of the database on Oncology on the basis of state statistical reporting, created by P. Herzen MORI.

1. Unified interdepartmental information-statistical system [Internet]. Age-specific mortality rates (the value of the index for the year, the Russian Federation, ppm). Available at: https://fedstat.ru/organizations/(accessed 12.09.2016). (In Russian).

2. The decree of the President of the Russian Federation dated 07.05.2012 of 23.07.2013, № 598 “On improvement of state policy in the sphere of healthcare”. Available at: http://base.garant.ru/70170948/(accessed 12.09.2016). (In Russian).

3. Cancer Registration: Principles and Methods. Edited by O. M. Jensen, D. M. Parkin, R. MacLennan, C. S. Muir, R. G. Skeet. IARC Scientific Publications No.95. Lyon: IARS, 1991, 296 p.

4. Osnovnye prichiny vybora i kodirovaniya pervonachal’noi prichiny smerti bol’nykh so zlokachestvennymi novoobrazovaniyami [The main reasons for the selection and coding of underlying cause of death in patients with malignant tumors]. Methodological recommendations (approved by the MOH 3.12.2001). Moscow, P. Hertsen Moscow Oncology Research Institute, 2002, 14 p. (In Russian).

5. Letter of the Ministry of health of the Russian Federation from 26.12.2014 No. 13–2/10/2–9875 «The Procedure for compiling consolidated annual statistical reports by the health authorities of constituent entities of the Russian Federation in 2014”. (In Russian).

6. The order of Ministry of health of the Russian Federation from 19.04.1999 № 135 “On improving the system of state cancer registry”. Annex 1 “Regulations for the registration and record-keeping of patients with malignant neoplasms in the Russian Federation”. Мoscow, 1999. Available at: http://onkolog.med.cap.ru/Page.aspx?id=582991 (accessed 12.09.2016). (In Russian).

7. Starinskii V. V., Merabishvili V. M., Gretsova O. P., Popova S. P., Petrova G. V., Dyatchenko O. T., et al. Razvitie sistemy populyatsionnykh rakovykh registrov v Rossii. Voprosy oncologii (Problems in Oncology). 2003;49 (4):422–6. (In Russian).

8. The order of Ministry of health of the Russian Federation dated 26.12.2008 № 782n “On approving the procedure of conducting the medical documentation certifying the cases of birth and death”. Available at: http://www.medicport.ru/doctors/normativnaya_dokumentaciya/minzdravsocrazvitiya_rf_prikaz_ot_26122008_n_782n/(accessed 12.09.2016). (In Russian).

9. The Federal law of 15.11.1997 № 143-FZ “About acts of civil status” (with changes and additions approved by the Federal law dated 15.06.2012 51-FZ). Chapter VIII. State registration of death. Available at: http://base.garant.ru/173972/8/#block_800 (accessed 12.09.2016). (In Russian).