Multiple sclerosis: analysis of primary disability in St. Petersburg in 2016–2018
- 作者: Pomnikov V.G.1, Samsonenko O.O.2, Sen’kina A.G.1, Kritskaya L.A.1, Prokhorov A.A.1, Delokyan G.A.1
-
隶属关系:
- Saint Petersburg Postgraduate Institute of Medical Experts
- The Main Bureau of Medico-Social Examination across St. Petersburg
- 期: 卷 26, 编号 5 (2020)
- 页面: 279-282
- 栏目: Health care organization and public health
- ##submission.dateSubmitted##: 27.01.2021
- ##submission.dateAccepted##: 27.01.2021
- ##submission.datePublished##: 28.01.2021
- URL: https://medjrf.com/0869-2106/article/view/59599
- DOI: https://doi.org/10.17816/0869-2106-2020-26-5-279-282
- ID: 59599
如何引用文章
详细
Multiple sclerosis is the most common cause of disability in young patients with neurological problems, which makes it the most important medical, social, and economic problem. Analysis of the structure and dynamics of primary disability resulted from multiple sclerosis in the city of St. Petersburg was carried out from 2016 through 2018. The proportion of patients with multiple sclerosis, who were for the first time identified as disabled, was 1 in 166 (0.6%) examinations in 2016; 1 in 142 (0.7%) in 2017; and 1 in 135 (0.74%) in 2018. In the course of three years, 74.2% of patients were assigned to the third-degree disability group; 21.2% to the second-degree disability group; 3.2% to the first-degree disability group; and 1.4% of patients were deemed a “disabled child” status. Working age people (26–45 years old) prevailed among those first recognized as disabled, which accounted for 58.6%.
Analysis of types of multiple sclerosis course carried out for the year 2017 showed the prevalence of relapsing-remitting multiple sclerosis accounting for 86% of cases. Main indicators associated with the disability were as follows: work-related limitations (98.7%), limited ability to move independently (93.4%), and limited ability to perform activities of daily living (19.9%). This study showed an increase in the number of people first recognized as disabled among patients with multiple sclerosis during this period, which probably results from multiple sclerosis incidence and prevalence growth. Patients of working age with third-degree disability, predominantly women with relapsing-remitting multiple sclerosis, prevail among patients with multiple sclerosis who were first recognized as disabled, which corresponds to the literature data. Leading indicators of disability are: work-related limitations, limited ability to move independently, and limited ability to perform activities of daily living. Data obtained indicated a high medical, social, and economical significance of multiple sclerosis, which confirm the need for earliest diagnosis and timely initiation of therapy in order to slow down the disability progression in patients of working age.
全文:
![受限制的访问](https://medjrf.com/lib/pkp/templates/images/icons/text_lock.png)
作者简介
Viktor Pomnikov
Saint Petersburg Postgraduate Institute of Medical Experts
编辑信件的主要联系方式.
Email: v.pomnikov@yandex.ru
ORCID iD: 0000-0002-4241-0644
MD, PhD, DSC, Professor
俄罗斯联邦, 194044, Saint PetersburgOleg Samsonenko
The Main Bureau of Medico-Social Examination across St. Petersburg
Email: o.samsonenko@mse78.ru
ORCID iD: 0000-0003-1732-2068
俄罗斯联邦, 191014, Saint Petersburg
Anastasiya Sen’kina
Saint Petersburg Postgraduate Institute of Medical Experts
Email: agsenkina@gmail.com
ORCID iD: 0000-0001-6592-7710
俄罗斯联邦, 194044, Saint Petersburg
Larisa Kritskaya
Saint Petersburg Postgraduate Institute of Medical Experts
Email: kritskaya1957@mail.ru
ORCID iD: 0000-0001-8377-7859
MD, PhD
俄罗斯联邦, 194044, Saint PetersburgAnatoliy Prokhorov
Saint Petersburg Postgraduate Institute of Medical Experts
Email: anatprohorov@mail.ru
ORCID iD: 0000-0001-5971-4671
MD, PhD
俄罗斯联邦, 194044, Saint PetersburgGeorgiy Delokyan
Saint Petersburg Postgraduate Institute of Medical Experts
Email: doctorhool@yandex.ru
ORCID iD: 0000-0002-6070-710X
俄罗斯联邦, 194044, Saint Petersburg
参考
- Thompson AJ, Uitdehaag B, Taylor B, Holloway E, Tremlett H, Pandit L, Battaglia M. Atlas of multiple sclerosis 2013. MS international federation. Available at: https://www.msif.org/about-us/who-we-are-and-what-we-do/advocacy/atlas/
- Shmidt TE, Yakhno NN. Multiple sclerosis: Guideline. [Rasseyannyi skleroz: Rukovodstvo dlya vrachei]. 6th ed. Moscow: MEDpress-inform; 2017. 280 p. (in Russian)
- Stolyarov ID, Boyko AN, eds. Multiple Sclerosis: specialists, diagnostics, treatment. [Rasseyannyi skleroz: spetsialisty, diagnostika, lechenie]. St. Petersburg: Elbi-SPb; 2008. 320 p. (in Russian)
- Malik O, Donnelly A, Barnett M. Fast facts: multiple sclerosis. [Rasseyannyi skleroz: kratkii spravochnik]. Moscow: Prakticheskaya meditsina; 2015. 126 p. (in Russian)
- Lucchinetti CF, Popescu BF, Bunyan RF, Moll NM, Roemer SF, Lassmann H, et al. Inflammatory cortical demyelination in early multiple sclerosis. N. Engl. J. Med. 2011;365(23):2188-97. doi: 10.1056/NEJMoa1100648.
- Liu Y, Duan Y, Huang J, Ren Z, Liu Z, Dong H, et al. Different patterns of longitudinal brain and spinal cord changes and their associations with disability progression in NMO and MS. Eur. Radiol. 2018;28(1):96-103. doi: 10.1007/s00330-017-4921-x.
- Tsagkas C, Chakravarty MM, Gaetano L, Naegelin Y, Amann M, Parmar K, et al. Cortical thinning in multiple sclerosis: a 6-year longitudinal study. ECTRIMS Online Library. 2018;228127:P1749. Available at: https://onlinelibrary.ectrims-congress.eu/ectrims/2018/ectrims-2018/228127/charidimos.tsagkas.cortical.thinning.in.multiple.sclerosis.a.6-year.html
- Boyko AN, Gusev EI. Current algorithms of diagnosis and treatment of multiple sclerosis based on the individual assessment of the patient. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2017;2(2):92-106. (in Russian)
- Hughes J, Jokubaitis V, Lugaresi A, Hupperts R, Izquierdo G, Prat A, et al. Association of inflammation and disability accrual in patients with progressive-onset multiple sclerosis. JAMA Neurol. 2018;75(11):1407-15. doi: 10.1001/jamaneurol.2018.2109.
- Grishina LP, Solov’eva NN. Comparative analysis of primary and repeated disability structure due to all classes of diseases in young people in the Russian Federation during 2007-2011. Mediko-sotsial’naya ekspertiza i reabilitatsiya. 2013;(3):29-32. (in Russian)
- Grishina LP, Chaychits YuA, Akmurzaeva MM. Structure of disablement caused by nosological diseases of nervous system. Vestnik Vserossiiskogo obshchestva spetsialistov po mediko-sotsial’noi ekspertize, reabilitatsii i reabilitatsionnoi industrii. 2009;(3):103-6. (in Russian)
- Ivanova EV, Bakhtiyarova KZ, Safronova EV. Analysis of the structure of the primary disability due to multiple sclerosis in the city of Ufa over 2010-2016. Mediko-sotsial’naya ekspertiza i reabilitatsiya. 2017;20(3):144-7. (in Russian) doi: 10.18821/1560-9537-2017-20-3-144-147.
- Bessmertnyi YuA, Bessmertnaya GV, Bichak AA, Vil’chinskaya SA. Indicators of disability due to multiple sclerosis in Vinnytsia region. Klinicheskaya i eksperimental’naya patologiya. 2017;16(3):7-11. (in Russian) doi: 10.24061/1727-4338.XVI.3.61.2017.28.
- Order of the Ministry of Labor and Social Protection of the Russian Federation dated August 27, 2019 No. 585n «Classifications and criteria used in the implementation of medical and social examination of persons by Federal State Institutions of medical and social examination». [O klassifikatsiyakh i kriteriyakh, ispol’zuemykh pri osushchestvlenii mediko-sotsial’noi ekspertizy grazhdan federal’nymi gosudarstvennymi uchrezhdeniyami mediko-sotsial’noi ekspertizy]. Available at: https://rosmintrud.ru/docs/mintrud/orders/1386 (in Russian)
补充文件
![](/img/style/loading.gif)