Renke Marcin, Parszuto Jacek, Rybacki Marcin, Wołyniec Wojciech, Rutkowski Przemysław, Rutkowski Bolesław, Walusiak-Skorupa Jolanta, Dębska-Ślizień Alicja
Gdański Uniwersytet Medyczny / Medical University of Gdansk, Gdańsk, Poland (Klinika Chorób Zawodowych, Metabolicznych i Wewnętrznych / Department of Occupational, Metabolic and Internal Diseases).
Wojewódzki Ośrodek Medycyny Pracy / Regional Occupational Medicine Center, Gdańsk, Poland.
Med Pr. 2018 Jan 1;69(1):67-75. doi: 10.13075/mp.5893.00624. Epub 2017 Nov 8.
For a number of years chronic kidney disease (CKD) has been listed in the group of lifestyle diseases, such as obesity, diabetes, cardiovascular disease and hypertension. It is estimated that in Poland more than 4 million people may suffer from various stages of CKD. Chronic kidney disease may also be a consequence of all the other civilization diseases. At the same time it is worth noting that nephrological problems are increasingly being taken into account in modern medical certification. The aim of this work is, among other things, to improve safe access to the labor for patients with kidney diseases. In the legislation existing in our country since 2014 it is stated that chronic renal failure is a potential health contraindication to driving. Also in the annex to the Regulation of the Minister of Health dated 9 December 2015 on health conditions required for seafarers to work on a seagoing ship, it is said that ICD-10 codes (International Classification of Diseases) corresponding to acute and chronic renal failure (N17-N19) should be taken into account when qualifying employees to work at sea. Med Pr 2018;69(1):67-75.
多年来，慢性肾脏病（CKD）一直被列入诸如肥胖症、糖尿病、心血管疾病和高血压等生活方式疾病类别。据估计，在波兰，超过400万人可能患有不同阶段的慢性肾脏病。慢性肾脏病也可能是所有其他文明病的后果。与此同时，值得注意的是，现代医学认证中越来越多地考虑到肾脏问题。这项工作的目的之一是改善肾病患者安全进入劳动力市场的机会。自2014年以来我国现行法律规定，慢性肾衰竭是驾驶的潜在健康禁忌症。同样，在2015年12月9日卫生部关于海员在远洋船舶上工作所需健康条件的条例附件中指出，在确定员工是否适合海上工作时，应考虑与急性和慢性肾衰竭（N17-N19）相对应的国际疾病分类（ICD-10）编码。《医学实践》2018年；69(1):67-75。
