Results of the implementation of information and analytical systems for routing monitoring patients with suspected breast cancer in medical institutions

Abstract

Introduction. Breast cancer (BC) incidence is on the top positions among women cancer diseases. Medical care (MC) organization improvement to BC patients - an important problem of healthcare management. Research purpose. To estimate the results of routing patients with suspected BC. Methods. A cohort study conducted at the St. Petersburg Medical Information and Analytical Center from January 1, 2017 to December 31, 2019. Analysis the data on 14 629 BC suspected women, accumulated in the automatic accounting system “City register of routing maps” (AAS CRRM), considering the age and diagnostic timing. Results. Interquartile range of patients waiting time to receive a level 1 oncologist consultation decreased from 1-8 to 1-3 days (p = 0.0000). In 2017-2019 yr. Patients with suspected BC were to wait 8 days to receive a level 2 oncologist consultation (p = 0.1629). Clinical diagnosis in suspected BC cases in St. Petersburg in 2017-2019 yr. was confirmed in 21 days (p = 0.5141). Limitations. Cohort nature of the study. Conclusion. The AAS CRRM use in BC suspected women allows better control MC providing and the timing of diagnosis of BC at all levels of medical care provision.