IMPACT OF SPECIALIZED ONCOLOGY CENTERS ON EMERGENCY SURGICAL OUTCOMES IN PATIENTS WITH COMPLICATED MALIGNANCIES

Aziziy A. A.; Abdikhakimov A. N.; Abdikhakimov U. N.; Abdikhakimova M.I.; Aliev R. A.; Gafur-Okhunov M. A.; Kasymova A. A.; Mirzaev Kh. M.; Mutalov Kh. I.; Shukurova M. A.; Yusupbekov A. A.; Ergashev Sh. K.

Authors

Aziziy A. A. Department of Oncology, Oncohematology and Radiation Oncology, Tashkent State Medical University; Tashkent Regional Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Uzbekistan
Abdikhakimov A. N. Tashkent Regional Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Uzbekistan
Abdikhakimov U. N. Department of Oncology, Center for Professional Development of Medical Workers, Ministry of Health of the Republic of Uzbekistan
Abdikhakimova M.I. Scientific and Practical Center of Pediatric Oncology, Hematology and Immunology, Uzbekistan
Aliev R. A. Tashkent Regional Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Uzbekistan
Gafur-Okhunov M. A. Department of Oncology, Center for Professional Development of Medical Workers, Ministry of Health of the Republic of Uzbekistan
Kasymova A. A. Tashkent Regional Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Uzbekistan
Mirzaev Kh. M. Tashkent Regional Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Uzbekistan
Mutalov Kh. I. Tashkent Regional Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Uzbekistan
Shukurova M. A. Department of Hematology and Transfusiology, Central Asian University (CAU), Uzbekistan
Yusupbekov A. A. Department of Oncology, Oncohematology and Radiation Oncology, Tashkent State Medical University; Tashkent Regional Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Uzbekistan
Ergashev Sh. K. Tashkent Regional Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Uzbekistan

Keywords:

Emergency oncology surgery, abdominal malignancies, complications, survival, patient routing.

Abstract

This study provides a comparative evaluation of emergency surgical outcomes in patients presenting with complicated abdominal malignancies, depending on the level of institutional specialization. A total of 100 patients were enrolled and divided into two comparable groups: those treated in a specialized oncology center and those managed in emergency surgical hospitals. Treatment in specialized oncology centers was associated with a significantly higher rate of radical procedures with lymph node dissection, accompanied by reduced postoperative complications (12% vs 28%), lower mortality (4% vs 14%), and improved 3-year survival (68% vs 42%). Based on the obtained findings, an optimized stepwise patient routing model involving emergency management, stabilization, and transfer to a specialized oncology center was proposed. The study emphasizes the clinical and organizational importance of integrating emergency and oncological care services to improve outcomes in this patient population.