Key trends in morbidity and mortality rate due to ovarian cancer in Ukraine

Romaniv M. P., Terenda N. О. Key trends in morbidity and mortality rate due to ovarian cancer in Ukraine. Journal of Education, Health and Sport. 2023;13(5): 138-145. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.13.05.018 https://apcz.umk.pl/JEHS/article/view/44712 https://zenodo.org/record/8078961 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 1, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 1 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe:Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2023; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 28.04.2023. Revised: 19.05.2023. Accepted: 31.05.2023. UDC 614.1:314.4:618.11-006.04 (477) KEY TRENDS IN MORBIDITY AND MORTALITY RATE DUE TO OVARIAN CANCER IN UKRAINE M. P. Romaniv, N. О. Terenda I. Ya. Horbachevsky Ternopil National Medical University Romaniv Mariia Pavlivna – postgraduate student of the Department of Public Health and Healthcare Management at I. Ya. Horbachevsky Ternopil National Medical University under the Ministry of Health of Ukraine Terenda Nataliia Oleksandrivna – Doctor of Science in Medicine, Professor, interim head of the Department of Public Health and Healthcare Management at I. Ya. Horbachevsky Ternopil National Medical University under the Ministry of Health of Ukraine Abstract Introduction. Ovarian cancer is characterized by the unfavorable progression and is in the first place within the structure of women’s mortality rate due to oncogynecological disorders. The purpose is to conduct the comparative analysis of the morbidity and mortality rate due to ovarian cancer before COVID-19 pandemic and during quarantine measures. Materials and methods. We conducted the analysis based on the statistical data from the National Cancer Register of Ukraine 2015 to 2021 without temporarily occupied territories using the statistical method, that is, analysis of time series. We analyzed the morbidity and mortality rate, distribution by age, structure of detection stages for ovarian cancer by TNM classification, detection rate of patients with ovarian cancer during preventive examinations. Research results and their discussion Long quarantine measures caused by COVID-19 pandemic have led to the broken communication between female patients and doctors within the primary and special medical assistance: limited possibility or full impossibility of getting a consultation by the general practitioner/family doctor due to a large number of COVID-19 patients, limited access to specialized healthcare institutions, personal fear of female patients to catch COVID-19 in healthcare institutions. These conditions have made women postpone their visits to doctors and a share of female patients with oncogynecological disorders detected at the stage ІІІ to IV by TNM classification increase. 2015 to 2019 there was a trend in decrease in the share of patients with ovarian cancer detected during preventive examinations by 19.7 %, which increased during quarantine measures due to COVID-19 pandemic (-27.4 %). 2015 to 2019 there was a stated trend in decrease in the share of detected patients with ovarian cancer at the stage I to II (-1.4 %) and III (-9.3 %) by TNM classification and increase in the share of detected patients with ovarian cancer at the stage IV (+17.2 %). During quarantine measures the share of patients with ovarian cancer at the stage I to II and III by TNM classification continued to decrease (-10.3 % and -0.7 %, respectively) and the share of patients with ovarian cancer at the stage IV increased (+20.4 %). The decrease in the share of detected patients with ovarian cancer during preventive examinations is one of the factors for detecting patients with the extensive-stage disease, which was confirmed both at the national and regional level. Conclusion. Obtained data are evidence of the fact that the morbidity rate due to ovarian cancer insignificantly increased (+3.9 %) 2015 to 2019 and decreased by 8.6 % during COVID-19 pandemic. The morbidity rate increased among women aged from 45, especially at the age 65 to 69. The decrease in the share of detected patients with ovarian cancer during preventive examinations is one of the factors for detecting patients with the extensive-stage disease, which was confirmed both at the national and regional level. Key words: ovarian cancer; COVID-19 pandemic; morbidity and mortality rate du