akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347/ob.gyn.rep.2023.461akusherstvo-1820Research ArticleОRIGINAL ARTICLESОРИГИНАЛЬНЫЕ СТАТЬИTreatment and rehabilitation for cervical cancer: the experience of patient journey managementЛечение и реабилитация при раке шейки матки: опыт организации маршрутизации пациентовhttps://orcid.org/0009-0006-2166-2574АкавоваС. А.AkavovaA. A.

Акавова Саида Абдулкадыровна – врач-онколог, зав. Центром амбулаторной поликлинической помощи

117152 Москва, Загородное шоссе, д. 18А, стр. 7

Saida A. Akavova – MD, Oncologist, Head of Outpatient Care Cente

18A bldg. 7, Zagorodnoe Shosse, Moscow 117152

https://orcid.org/0000-0002-7456-2386СолоповаА. Г.SolopovaA. G.

Солопова Антонина Григорьевна – д.м.н., профессор кафедры акушерства, гинекологии и перинатальной медицины Клинического института детского здоровья имени Н.Ф. Филатова

119991 Москва, ул. Большая Пироговская, д. 2, стр. 4

Scopus Author ID: 6505479504

Researcher ID: Q-1385-2015

Antonina G. Solopova – MD, Dr Sci Med, Professor, Department of Obstetrics, Gynecology and Perinatal Medicine, Filatov Clinical Institute of Children’s Health

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991

https://orcid.org/0000-0002-3367-9844БлиновД. В.BlinovD. V.

Блинов Дмитрий Владиславович – к.м.н., ассистент кафедры спортивной медицины и медицинской реабилитации Института клинической медицины имени Н.В. Склифосовского; руководитель по медицинским и научным вопросам; доцент кафедрыспортивной, физической и реабилитационной медицины

119991 Москва, ул. Большая Пироговская, д. 2, стр. 4

127006 Москва, ул. Садовая-Триумфальная, д. 4–10

123056 Москва, 2-я Брестская ул., д. 5, с. 1–1а

Scopus Author ID: 6701744871

Researcher ID: E-8906-2017

RSCI: 9779-8290

Dmitry V. Blinov – MD, PhD, MBA, Assistant, Department of Sports Medicine and Medical Rehabilitation, Sklifosovsky Institute of Clinical Medicine, Sechenov University; Head of Medical and Scientific Affairs, Institute for Preventive and Social Medicine; Associate Professor, Department of Sports, Physical and Rehabilitation Medicine, Moscow Haass Medical – Social Institute

Scopus Author ID: 6701744871Researcher ID: E-8906-2017RSCI: 9779-8290

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 1199914–10 Sadovaya-Triumfalnaya Str., Moscow 1270065 bldg. 1–1a, 2-ya Brestskaya Str., Moscow 123056

blinov2010@googlemail.comhttps://orcid.org/0000-0001-9964-5199АчкасовЕ. Е.AchkasovE. E.

Ачкасов Евгений Евгеньевич – д.м.н., профессор, зав. кафедрой спортивной медицины и медицинской реабилитации Института клинической медицины имени Н.В. Склифосовского, директор Клиники медицинской реабилитации

119991 Москва, ул. Большая Пироговская, д. 2, стр. 4

Evgeniy E. Achkasov – MD, Dr Sci Med, Professor, Head of the Department of Sports Medicine and Rehabilitation, Sklifosovsky Institute of Clinical Medicine, Director of the Clinic for Medical Rehabilitation

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991

https://orcid.org/0000-0002-6619-6179ГалкинВ. Н.GalkinV. N.

Галкин Всеволод Николаевич – д.м.н., профессор, главный врач

117152 Москва, Загородное шоссе, д. 18А, стр. 7

Vsevolod N. Galkin – MD, Dr Sci Med, Professor, Chief Physician

18A bldg. 7, Zagorodnoe Shosse, Moscow 11715

https://orcid.org/0000-0002-0459-0488КорабельниковД. И.KorabelnikovD. I.

Корабельников Даниил Иванович – к.м.н., профессор кафедры внутренних болезней с курсами семейной медицины, функциональной диагностики, инфекционных болезней, ректор

123056 Москва, 2-я Брестская ул., д. 5, с. 1–1а

Daniil I. Korabelnikov – MD, PhD, Professor, Department of Internal Medicine with Courses in Family Medicine, Functional Diagnostics, Infectious Diseases, Rector

5 bldg. 1–1a, 2-ya Brestskaya Str., Moscow 123056

МнацаканьянА. Н.MnatsakanyanA. N.

Мнацаканьян Анна Никитична – к.ф.н., доцент кафедры Л2

105005 Москва, 2-я Бауманская ул., д. 5, стр. 1

Anna N. Mnatsakanyan – MD, PhD, Associate Professor, L2 Department

5 bldg. 1, 2-ya Baumanskaya Str., Moscow 105005

https://orcid.org/0000-0001-5849-5585ПетренкоД. А.PetrenkoD. A.

Петренко Дарья Андреевна – клинический ординатор кафедры клинической фармакологии и пропедевтики внутренних болезней

119991 Москва, ул. Большая Пироговская, д. 2, стр. 4

Daria A. Petrenko – MD, Clinical Resident, Department of Clinical Pharmacology and Propaedeutics of Internal Diseases

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991

БыковщенкоГ. К.BykovshchenkoG. K.

Быковщенко Георгий Константинович – студент 6-го курса

119991 Москва, ул. Большая Пироговская, д. 2, стр. 4

Georgy K. Bykovshchenko – 6th year Student

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991

ХазанП. Л.KhazanP. L.

Хазан Петр Леонидович – к.м.н., врач-уролог, клинический фармаколог, старший научный сотрудник группы воспалительных заболеваний и клинической фармакологии

 105425 Москва, 3-я Парковая ул., д. 51, стр. 1 

Peter L. Khazan – MD, PhD, Urologist, Clinical Pharmacologist, Senior Researcher, Group of Inflammatory Diseases and Clinical Pharmacology

51 bldg. 1, 3-ya Parkovaya Str., Moscow 105425

ГБУЗ «Городская клиническая онкологическая больница № 1 Департамента здравоохранения города Москвы»РоссияCity Clinical Oncological Hospital No. 1Russian FederationФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияSechenov UniversityRussian FederationФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет); Институт Превентивной и Социальной Медицины; АНО ДПО «Московский медико-социальный институт имени Ф.П. Гааза»РоссияSechenov University; Institute for Preventive and Social Medicine; Moscow Haass Medical – Social InstituteRussian FederationАНО ДПО «Московский медико-социальный институт имени Ф.П. Гааза»РоссияMoscow Haass Medical – Social InstituteRussian FederationФГБУ ВО «Московский государственный технический университет имени Н.Э. Баумана (национальный исследовательский университет)»РоссияBauman Moscow State Technical University (National Research University)Russian FederationНаучно-исследовательский институт урологии и интервенционной радиологии имени Н.А. Лопаткина – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Министерства здравоохранения Российской ФедерацииРоссияLopatkin Research Institute of Urology and Interventional Radiology – Branch of National Medical Research Radiological CentreRussian Federation202311112023175625637Copyright © Akavova A.A., Solopova A.G., Blinov D.V., Achkasov E.E., Galkin V.N., Korabelnikov D.I., Mnatsakanyan A.N., Petrenko D.A., Bykovshchenko G.K., Khazan P.L., 20232023Акавова С.А., Солопова А.Г., Блинов Д.В., Ачкасов Е.Е., Галкин В.Н., Корабельников Д.И., Мнацаканьян А.Н., Петренко Д.А., Быковщенко Г.К., Хазан П.Л.Akavova A.A., Solopova A.G., Blinov D.V., Achkasov E.E., Galkin V.N., Korabelnikov D.I., Mnatsakanyan A.N., Petrenko D.A., Bykovshchenko G.K., Khazan P.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/1820

Radical surgical intervention, chemoradiotherapy and immune therapy implicated for patients with cervical cancer (CC) can result in significant morphofunctional, psychological, sexual disorders and social maladjustment. To optimize treatment and rehabilitation for CC patients, a routing approach has been established. This approach involves the patient's journey during diagnosis and treatment with well-defined timed stages. Additionally, a rehabilitation program with lifelong follow-up has been implemented. Prior to commencing therapy, undertaking rehabilitation after oncogynecological treatment during the stage spanning from diagnosis to therapy initiation contributes to enhancing the quality of life (QoL) for CC patients.

Радикальное хирургическое вмешательство, химиолучевая, иммунная терапия у пациенток с раком шейки матки (РШМ) приводят к тяжелым морфофункциональным, психологическим, сексуальным расстройствам и социальной дезадаптации. С целью оптимизации лечения и последующей реабилитации пациенток с РШМ разработан подход к маршрутизации, включающий путь пациента на этапе диагностики и лечения с четко регламентированными по времени этапами, а также программа реабилитации с дальнейшим пожизненным диспансерным наблюдением. Пререабилитация на этапе от постановки диагноза до начала терапии, реабилитация после онкогинекологического лечения способствуют повышению качества жизни (КЖ) данной когорты больных.

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The authors declare that there are no conflicts of interest present.