Altus R E
Kreiskrankenhaus und Poliklinik Radebeul.
Z Gesamte Hyg. 1990 Sep;36(9):495-7.
The socio-economic impact of disorders of the spine and the back has obtained an increasing importance in all industrial countries. Considering indicators of public health and national economy, namely temporary sickness incapacity for work, invalidity (insured persons in the GDR), utilization of hospital services (total population of the GDR), of rheumatological dispensaries as well as of the general practitioner, frequencies have been studied and trends pursued by means of serial analyses in a 10-year period. Diseases of the spine and the back within diagnostic class XIII/ICD, 9th revision, 1975 (diseases of the musculoskeletal system and connective tissue) have caused--nearly 2/3 of all cases of sickness incapacity for work--1/3 of the incidence of disability pensions--about 1/3 of the utilization of hospital services--about 1/5 of the utilization of rheumatological dispensaries--more than 50% of all cases consulting the general practitioner. As to the indicators sickness incapacity for work, incidence of disability pensions and discharges from the hospital, the serial analyses of the period from 1979 to 1988 have shown that the diseases of the spine and the back have the highest increase within the group of class XIII.
在所有工业化国家，脊柱和背部疾病的社会经济影响日益显著。考虑到公共卫生和国民经济指标，即暂时丧失工作能力、残疾（民主德国的参保人员）、医院服务利用情况（民主德国全体人口）、风湿病诊疗所利用情况以及全科医生诊疗情况，在十年期间通过系列分析研究了发病率并追踪了趋势。1975年《国际疾病分类》第九版第十三类（肌肉骨骼系统和结缔组织疾病）中的脊柱和背部疾病导致了——几乎占所有丧失工作能力病例的三分之二——三分之一的残疾抚恤金发放——约三分之一的医院服务利用——约五分之一的风湿病诊疗所利用——超过半数的全科医生诊疗病例。关于丧失工作能力、残疾抚恤金发放率和出院情况等指标，1979年至1988年期间的系列分析表明，脊柱和背部疾病在第十三类疾病组中增长幅度最大。
