Dynamics of morbidity, mortality, survival and ways to improve oncological care in breast cancer in the republic of north Ossetia-Alania in 1991–2021

Khutiev Tsara Sardionovich, Beslekoev Uruzmag Solomonovich, Khutieva Irina Konstantinovna, Khutieva Nadezhda Tsaraevna, Naniev Batraz Leonidovich, Petriashvili Inna Robertovna

The issue of diagnosing breast cancer (BC) is central to preventing the development of this disease, which is the most common cancer among the female population around the world and causes the largest number of deaths. This study analyzed the main indicators of the incidence of breast cancer in the Republic of North Ossetia-Alania (RNO-Alania) for 1991-2021. A low level of breast cancer diagnosis, a distortion of statistical data on the diagnosis of the disease, especially in its initial stages, a high level of neglected cases of breast cancer and, as a result, a high mortality rate of the female population of the Republic from this disease were noted. Based on the data obtained, the main criteria for the dynamics of morbidity, survival, and mortality from breast cancer among the female population of North Ossetia-Alania over 30 years were characterized, the main possible directions for improving the diagnosis of breast cancer, prolonging the life of patients and possible prevention of a high level of deaths were identified.

Keywords:breast cancer, morbidity, mortality, survival, clinical examination, screening, cancer registry.