Zamora L, Arellano M, Kunstmann S, Montenegro A, Riveros B, Schlegel I, Silva P, Vidal C
Asociación de Aseguradores de Chile, Santiago de Chile.
Rev Med Chil. 1997 Jan;125(1):99-106.
The degree of disability of workers ascribed to the private allowances system in Chile, is judged by Medical Commissions that apply norms that establish percentages of incapacity, without considering prognosis.
To communicate the causes of disability among Chilean workers ascribed to the private allowances system, their mortality and to correlate the causes of death with diagnoses.
We analyzed 13,456 consecutive cases judged between August 1990 and April 1992. Mortality was registered up to 12 months after judgment.
Total incapacity was determined in 4,158 cases (30.9%), partial incapacity in 1,340 (9.9%) and minor incapacity in 7,958 (59.1%). Osteoarticular diseases were the main cause of disability in 4,460 patients (33.1%) and 77.8% of patients with malignant tumors were considered as having total incapacity. Mortality was 17% among subjects with total incapacity, 1.5% among those with partial disability and 1% among those with minor disability. The cause of death was related to the main disabling disease in 94% of subjects with total incapacity and 66.6% of those with partial incapacity.
Osteoarticular diseases are the main cause of inability among workers ascribed to a private pension system.
智利工人因私人津贴制度导致的残疾程度，由医疗委员会根据设定伤残百分比的规范进行判定，而未考虑预后情况。
通报智利工人因私人津贴制度导致残疾的原因、他们的死亡率，并将死亡原因与诊断结果相关联。
我们分析了1990年8月至1992年4月期间判定的13456例连续病例。在判定后12个月内记录死亡率。
判定完全丧失能力的有4158例（30.9%），部分丧失能力的有1340例（9.9%），轻度丧失能力的有7958例（59.1%）。骨关节炎疾病是4460例患者（33.1%）残疾的主要原因，77.8%的恶性肿瘤患者被判定为完全丧失能力。完全丧失能力者的死亡率为17%，部分丧失能力者为1.5%，轻度丧失能力者为1%。94%的完全丧失能力者和66.6%的部分丧失能力者的死亡原因与主要致残疾病相关。
骨关节炎疾病是私人养老金制度下工人丧失能力的主要原因。
