Zaets Y. Choice of tactics for specialized aid and dispensary follow-up of patients with urinary bladder cancer on the basis of prognostic criteria for a disease course

The dissertation is designed to substantiate and work out the conceptual model for choosing the post-operative tactics to treat patients having urinary bladder cancer (UBC), and for dispensary follow-up. The major attribute of the model is a prognostic chart compiled by the results of deepened studying of the long-term outcomes after treating 535 UBC patients. Characteristic factors included in it were estimated by experts in marks. The summarized marks of characteristics found in patients served as an estimation of risk. The increase in summarized marks indicates the linear dependence of probable unfavorable outcome after treatment. Using the mathematical analysis, three risk groups with limited values of summary criteria were set up. Such clustering of patients allows to substantiate the differential approach to the choice of a complex of treating measures after surgery, and in dispensary as well.The discovered regional peculiarities and the intensity of their changing along with dynamics of qualitative criteria of results in treating the UBC patients (specific gravity of those who died in about a year since a diagnosis had been made, those who live 5 and more years, mortality etc.) are the basis for implementation of clinico-organizing measures aimed at improvement 0f outcome in rendering medical aid to the UBC patients