Analysis of primary disability among women with breast cancer

Based on the depersonalized database of the State Medical and Social Expertise Bureau of the Irkutsk Region, an analysis of primary disability in women due to breast cancer (BC) was conducted. Among the contingent of primary disabled people, women with the second disability group, living in urban areas and over 55 years of age, currently prevail. For 2009-2023, a statistically significant increase in the overall indicators of primary disability due to BC was noted: "gross" by 1.4 times and standardized by 1.3 times. The increase in the average age of disabled women from 53.2 to 58.1 years is associated with both improved medical care and patient survival, and with the aging of the population. Despite the improvement of diagnostics [3], the multidirectional dynamics of the proportion of disability groups 1 and 2 (an increase in the share of group 1 from 14.8 to 18.4% and a statistically significant decrease in the share of group 2 from 57.7 to 48.2%) does not correlate with the data on primary breast cancer incidence by stage, which is explained by legislative changes in detailing the classification and criteria for the implementation of primary examination by medical and social expertise institutions. To prevent severe disability due to breast cancer, it is necessary to take a set of measures: active interdepartmental cooperation of all interested specialists, effective diagnostics of breast cancer, accessibility of medical care, and the development of a regional prevention program.