Zakhar'ian A G, Stoliarov V I, Kolosov A E
Vopr Onkol. 1992;38(5):599-604.
The paper deals with the analysis of dynamics of working activity of 146 radically treated gastric cancer patients examined by the Oncological Commission for Ability Expertise of Novosibirsk in 1984-1988 and then followed for 2-5 years. The percentage of patients returning to work was the highest during the first and third years posttreatment. This was attributed to extension of temporary invalidity period and rehabilitation of group 2 invalids, respectively. Lethality among patients returning to work was 8.2 +/- 2.3% as compared to 62.6 +/- 2.5% in a group of 385 patients who did not work. Labor activity did not adversely influence the clinical course of disease. The unfavorable course was attributed to biological properties of tumor such as low degree of differentiation and infiltrative pattern of growth.
本文对1984年至1988年期间由新西伯利亚肿瘤委员会进行能力鉴定并接受根治性治疗的146例胃癌患者的工作活动动态进行了分析,随后对这些患者进行了2至5年的随访。治疗后第一年和第三年恢复工作的患者比例最高,这分别归因于临时伤残期的延长和2级伤残患者的康复。恢复工作的患者死亡率为8.2±2.3%,而未工作的385例患者组的死亡率为62.6±2.5%。劳动活动并未对疾病的临床进程产生不利影响。病程不利归因于肿瘤的生物学特性,如低分化程度和浸润性生长方式。