The relationship between staffing of the obstetrics and gynecology service and indicators of detection of cervical dysplasia in Ukraine
DOI:
https://doi.org/10.15574/PP.2025.4(104).59Keywords:
cervical dysplasia, cervical intraepithelial neoplasia, obstetricians-gynecologists, personnel support, physician workload, health care organizationAbstract
Cervical dysplasia is one of the leading precancerous pathologies of the female reproductive system and an important marker of the effectiveness of cervical cancer prevention. Timely detection of cervical intraepithelial neoplasia depends not only on biological and behavioral factors, but also on organizational aspects of medical care, in particular, the staffing of obstetrician-gynecologists.
Aim - to assess the relationship between the number of obstetrician-gynecologists and cervical dysplasia detection rates in Ukraine in 2020-2024.
Materials and methods. The research was conducted using official depersonalized statistical data. The material was summarized in tables on the incidence of cervical dysplasia and the number of obstetrician-gynecologists in Ukraine. The analysis covered the period 2020-2024, with 2020 (II-IV quarters) and 2025 (I quarter) considered as incomplete reporting periods. Statistical data processing was carried out using methods of descriptive statistics with the calculation of absolute and relative indicators and the load indicator - the number of cases of dysplasia per doctor.
Results. During the period from 2020 to 2024, the absolute number of registered cases of cervical dysplasia in Ukraine increased from 20,852 in 2020 II-IV quarters to 67,620 in 2024. Mild forms of cervical intraepithelial neoplasia CIN I - 48.0-52.5%, moderate CIN II - 18.9-21.5%, severe CIN III - 8.5-10.3% prevailed in all years, with no pronounced upward trend. Against the background of increasing morbidity, there was a reduction in the number of obstetrician-gynecologists by more than 14%, which was accompanied by an increase in the burden of cervical dysplasia per doctor from 1.9 cases in 2020 to 7.2 cases in 2024.
Conclusions. The results of the study indicate a relationship between staffing of the obstetrics and gynecology service and indicators of cervical dysplasia. A decrease in the number of obstetrician-gynecologists combined with an increase in the burden on doctors can negatively affect the availability and completeness of diagnosis, especially for severe forms of cervical dysplasia.
The author declares the absence of a conflict of interest.
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