Kuznetsov N N, Butivshchenko I A
Vopr Onkol. 1975;21(5):105-10.
In 282 patients, subjected to gastric resection for cancer, the working capacity was examined according to the data of the Medical Expertise within different terms after surgery. It was found that most of patients in primary examination were acknowledged as disabled workers of the first and second group (70.1%). A dynamic follow-up of patients in late postoperative periods revealed a tendency toward an improvement of their working capacity in a group of patients previously considered as totally disabled. However, in terms over 5 years following the operation more than half of patients proved to be disabled. A comparative estimation of the working capacity in these patients according to the Medical Expertise and personal authors' data has revealed a discrepancy between the group of disability and the work accomplished, i.e. a considerable number of patients, considered as group II, resumed their former activities (as prior to surgery) or did easier jobs. This discrepancy seems, to a certain extent, to be the result of underestimation of the patients' state by the Medical Expertise Commission and overrating the group of disability in them.
对282例因癌症接受胃切除术的患者，根据术后不同时期医学鉴定的数据对其工作能力进行了检查。结果发现，初次检查时大多数患者被认定为第一和第二组残疾工人（70.1%）。对术后晚期患者的动态随访显示，在一组先前被认为完全丧失工作能力的患者中，其工作能力有改善的趋势。然而，术后5年以上，超过半数的患者被证明仍有残疾。根据医学鉴定和作者个人数据对这些患者的工作能力进行的比较评估显示，残疾组与实际完成的工作之间存在差异，即相当一部分被归为第二组的患者恢复了以前的活动（术前的活动）或从事了更轻松的工作。这种差异在一定程度上似乎是医学鉴定委员会对患者状况估计不足以及对他们残疾程度评估过高的结果。
