About features of quality examination of medical care to patient metastatic kidney cancer
Authors: K.N. Movchan, K.E. Chernov, V.V. Tatarkin, B.S. Artyushin, A.V. Zharkov, A.Y. Chernova, E.V. Zhelezny
Aim: to demonstrate the features of the examination of the quality of medical care for patients with metastatic kidney cancer.
Materials and methods: the incidence of kidney cancer is increasing both in Russia and around the world. Despite the improvement of the methods of special diagnostics and in the absence of clinical manifestations of the disease in the early stages of the oncological process, it is sometimes difficult to detect kidney neoplasms, and the clinical picture of metastatic kidney cancer may resemble other various diseases. A case of a patient with a metastatic kidney cancer is presented.
Results: peculiarities of patient routing to various medical institutions of St. Petersburg with the assessment of the quality of medical care in a patient with advanced form of cancer of the renal origin were demonstrated. Indicators of laboratory and instrumental examination methods are reviewed in dynamics. The course of the disease and its outcome are analyzed in the light of modern clinical recommendations for urology, oncology and the assessment of the quality and safety of medical activity.
Conclusion. With proper organization of medical care, which is provided by health managers, technological problems that arise directly during the examination and treatment are eliminated as soon as possible, without defects. In the absence of opportunities for proper medical and diagnostic measures in medical organizations, the leadership of a healthcare institution together with specialists should be able to route patients to specialized medical centers where examination and treatment can be guaranteed to be carried out at the highest possible level of medical knowledge.