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纤维肌痛症和其他软组织疾病导致的工作残疾:2006 年至 2015 年巴西预防效益分析。

Work disability in fibromyalgia and other soft tissue disorders: analysis of preventive benefits in Brazil from 2006 to 2015.

机构信息

Programa de Pós-Graduação em Ciências Médicas, Faculdade de Medicina, Universidade de Brasília, UnB, CEP, Brasília, DF, 70910-900, Brazil.

National Social Security Institute, Brasília, Brazil.

出版信息

Adv Rheumatol. 2018 Jul 11;58(1):13. doi: 10.1186/s42358-018-0015-y.

DOI:10.1186/s42358-018-0015-y
PMID:30657072
Abstract

BACKGROUND

Fibromyalgia is a common chronic disease characterized by persistent diffuse pain, fatigue, sleep disorders and functional symptoms. The disease can have negative consequences in personal and social life, in addition to significant public health expenses caused by treatment and work leave. The purpose of this article is to evaluate the number of social security benefits granted due to incapacity for work in Brazil in patients with ICD M79 and variants in the period 2006-2015. There has been no previous study with data referring to work withdrawals caused by fibromyalgia in Brazil.

METHODS

Data for this study were obtained through an official Social Security platform. The disability and retirement benefits were analyzed.

RESULTS

A total of 95,882 social security disability benefits were granted to ICD M79 and variants in the period from 2006 to 2015. Regarding gender, 69,420 benefits (72.3%) were granted to women and 26,562 (27.7%) to men. Regarding the types of benefits, we found 93,556 (97.5%) temporary withdrawals from work and 2426 (2.5%) permanent withdrawals. When comparing the initial and final years, we observed a significant reduction in the number of awards: 15,562 in 2006 to 6163 in 2015.

CONCLUSION

Fibromyalgia was an important cause of withdrawal due to incapacity for work in Brazil, with consequent public health expenditure. These data may serve as a basis for new studies and can alert professionals of the need for adequate management of fibromyalgia to reduce work withdrawal and its consequences.

摘要

背景

纤维肌痛是一种常见的慢性疾病,其特征为持续性弥漫性疼痛、疲劳、睡眠障碍和功能症状。该疾病除了因治疗和请假导致的重大公共卫生支出外,还会对个人和社会生活产生负面影响。本文旨在评估 2006 年至 2015 年期间巴西因丧失工作能力而授予的 ICD M79 及变体患者的社会保障福利数量。此前尚无研究涉及巴西纤维肌痛导致的工作退出数据。

方法

本研究的数据通过官方社会保障平台获得。分析了残疾和退休福利。

结果

2006 年至 2015 年期间,共授予 ICD M79 及变体患者 95882 项社会保障残疾福利。就性别而言,69420 项福利(72.3%)授予女性,26562 项福利(27.7%)授予男性。就福利类型而言,我们发现 93556 项(97.5%)为临时工作退出,2426 项(2.5%)为永久工作退出。比较初始和最终年份时,我们观察到授予数量显著减少:2006 年为 15562 项,2015 年为 6163 项。

结论

纤维肌痛是巴西因丧失工作能力而退出工作的重要原因,导致了相应的公共卫生支出。这些数据可作为新研究的基础,并提醒专业人员有必要对纤维肌痛进行适当管理,以减少工作退出及其后果。

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