Instituto Médico de la Comunidad, Los Chajaes 1067, Codigo Postal 6000, Junín, Provincia De Buenos Aires, Argentina.
Junta Evaluadora de Discapacidad, Municipalidad de Junín, Junín, Provincia De Buenos Aires, Argentina.
Rheumatol Int. 2019 Apr;39(4):729-733. doi: 10.1007/s00296-019-04260-5. Epub 2019 Feb 25.
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%; p < 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.
本研究旨在分析申请残疾证明（DC）的风湿性疾病患者的特征。对 2012 年至 2016 年期间，胡宁省卫生秘书处 16 岁及以上患者提出的每一份 DC 申请，均从年龄、性别、残疾原因（风湿性疾病）、就业状况和医疗保险覆盖范围进行了分析。根据 DC 接受情况，评估残疾流行率（DPR）并确定最常见的残疾原因。在 400 份申请中，68%属于女性；申请人的中位年龄为 61 岁，仅 27%在工作，42%为 DC 续期，46%为 IASD。总体而言，83%的申请被接受。那些获得接受的 DC 申请的患者年龄较大（中位数年龄 62 岁 vs 55 岁；p < 0.001），有医疗保险覆盖（90% vs 65%；p < 0.001），申请 DC 续期（49% vs 12%；p < 0.001），且更常患有 IASD（52% vs 17%；p < 0.001）。48%的接受 DC 申请的患者患有骨关节炎（OA），36%患有类风湿关节炎（RA），6%患有银屑病关节炎（PsA），5%患有系统性红斑狼疮（SLE），2%患有强直性脊柱炎（AS）。残疾流行率为 0.5%。总体而言，获得接受的 DC 申请属于有医疗保险覆盖的、年龄较大的患者，他们正在提交 DC 续期申请，且患有 IASD。OA、RA、PsA、SLE 和 AS 是最常见的残疾原因。
