Early diagnostics and comorbidity issues in clinical practice

ENT-diseases are widespread. Combined pathology is often encountered in clinical practice. Late diagnosis of ENT- pathology combined with other diseases, as well as the complexity of using a systemic approach to solving the problems of managing patients with comorbid pathology in Otorhinolaryngology lead to a decrease in the quality of life of patients, the emergence of polypharmacy and adverse reactions during therapy, a decrease in healthy life expectancy and a significant economic burden. The aim of our study was to substantiate the need to use a systemic approach to solving the problems of comorbid pathology and early diagnosis of ENT-diseases and another pathology. The study used content analysis, analytical methods and the use of our own clinical experience. Results and discussion. The study demonstrated the importance of developing clinical guidelines, standards, procedures for the provision of medical care in the activities of doctors and preventing risks associated with the provision of medical care. The problems of the effectiveness of interaction between specialists of various profiles, the use of an interdisciplinary approach in practice, issues of comorbidity, early diagnosis and rational use of drugs in the presence of concomitant pathology, the possibility of improving regulatory documents and other important aspects of Otorhinolaryngology are considered. In the course of the study, some problems of organizing medical care for patients with comorbid pathology in ENT-diseases were formulated, ways to solve some of them were proposed based on our own experience, data of world literature, as well as regulatory documentation. Conclusion. The solution of issues related to the use of an interdisciplinary approach, multidisciplinary interaction, consideration of comorbidity problems, ensuring early diagnosis and prevention of ENT-diseases, as well as other pathology, play an important role in practical Healthcare. The development of regulatory and legal documentation for the treatment of ear, throat and nose pathology to regulate the practical activities of specialists working in outpatient clinics and hospitals in combination with an individual approach to the diagnosis and treatment of combined pathology in otolaryngology and other areas of clinical medicine can be valuable in terms of preventing risks associated with the provision of medical care and improving the quality of the organization of medical care.

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