Oncology clinics. The best cancer treatment clinics in the world

NickName, take your time with the operation, Everything in the cranium is a subject for research and no one knows how it works exactly. If it is possible to be treated conservatively, without opening the skull, get treated. People are on medication for life and nothing.

Hello, tell me the best clinic for the treatment of colon cancer without price markup. Patient 68 years old

Effective treatment can be organized in any of several medical centers in Israel or Germany, regardless of age. The optimal price solution is offered by the Israeli clinic Ichilov, where one of the best oncology departments operates. For more information, leave your contact details in any of the application forms.

Hello. 3 years ago, on an MRI of the brain, I was diagnosed with a pituitary adenoma, 6.3 mm in size. Prolactin 2000 units A year later, the adenoma increased to 7.5 mm and an operation was recommended to remove it. On health, frequent headaches, irregular periods. What do they offer in Germany about this? What are the ways?

In order to correctly answer your question, more accurate information about your tumor is needed. In Germany, you may be offered transsphenoidal removal (through the sinuses), stereotaxic surgery, hormonal therapy. And it doesn't have to be surgery. For a detailed answer, send us a message with your contact details.

Irina Moisova

Good afternoon. Diagnosis of soft tissue sarcoma, surgery is indicated. I want to have surgery in Israel. Focus on the duration of your stay in the country. How quickly you can take all the tests to prepare for the operation and how long you have to be in the hospital. I understand that every day costs money and I want to know what delays there may be. Thank you in advance.

Dear Irina, the terms of stay in Israel and the plan of examinations and the possible length of stay in the hospital are calculated in advance. After you contact the clinic and review the medical records. Even before arriving in the country, you will be guided not only in terms, but also receive comprehensive assistance in organizing the trip. Your personal manager will answer all questions regarding treatment, its timing and cost.

Tell me, in which Israeli clinic is it best to treat liver cancer? And how much will it cost. At least approximately?

Hello Arsen. There are a number of large multidisciplinary Israeli clinics that accept foreign patients diagnosed with liver cancer for treatment. Among them are Assuta, Ichilov, Sheba, Hadassah and others. In order to find out the prices for the treatment of this disease, you can fill out an application on our website, after selecting which of the clinics you are interested in and receive price offers and recommended procedures, based on the characteristics of the course of the disease. In order for the representatives of the clinic to more accurately indicate which diagnostic and treatment procedures will be required in a particular case, you will need to send all the research data you have in electronic form. Calculating the cost will not take long. Also, after sending the medical documentation, you will be able to talk personally with the doctor of the clinic and find out exactly all the details you are interested in.

On the question of which country is best for cancer treatment, oncologists cannot give a definite answer, while practical experience makes it very clear that cancer treatment in Russia and Kazakhstan is a very problematic branch of medicine.

The main problems of oncology are often called the detection of the disease in the later stages, the lack of necessary drugs, the shortage of personnel, the insufficient material and technical base of medical institutions, and most importantly, corruption among medical workers. It is these reasons that become decisive in choosing a foreign country for cancer treatment.

To date, Germany, Austria and France are recognized as the best countries for cancer treatment in Europe. If not limited to Europe, then Germany, Israel and Switzerland are recognized as the strongest centers for cancer treatment. This trio is a recognized flagship in the treatment of oncology. The United States, Japan, China, France and South Korea are also very popular.

Features of treatment abroad

The best specialists work in foreign oncology centers and the latest equipment is used, but each country has its own peculiarities of treatment.

It is distinguished by the use of classical methods that are completely safe and effective. Despite the use of the latest generation equipment, the use is not encouraged.

It differs, firstly, in cost: the price of cancer treatment in Israeli clinics is about a third cheaper than in Germany. Secondly, the use of experimental technologies and drugs is much wider here, which makes it possible to achieve consistently high results in treatment.

Cancer treatment in the US is more expensive. However, the latest developments of the best oncologists make it possible to achieve a consistently high percentage of remission in children diagnosed with cancer.

Cancer treatment in the CIS countries

Not everyone can afford treatment abroad. What should those who can undergo cancer treatment in Russia or Kazakhstan, the largest domestic medical centers, do? Do not worry - the oncological school of these countries is also quite strong, despite some misconceptions.

Misconception #1: “The world has long abandoned such treatment regimens.”

In fact, the standards of oncology treatment are the same all over the world. Differences can only be noticed when comparing an advanced clinic abroad and a regional oncological dispensary somewhere in the outback of the country.

Misconception #2: “There are no good doctors in the country.”

There are knowledgeable and intelligent doctors in the country, they say about them “with golden hands”. However, it should be remembered that postoperative care also plays an important role.

Misconception #3: “We don’t have modern drugs.”

In fact, the domestic Pharmregister has almost the same drugs that are used in Europe. Only drugs that have recently left the category of experimental ones can be absent.

Misconception No. 4: “Abroad, treatment will be cheaper than here.”

It is important to understand that on the websites of foreign clinics the price is indicated directly for the treatment, without taking into account related services. In addition, the institute of intermediary services is very developed abroad, as a result of which the total cost of treatment is 2-3 times higher than the official price list of the clinic.

Thus, it can be concluded that cancer treatment abroad will be more professional and using a wider range of technologies, but at the same time more expensive, although cancer treatment in Kazakhstan and Moscow also not free. The best treatment for oncology is its prevention - annual examinations by specialists aimed at preventing and preventing the disease.

Take care of yourself and your loved ones!

Treating oncology in Israel or Russia, being treated at home or receiving medical care abroad is a purely individual decision. However, the choice is sometimes confusing.

Below are some facts that will tell the truth about oncology treatment abroad and in Russia, this will help save valuable time.

According to statistics, every minute one resident of Russia is diagnosed with cancer. If the situation does not change, in 10-15 years the number of cancer patients will increase by 20-25%. Oncology in Israel for all types of disease and stages reaches a high level of overall survival.

Oncology of Israel and Russia in numbers

There are 48 general hospitals in Israel, almost all of them have specialized oncology clinics or oncology departments. Israeli clinics serve 200,000 cancer patients.

There are 26 oncological dispensaries in Moscow, 6 in St. Petersburg, 1-2 in regional and regional centers. In total, there are approximately 120 hospitals in Russia for 3 million cancer patients.

Israel is in 4th place in the international ranking of the effectiveness of health systems. Efficiency was assessed by life expectancy, absolute spending on medicine, and the share of spending on medicine in the country's GDP. Russia ranks 130th in this ranking.

Israel is among the top 10 countries with the highest level of spending in the field of medicine (in terms of per capita). Financing of medicine in Russia per person is 3.3 euros (according to calculations in the EU countries, each citizen needs an average of 10 euros).

Diagnostics of oncology in Israeli and Russian clinics

The main problem of the healthcare system in Russia is the diagnosis. In most cases, doctors detect a malignant tumor only at stage 3-4, when a person has little chance of recovery.

Also, for some patients with cancer (more than 20% of all cases), doctors make an inaccurate diagnosis.

Oncology treatment in Israel involves the use of modern equipment for diagnosis. Equipping Israeli hospitals with modern equipment eliminates the possibility of error and allows for the most effective treatment.

Also in Israel, the professionalism of medical personnel is very high. These factors contribute to the fact that today the survival rate of cancer patients in Israel is more than 80%. This is the percentage of patients who overcome the 5-year survival after treatment. In many cases, the disease is cured completely, especially for the early detection of oncology.

Correct diagnosis is the basis of correct treatment. This principle is followed in the oncology departments of Israeli clinics. Often, patients are recommended to undergo an examination in Israel, after making an accurate diagnosis, they can return to their homeland and continue treatment at home.

Israeli and Russian oncology

In Russia, 500,000 cases of cancer are registered every year. And yet, in 2015, the national oncology program was closed, through which the necessary medicines and equipment and medicines were purchased.

Israel is one of the world's leading countries with highly developed medicine. The success rate of oncology treatment is one of the highest. This is due to a large number of clinical studies, modern equipment for diagnostics, creation and implementation of innovations.

The state takes care of the healthcare sector, investing significant financial resources in the development of medical developments in the field of cancer treatment.

There are many world-class oncologists in Israel. It is important to understand that the treatment of oncology is not the work of one doctor, but of a whole team of specialists from different fields of medicine.

The cost of oncology treatment in Israel and Russia

In Israeli clinics, the pricing policy is formed on the basis of tariffs recommended by the Ministry of Health, while the prices of Russian hospitals are characterized by a wide range. This is due to fluctuations in Russian price lists depending on the specific clinic and city.

Hospitalization in the Russian state oncological hospital will cost on average from 30 to several hundred thousand rubles. The cost of hospitalization in an Israeli clinic for oncology treatment is from $600. An operation to remove a tumor in Russia costs from 40 thousand rubles. A surgical operation in Israel (depending on the location of the neoplasm, the type of tumor and the complexity of the operation) will cost from $ 8,000.

To the cost of cancer treatment in Russia, one should also add the purchase of medicines and 3-5 thousand "gratitude" to the medical staff. And in private clinics in the country, the cost of treatment sometimes exceeds the cost of treatment in foreign oncology departments. In the early stages of oncology, a course of chemotherapy in a private clinic will cost 250-300 thousand rubles. At II and III stages of cancer, annual treatment can cost millions of rubles.

The success of treatment directly depends on when the patient went to the doctor for help. With timely detection of a tumor at an early stage and surgery to remove it, the cost of oncology treatment in Israel will be much less. The cost of a surgical operation to remove a tumor in Israel will cost 10-25 thousand dollars.

Why is oncology treatment in Israel preferred among patients from Russia and CIS countries?

• Optimal ratio of quality and price medical services. The cost of oncology treatment in Israel with the high quality of medicine is relatively low: approximately 35-45% lower than in the US and 25-35% lower than in many European countries.
• Russian-speaking environment. About a third of the Israeli population speaks Russian. In any clinic, there are always Russian-speaking nurses and nurses, and there are many Russian-speaking doctors among the leading Israeli doctors. A person will not have language problems outside the hospital walls either: most supermarkets and cafes have Russian-speaking staff.
• Visa-free regime. Citizens from Russia and Ukraine do not require a visa to come to Israel for treatment.
• Convenient transport links and location. The flight by plane takes only a few hours.
• Mild climate promotes rapid recovery after surgery. An important part of the treatment of oncology in Israel is the opportunity to spend a lot of time outdoors and breathe in the healing sea air.
• Unique properties of the Dead Sea- natural health resort. Stay and treatment here is indicated for many diseases, including skin diseases, diseases of the joints, nervous system, respiratory organs, etc.

So which country to choose?

Based on the data presented, it can be concluded that more efficient and. This is facilitated by the high standards of medicine in the country, modern equipment, developments, and the experience of doctors.

These data are supported by high survival after cancer treatment. Also, Israeli clinics adhere to official prices for treatment, they do not hide anything from the patient, they warn about everything in advance.

The medical center "Izmedic" will help in organizing the diagnosis and treatment of oncology in Israeli clinics. We will fully take care of all organizational issues - from finding doctors and clinics to ordering air tickets, booking accommodation and support. We will make sure that your trip is pleasant and the treatment is as effective as possible.

Cancer is a serious disease, but not a death sentence, especially if you are in the hands of real specialists!

Ilya Fomintsev, oncologist, executive director of the Cancer Prevention Foundation

- Ilya Alekseevich, let's start with this question: from everyone who has spoken on the topic of oncology in recent years, I hear that in our country, in principle, everyone is being treated. Yes, less comfortable, but quite at the world level. And only you say that it is better to go abroad for cancer treatment. What's wrong?

Let's be clear: I'm saying that sometimes it makes sense. That is, if there is no financial problem, then it is better to be treated abroad. The only thing is that it is necessary not just to be treated there, but to be treated in a full cycle. You can't go abroad, have surgery, and expect that the rest of the treatment (chemo, radiation, or whatever) will be carried out in accordance with the original plan of the treating doctor.

The methods of conducting operations and drugs for chemotherapy are the same here and there, it's true. But let's imagine:

we have all the parts to assemble a car. I don’t think that at the same time, what is assembled at the Volga Automobile Plant and at the Toyota Corporation will be equivalent - all the same, quality control will suffer.

We have very good specialists - it's true. But it is not possible to build a chain of them in all institutions.

A cancer patient is a person who is treated by a whole set of doctors - a surgical oncologist, a radiation doctor, a chemotherapist, diagnosticians, radiologists, and it is very important to build a competent succession, a common understanding of how to treat.

Even in a very good oncology center, there is a high probability that without quality control of the entire chain - and we do not have control even for individual links - the patient will sooner or later stumble upon some jamb.

How well does primary diagnostics work in general? Well, they found a blackout in the lungs of a person, well, they jam him with antibiotics, well, the temperature lasts - six months, eight months ... And then there is lymphoma with metastases.

— Here in the first link of this chain, the doctor had to assess the risk of cancer in a patient and conduct a correct differential diagnosis. It's really possible to get it from us anywhere, provided that you stumble upon a good specialist. But no one can guarantee this to you, because even the doctors themselves do not understand our specialists.

The patient does not have any real tool for quality control of the doctor. All these sites with a lot of reviews are nonsense. Well, the doctor was rude to the patient, or not rude, or it seemed to him that he was rude. Or, on the contrary, he was very good in terms of communication, but not in terms of treatment.

The patient does not see his operation, and if he sees it, he will not understand anything there. That is, he judges the doctor, at most, according to the reviews of other patients. And they can draw conclusions with their distortions.

All over the world there is no possibility for patients to evaluate a doctor, but other doctors have such a technique.

The self-regulation that Roshal is talking about, if it is put on a scientific basis, if metrics are developed, assessment methods that will measure the work of a particular doctor, this is the assessment tool. Now he is gone.

How to evaluate a doctor?

— But “scientometrics” will begin. They will start to refuse difficult cases, I don’t know - to rig survival rates ...

- No, I'm not talking about that. In the West, the probability of meeting a whole chain of specialists is higher. And there are tools for evaluating not even individual doctors, but entire clinics, there are certain metrics, and they are quite understandable, and it is almost impossible to manipulate them. It's like trying to rig Newton's laws - a mathematical evaluation eliminates the possibility of rigging.

Let's start with the fact that in our country the survival rate is not considered at all - there is no such indicator in any population report. But this is one of the main and simplest ranking criteria for the quality of treatment.

Here, for understanding, is a simple example of control, for example, screening: it begins with the fact that the description of the protocol for a diagnostic study is not an “essay on a given topic”, there is a standard protocol, with a set of fields that must be filled in. The accuracy of diagnostic studies will be verified by statistics.

Take mammography as an example - all mammography outcomes are classified on the BI-RADS scale. Its criteria are known by many radiologists and we too.

And, depending on the probability of detecting cancer, a mammogram is classified - BI-RADS 1, 2, 3, 4 or 5. At the same time, 4 and 5 are indications for a biopsy. And then there should be a certain reference value of positive biopsies. And if, after performing a thousand biopsies, the number of detected cases of cancer does not fall into the reference value, then either the radiologist, or the one who does the biopsy, or the pathologist who gives the histological conclusion, mows down.

Thus, the entire diagnostic chain is controlled. Exactly the same principle is controlled and treatment.

- That is, there is a certain number of cases of breast cancer on average in the population, and if they do not fall into it ...

- No, it is not the number of cases that is controlled, but the quality of diagnosis. For example, if a doctor puts BI-RADS-4, then he must have a certain number of positive biopsies. If there are more of them, then he underestimates the results, and it was necessary to put BI-RADS-5. This is a very simple way to control the chain, there are much more complex ones.

Such chains of control should exist. But in our country they are used only in individual private clinics, and in the West - everywhere. That is why it makes no sense to go there for a separate stage of treatment, in order to return later - where?

I personally know us a lot of world-class doctors (this expression has already set the teeth on edge, but it’s true), they speak English, they know the standards and understand where these standards come from, some of them participate in the compilation of international standards. But there are very few of them, and it is easy to run into a bad specialist. At the same time, paradoxical as it may seem, you can meet a good doctor anywhere. Although it is clear that the closer to the center, the thicker the partisans and the higher the probability of meeting a quality doctor in the capitals and large cities.

Oncology needs a steep route

— How good is the availability of oncologists in general?

- In hospitals, everything seems to be relatively good, but outpatient oncologists are extremely lacking.

Outpatient oncology in Russia is underdeveloped - for example, we do not have infusion centers where you can comfortably receive chemotherapy near your home - you have to drip it in an oncologic dispensary or go to a hospital.

We do not have developed district departments where you can do a full cycle of diagnostics before hospitalization - so that if you suspect cancer, you can do an endoscopy, a biopsy ...

A huge number of things in oncology can be done on an outpatient basis - preoperative diagnostics, verification, staging of the diagnosis. Of course, some things are impossible - it’s not good to do a thoracoscopy (endoscopic examination - ed.) on an outpatient basis, but some biopsy of the breast or skin is no problem at all. And we all do it in the hospital. This is a terrible waste of money.

Moscow optimization, which everyone curses, is actually not so bad, we really have too many beds in hospitals. It's just that the reform was started from the wrong side: it was necessary to first build high-quality outpatient care, and only then reduce hospitals.

- In the treatment of cancer, the time factor is extremely important. How much does the need for all procedures to go to the hospital slow down the patient?

— In the treatment of cancer, the issue of routing is important. How should the route ideally be built?

Here the patient felt bad, went to the reception, and the doctor suspected he had cancer. It can be any doctor of the first contact - a general practitioner, a surgeon, a gynecologist, a family doctor, a general practitioner ... Let's say a patient comes with a sore throat - and there is a suspicion of cancer, or a gynecologist saw a breast tumor during examination ...

Next, the doctor must refer the patient to the district oncology department, where he is fully examined, this diagnosis is ruled out if it is not there. If the suspicions are confirmed, further it is necessary to verify the diagnosis - that is, if possible, perform a biopsy (in most cases this can be done on an outpatient basis, however, district oncologists, as a rule, do not have either the qualifications or the appropriate equipment for this).

Then, if the diagnosis is confirmed, the patient begins to prepare for hospitalization. In the consultative polyclinic, a consultation should be held about where to begin treatment in general - with chemotherapy, with surgery or something else.

Suppose we decide to start with chemistry. The patient returns to his outpatient center, well equipped, clean and beautiful, and receives chemo there. After chemotherapy, for example, the patient leaves for surgery.

He is admitted to the hospital, operated on, then he returns to his outpatient center again. If necessary, he is prepared for radiation therapy and so on and so forth.

That is, the regional oncology department should be the focal point for all patient routes. Which, in most cases, is stupidly absent ...

However, in some patients this happens, but in a very small number.

In reality, the path of a Russian oncological patient is the throwing of a ghost. He may suspect something is wrong with himself. Go immediately to a specialized regional center, stand in a wild queue. There he will be rude: “What did you come for? Do this and that first."

Then he goes to the district clinic, where they do God knows what, God knows what. He returns to the hospital, they say - we do not trust this, redo it! He loses a huge amount of time, because every time he waits for something ...

- And then in some regional center he is given two courses of chemotherapy, it turns out that the tumor is resistant, and he waits for a quota to the federal center for several more months, because, in general, he was sent to the address, but there are no places. And the patient reaches the federal center already when the tumor has progressed. And all research must be done again.

- In St. Petersburg, exactly what you describe was until recently.

As a result, now in St. Petersburg they have already introduced the electronic system GRCM - "City Register of Routing Maps". This allows, if a person has a suspicion of cancer, to include him in the system so that further on the coordinator's desktop you can see where the patient is and what is happening to him.

Further along the route, the patient cannot be left unmarked, and it is very clearly visible where traffic jams develop in this system. Now more than half of St. Petersburg patients are routed through this system, it is developing, and I think by the end of the year, everyone will be routed this way.

And in Moscow there is the EMIAS system, which allows you to do not only the same thing, but much more. A very smart thing, I happened to see it from the inside as part of the tour, and I really liked it. Routing will also be established in Moscow now - concrete work is underway on this.

Russian medicine: feldsherism or research?

- If a person lives in Moscow or St. Petersburg, we can assume that he was lucky. And if he is from somewhere in the Stavropol Territory?

- And on the ground, routing is much simpler - there, as a rule, there is one regional center. Unless, of course, we take Tomsk or Rostov, where there are federal research institutes of oncology. Another thing is that there are really problems with the quality of treatment and with the level of understanding of oncology as such in the regions - this is a fact.

This is the second year we have been running a big project - we are selecting graduates of medical universities and interns, and out of three hundred people we choose eight to nine people. We pay these people for residency at the Petrov Research Institute of Oncology in St. Petersburg. In my opinion, the research institutes now have a very good team, a good healthy atmosphere, so these chains of specialists have begun to line up.

Our students receive additional education there, we want it to include English, however, we have not yet raised enough funds for it. And they also work on Skype with the best oncologists in the world according to a completely different program than ours.

There, for example, there are subjects “decision theory in oncology” and “the theory of communication with the patient” - that is, how to make the patient feel comfortable.

We want to create a school of oncologists with a fundamentally new way of thinking.

In our country, unfortunately, the thinking of doctors is basically this: “I will now take a lot of books, I will learn all of medicine and I will know it later.”

And in a medical school, the textbook looks like this: “How to cure cancer: one-two-three-four ... seven-eight. Finished exercise.

This is not exactly medicine - it is expanded and complicated, but feldsherism.

Probably, once it was right, it is a medical standard, a quick solution. But today, all over the world, doctors are taught differently.

They are told: “Guys, there is such a study: if you do like this, in such and such a percentage there will be such a result, and if like this, this. Under these conditions."

And the doctor must be able to assess whether this study is written correctly, and, secondly, whether this study is applicable to this particular patient. And after that - the doctor himself makes a decision.

Our standards of care are the most likely path, but they are effective, well, offhand, 80% of the time. They describe typical clinical situations, but not all.

- You have now actually reduced medicine to an exact science.

“In fact, she is. Despite the fact that medicine is a profession, not a science, a modern doctor is a doctor who owns scientific methods.

The main difference between Western medicine and Russian medicine is evidence.

And in our country, the conditional doctor Ivanov most often relies on authority: “Professor Egorov thought so!” And in most cases it works, because “a spherical professor Egorov in a vacuum” is most likely a professor for a reason. But he relies on his instincts, and you can never be sure that this will work in your particular case.

Look at our conferences: we have doctors who come and record a report like a lecture, instead of having a discussion and saying, for example: “Stop, but here your sample is not representative. This study cannot be used because you have problems with your patient recruitment method.” Well, or something similar, meaningful.

- That is, the difference is that Dr. Ivanov relies on his instinct, and in the West there is a lot of statistics, on the basis of which conclusions are drawn, how to apply the drug to this group of patients, to this and to that one?

- Not only to use the drug. How can I tell them about the diagnosis? Any action at all. And patient groups are stratified, and the doctor decides what is generally applicable here. And not just: “What is there according to the standard? So from here, it means, we go along the arrow here, and here it is like this.

- Next question. As I understand it, a certain corpus of statistics has been collected in the West. Can it be mechanically transferred to us - to other social conditions, to another diagnosis?

- And different genetics, and different incidence, everything is different. Some things can be tolerated calmly, others require additional research, we need to conduct our own, we have very few of them.

Clinics should generally conduct research, this is one of the functions of medicine, a doctor must be able to conduct research and make decisions at the level of evidence-based medicine - then he is a specialist.

Lack of transparency in cancer statistics is the basis of corruption

— How much more critical is the situation in Russia in comparison with the West?

- In oncoepidemiology - the most critical.

Our mortality rate is higher, and it is not falling as fast as in the West. There are two reasons for this.

Firstly, mortality is strongly associated with risk factors, and in our country, if they change, then much less quickly than in the West. The influence of medicine on mortality should not be overestimated.

Societal tectonic shifts have a much greater impact on mortality.

They began to smoke (and we smoked a lot during the war and after, in the 60s, almost everyone smoked) - and a wave of cancer of the lungs, stomach and esophagus rose. They began to give up smoking - and this has been happening in recent decades - lung cancer is noticeably falling.

The second point is screening programs. In those countries where they are, breast cancer, cervical cancer are rapidly falling. That is, the incidence is about the same, and the death rate is rapidly falling.

And a very important point is quality control of treatment. In our country, we simply cannot compare different regions in terms of the quality of treatment. We cannot even calculate the five-year survival rate - it is not displayed in our cancer register (general register of information about cancer patients).

That is, we do not have basic data for comparing the dynamics of treatment. Yes, the doctor roughly remembers his patients - one, ten, a hundred, sometimes they return to him, and here he can estimate the survival rate. But he does not see all the population statistics.

We have a cancer registry, the problem is that no one believes him, no one knows exactly how bad or good he is. Yes, morbidity and mortality are correlated in it, but they are recorded independently, which means that it reflects something. But where the main problems are, according to him it is completely incomprehensible.

Now imagine - some chief specialist comes and says:

“Prostate cancer cases are on the rise!”

They tell him:

- Prove it!

And he answers:

- I'm an expert! I am the main specialist!

And officials have no reason not to believe him.

But in fact, there may be a conflict of interest when some firm came to the chief specialist and offered him an apparatus for monitoring prostate cancer for "only two hundred million rubles." And prostate cancer suddenly “popped”.

The lack of transparency of statistics on morbidity and survival is the basis for corruption. The number manipulations here are endless, I've seen it with my own eyes.

All will be. In thirty years. If you start now

- Well, how can we equip Russia?

- First:

toughen competitions in medical universities and completely change the system of education in them.

Now training is based on the mentor type: “So, we opened notebooks, let's write it down ...” But the world is changing.

Let's make, perhaps, some kind of experimental university - and we will immediately see the results.

Second, in oncoepidemiology, to establish clear, up-to-date registration and statistics. Without this, even if we are successful, we simply will not know about it. And doing something blindly is impossible.

That is, it is necessary to establish the maintenance of a cancer registry, establish the places of typical errors and eliminate them. By the way, this is also the education of pathologists, the standardization of their work. And so on and so forth. And now we even have different codification of diagnoses in different regions. We are a patchwork quilt.

- And how long will it take to bring all this to uniformity and build it up?

- Twenty-fifty years. That is, if we start now, then in fifty years we will see the results. It's generally short.

It is obvious to me that Russia is gradually slipping into private medicine.

The myth of free assistance is no longer, in my opinion, for everyone. Another thing is that our current market of private clinics is some kind of Wild West.

— Yes, and the basic approach of private clinics is “anything for your money”.

- This is the wrong approach. And the basic problem here is a very short period of forecasting and planning, general instability in the country.

How can a person plan his investments in ten years when he is not sure that this clinic will not be taken away from him in two years? The result - he needs to earn money now, in any way he wants, in order to provide for children, grandchildren ...

Because a normal person, of course, works for the future, but even in my infinite memory, the government has already changed the pension formula three times, and this is something that should not change for centuries. Well, therefore, the government is giving a signal - everything is unstable, earn money, but please hurry.

- That is, under normal conditions, the clinic should be eternal, and its reputation should develop over the same twenty or thirty years?

- And its investor - should not wait for his profit in a year or two or five. This is the syndrome of the nineties - when people did not plan not only two years ahead, they were not sure that in two months they would be alive. In our country, an investor, investing a lot of money, wants to immediately get it back. And the "short game" is not a reputation game. Hence all these “wiring” in private clinics.

These are all interconnected things, and

to establish order only in medicine, while we are shaking in everything else, will not work.

After all, there was already one such citizen who wanted to build communism in a single country. We know how it ended. So is medicine - it cannot exist separately from the rest of society.

About 80% of foreign patients of Israeli clinics come to Israel for the treatment of oncological diseases, since cancer treatment in Israel is one of the most effective in the world. This is an irrefutable fact, despite the fact that Israel is also one of the world leaders in terms of cancer incidence. The high incidence of oncology in the Israeli state is explained by the long life expectancy of the population - it is known that age is the main risk factor for the occurrence of malignant neoplasms.

Over the past 30 years, oncology in Israel has made a quantum leap in cancer treatment. Overall survival in cancer treatment in Israel has increased from 30% to 64% - one of the highest rates in the world. In, prostate, kidney, and some other types of cancer, the highest possible results have been achieved today. In some cases, cancer treatment in Israel is statistically more effective than in Germany and the United States.

Where is the best cancer treatment?

Despite the fact that cancer treatment protocols around the world differ little, for various reasons, the effectiveness of cancer treatment in all countries is different. Three countries are recognized leaders in oncology - Israel, Germany, USA. In recent years, oncologists in Spain, the Czech Republic, and Cuba have achieved some success. The countries of Eastern Europe and the CIS, apart from the third world countries, have the worst results in the treatment of oncological diseases, and even the use of modern treatment protocols in these countries cannot outweigh systemic factors.

The effectiveness of Israeli oncology is provided by several factors

• Early detection - any type of cancer, even the most aggressive, can be cured with early diagnosis and timely treatment. In the CIS countries, the period from the first visit to a doctor to a surgical operation in oncology is 4-6 months. Oncology treatment in Israel begins immediately after diagnosis. This can be seen by foreign patients who come to Israel for cancer treatment.
• Accurate diagnosis. Modern cancer diagnostics includes not only the detection of neoplasms. Today, oncology in Israel attaches particular importance to the individual genetic and cytological features of the tumor. Taking them into account, the approach to cancer treatment has changed in Israel, and it became clear why some patients respond to the standard treatment regimen, while others do not.
• A sufficiently radical and professionally performed operation largely determines the success of treatment in oncology. Surgery is still the main method of cancer treatment in Israel, despite the huge progress in chemotherapy and radiation therapy. The development of oncological surgery is in the direction of reducing the invasiveness of operations and the accuracy of their implementation with immediate control of radicality. The treatment of oncological diseases in Israel in the future is still conceived mainly by therapeutic methods.

• The human factor is something that can negate even the most advanced treatment methods. In Israel, the influence of the human factor is minimized due to strict adherence to treatment protocols. In oncology, more than in other disciplines, the scheme of drug combinations, the duration of their administration, the timing of the break between them, and the dosages matter. If the interval between chemotherapy courses is, for example, not two weeks, but four, this will affect the results of treatment.

Cancer treatment in Israel and Russia - figures and facts for comparison

Russian medical officials sharply criticize the growth in demand for, convincing fellow citizens that it makes no sense to pay quite a lot of money to foreign clinics for what is being done no worse in Russia. Let's try to check whether this is so, based on statistical data on the effectiveness of cancer treatment in Russia and Israel - the most popular destination for medical tourism among Russians. By comparing these data, you yourself will decide where it is better to undergo oncology treatment: in Israel or Russia.

Cancer statistics in Russia

The end of the oncology program in Russia
While in Russia 500,000 people fall ill with cancer every year, the Russian authorities decided in 2015 to close the national oncology program, which purchased the necessary equipment and medicines for cancer patients. And this is against the backdrop of a shortage of professional oncologists, a terrible shortage of painkillers and modern cancer centers in the regions.
The Russian Cancer Program came into operation in 2009. It was designed to reduce the gap between Russia and highly developed countries in the field of oncology and improve cancer survival rates. The gap was and remains catastrophic. For example, in the Moscow region, only 10-11% of those who need it receive radiation therapy.

Over the five years of the oncology program, cancer mortality has decreased by 1%.

1. During the first year after diagnosis in Russia, 27.4% of patients die.
2. Russia is in second place in the world in terms of cancer incidence - about 500,000 new cancer patients annually.
3. The number of oncology dispensaries in Moscow is 26, another 6 in St. Petersburg, 1-2 each in regional and regional centers. In total - about 120 per 3,000,000 patients.
4. There are an average of 439 patients per oncologist in Russia.
5. For sufficient financing of oncology, an average of 10 euros is required for each citizen, including a healthy one. This is the calculation made in the EU countries. In Russia, financing of medicine per person is 3.3 euros.
6. Expensive, high-tech cancer care in Russia is received by only one out of 20 patients.
7. The five-year survival rate for all types of cancer in Russia is about 40%.
8. The five-year survival rate for breast cancer at all stages is 50%.
9. The survival rate for lung cancer is no more than 5-7%.
10. With pancreatic cancer, no more than 2% of patients survive.
11. On average, cancer treatment in Russia costs 30 thousand dollars. This is not much less than the amount that cancer treatment in Israel costs.
12. The annual death rate from cancer in Russia is 204 per 100,000 (2010 data).
13. Child mortality from oncology is 3.9 per 100,000 population.
14. 1000 people die of cancer every day in Russia.
15. In the ranking of the effectiveness of health care systems, Russia ranks 130th!

For sufficient financing of oncology, an average of 10 euros is required for each citizen, including a healthy one. This is the calculation made in the EU countries. In Russia, financing of medicine per person is 3.3 euros.

Oncology treatment in Israel

1. The annual death rate from cancer in Israel is 121 per 100,000.
2. Cancer treatment in Israel achieves an overall survival rate of 64% for all diseases and stages.
3. Oncology in Israel completely cures 60% of men, 66% of women.
4. The five-year survival rate for breast cancer at all stages in Israel is 87%, when detected in the early stages - 95-98%.
5. Average - from 20 to 50 thousand dollars.
6. In total, in Israel, not counting visitors, there are about 200,000 cancer patients.
7. Every year, 28,000 new cases of cancer are diagnosed in Israel.
8. There are 48 general hospitals in Israel, almost all have oncology departments or specialized oncology clinics. These hospitals serve 200,000 cancer patients.
9. The five-year survival rate for lung cancer in Israel is 25%.
10. The survival rate in the treatment of prostate cancer in Israel is over 90%.
11. Israel is among the top ten countries with the highest level of spending on medicine, in terms of per capita.
12. In the international ranking of the effectiveness of health systems, Israel ranks 4th in the world. (Bloomberg data for 2013). The assessment was carried out according to three indicators: life expectancy, the share of spending on medicine in the country's GDP, and absolute spending on medicine.
13. Oncology in Israel uses treatment protocols adopted in the United States.

Not all indicators have data for comparison between countries, but the overall statistical picture allows us to conclude in which country oncology is more effective. Also a very informative source for such a comparison are reviews of cancer treatment in Israel.

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New in cancer treatment in Israeli oncology

• Various methods of ablation of cancerous tumors that are not considered surgical. These methods include chemoembolization and radiofrequency ablation, as well as the latest novelty - nano-knife. The destruction of the tumor occurs due to local action. As a rule, for the procedure it is not necessary to make even incisions on the patient's body. Modern oncology treatment in Israel today is unthinkable without the use of these methods.

• In the treatment of leukemia, a revolutionary drug has appeared, while experimental, with the help of which immature leukocytes can be converted into more mature ones, as close as possible to healthy ones. This inhibits the division of malignant cells and leads to their death. Oncology in Israel has high hopes for this method of treatment.

• Novalis is a modern focused and concentrated irradiation device for the treatment of various types of cancer. The impact accuracy is 1 mm.

• Infrared diagnostics of breast cancer, unlike mammography, is absolutely safe for a woman's body, moreover, it is a non-contact method and does not cause any inconvenience to a woman. Diagnostic accuracy - 90%.

• Accurate determination of the edges of the tumor in the mammary gland using the MarginProbe device allows you to perform the operation of the required volume and thereby prevent metastases.

• Prognostic diagnostic methods Oncotype, Mammaprint and others, which allow you to assess the likelihood of recurrence in certain types of cancer. Oncology in Israel without prognostic tests is unthinkable today.

• The use of individual oncolytic vaccines, created on the basis of the patient's own cancer cells, is a promising direction that will put oncology treatment in Israel to a new level.

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