MUSCULOSKELETAL AND CONNECTIVE TISSUE DISEASES: DISABILITY IN THE IRKUTSK REGION IN 2013–2015

Objective: to study the rates of primary disability due to musculoskeletal and connective tissue diseases (MSCTD) in the Irkutsk Region in 2013–2015 (in relation to age, gender, and urban or rural residence) and its nosological pattern.

Material and methods. A continuous method was used to analyze the database on the newly recognized as disabled due to MSCTD in the Irkutsk Region in 2013–2015. The rates were calculated per 10,000 adult population; the pattern was estimated as a percent.

Results and discussion. The rates of primary disability due to MSCTD in the Irkutsk Region were higher than those in the Russian Federation as a whole. Its reduction from 10.4 per 10,000 population in 2013 to 10.3 in 2014 and to 5.9 in 2015 was noted in the adults. Osteoarthritis headed the list of the causes of primary disability in the adults (45.5% in 2015) whereas dorsopathies did in the able-bodied (45.9% in 2015, 47.1% in 2014, and 48.2% in 2013). Osteoarthritis ranked first in the retirement-aged (61.5% in 2015, 75.1% in 2014, and 72% in 2013); it occupied the second place in the able-bodied (31.6% in 2015, 36.3% in 2014, and 38.2% in 2013). Rheumatoid arthritis was third among both the able-bodied and the retirement-aged. Higher disability rates were observed in the urban residents over all the years. The women became disabled more frequently than the men. In 2015, the primary disability rates among the men were 5.2, those among the women were 6.4 per 10,000 population; these were 9.2 and 19.4 and 8.4 and 12.1 in 2014 and 2013, respectively. The lower rates of disability due to MSCTD may be attributable to both the greater availability of high-quality and high-tech medical care for patients and the changes in normative documents on disability criteria.

1. Балабанова РМ, Эрдес ШФ. Динамика распространенности ревматических заболеваний, входящих в ХIII класс МКБ-10, в популяции взрослого населения Российской Федерации за 2000–2010 гг. Научно-практическая ревматология. 2012;52(3):10-2 [Balabanova RM, Erdes ShF. Trends in the prevalence of rheumatic diseases in ICD-10 in the adult population of the Russian Federation over 2000–2010. Nauchno- Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2012;52(3):10-2 (In Russ.)]. doi: 10.14412/1995-4484-2012-702

2. Мясоедова СЕ, Лесняк ОМ, Меньшикова ЛВ. Распространенность ревматоидного артрита в России (по данным эпидемиологических исследований). Терапевтический архив. 2010;82(5):9-14 [Myasoedova SE, Lesnyak OM, Men’shikova LV. Prevalence of rheumatoid arthritis in Russia (according to epidemiological researches). Terapevticheskii Arkhiv. 2010;82(5):9-14 (In Russ.)].

3. Петрунько ИЛ. Заболеваемость, инвалидность вследствие болезней костно- мышечной системы, их медико-социальная значимость и научное обоснование системы реабилитации инвалидов: Автореф. дис. … докт. мед. наук. Москва; 2012. 56 с. [Petrunуko IL. Zabolevaemost', invalidnost' vsledstvie boleznei kostno- myshechnoi sistemy, ikh mediko-sotsial'naya znachimost' i nauchnoe obosnovanie sistemy reabilitatsii invalidov: Avtoref. dis. … dokt. med. nauk [Morbidity and disability due to diseases of the musculoskeletal system, their medical and social importance and a scientific substantiation of the system of rehabilitation of invalids: Abstract dis. ... Doct. Med. Sci. Moscow; 2012. 56 p.].

4. Самосват СМ, Петрунько ИЛ, Черкасова АА. Первичная инвалидность вследствие дорсопатий взрослого населения Иркутской области за 2001–2011 гг. Сибирский медицинский журнал. 2012;114(7):84-7 [Samosvat CM, Petrun’ko IL, Cherkasova AA. Primary disability due dorsopathies the adult population of the Irkutsk region in 2001– 2011. Sibirskii Meditsinskii Zhurnal = Siberian Medical Journal. 2012;114 (7):84-7 (In Russ.)].

5. Дымочка МА, Гришина ЛП, Волкова ЗМ и др. Показатели инвалидности и реабилитации населения в Российской Федерации в динамике за 2012 – 2014 гг. (информационно-аналитический материал). Медико-социальные проблемы инвалидности. 2015;(2):98-115 [Dymochka MA, Grishina LP, Volkova ZM, et al. Indicators of disability and rehabilitation of the population in the Russian Federation in dynamics for 2012–2014. (Information and analytical materials). Mediko-Sotsial'nye Problemy Invalidnosti = Medical And Social Problems Of Disability. 2015;(2):98-115 (In Russ.)].