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Disability due to rheumatic diseases in the city of Junfn, Argentina

机译:由于君弗市,阿根廷君德市的风湿病疾病

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The aim of the study is to analyze the characteristics of patients with rheumatic diseases applying for a Disability Certificate (DC). Every application for DC filed by patients of 16 years of age and older in the Health Secretariat of Junin, between 2012 and 2016, was analyzed regarding age, gender, rheumatic disease as the cause of disability, employment status, and health insurance coverage. Applications were examined as per two elements: inflammatory articular or systemic disease (IASD) versus degenerative diseases, regional or generalized pain syndromes (non-IASD). Based on the DCs accepted, a Disability Prevalence Rate (DPR) was estimated and the most common causes of disability were determined. Out of 400 applications, 68% belonged to women; applicants' median age was 61 years, only 27% were working, 42% were for DC renewal, and 46% were IASD. Overall, 83% of the applications submitted were accepted. Those patients with accepted DC applications were older (median age 62 vs 55; p < 0.001), had health insurance coverage (90% vs 65%; p <0.001), were applying for DC renewal (49% vs 12%; p < 0.001) and more frequently presented a IASD (52% vs 17%;/? < 0.001). 48% of accepted DC applications had osteoarthritis (OA), 36% rheumatoid arthritis (RA), 6% psoriatic arthritis (PsA), 5% systemic lupus erythematosus (SLE) and 2% ankylosing spondylitis (AS). The DPR was 0.5%. Overall, the accepted applications for DC belong to older patients with health insurance coverage, who were submitting an application for DC renewal and suffer from a IASD. OA, RA, PsA, SLE and AS were the five most common causes of disability.
机译:该研究的目的是分析申请残疾证明书(DC)的风湿病患者的特征。 2012年至二零一六年之间16岁及以上妇女患者提出的DC申请,分析了2012年和2016年之间,分析了年龄,性别,风湿病作为残疾,就业状况和健康保险覆盖的原因。根据两个元素检查了应用:炎症关节或全身疾病(IASD)与退行性疾病,区域或广义疼痛综合征(非IASD)。基于接受的DCS,估计残疾患病率(DPR),确定残疾的最常见原因。在400个申请中,68%属于女性;申请人的中位年龄为61岁,只有27%的工作,42%用于DC更新,46%是IASD。总体而言,提交的83%的申请被接受。那些接受的DC应用患者年龄较大(中位年龄62 vs 55; P <0.001),健康保险覆盖率(90%vs 65%; p <0.001),申请DC更新(49%Vs 12%; P < 0.001),更频繁地呈现IASD(52%Vs 17%; /?<0.001)。 48%可接受的直流应用具有骨关节炎(OA),36%类风湿性关节炎(RA),6%的银屑病性关节炎(PSA),5%全身狼疮红斑(SLE)和2%的强直性脊柱炎(AS)。 DPR为0.5%。总体而言,DC的已接受申请属于年龄较大的健康保险覆盖患者,他正在提交DC更新的申请并遭受IASD。 OA,RA,PSA,SLE,以及残疾最常见的五个原因。

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