Features of primary disability due to eye diseases in the Krasnodar region

Апостолова, А. С.

doi:10.17816/ov2013216-19

Ophthalmology Reports

2013

DOI: 10.17816/ov2013216-19

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Features of primary disability due to eye diseases in the Krasnodar region

А. С. Апостолова¹

Abstract: A continuous statistical study of primary disability dynamics in ophthalmic patients during 2006–2011, according to the data from the branch # 7. For the entire observation period, a decrease in number of people first-time recognized as disabled was found. The nosologic structure of primary disability is shown, with glaucoma occupying the first place for the entire observation period, and myopia the second one during the last 5 years. Decreasing disability due to lens changes was found, from the second rank to… Show more

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Ophthalmopatology as a cause of primary disability in the adults of Krasnoyarsk region: A 15-year (2007–2021) overview

Теrekhоvich,

Kozina,

Kokh

et al. 2023

Medical and Social Expert Evaluation and Rehabilitation

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BACKGROUND: Understanding the dynamics and regional features of primary disability formation is crucial for developing organizational and managerial measures to improve the provision of medical care and the system of rehabilitation measures to reduce the level of disability in the population. OBJECTIVE: The study aimed to assess the state and dynamics of primary disability due to ophthalmopathology in the adult population of the Krasnoyarsk Region from 2007 to 2021. MATERIALS AND METHODS: Data sources include forms № 7-SOBES (Information on the medical and social examination of persons aged 18 years and older), statistical collections of the Federal State Budgetary Institution Medical and Social Expertise of the Ministry of Labor of Russia, and reporting documents of the Main Bureau of Medical and Social Expertise in Krasnoyarsk territory from 2007 to 2021. The comparative characteristics of the analyzed data were carried out for three periods: 2007–2011, 2012–2016, and 2017–2021. RESULTS: For 2007–2021, 5,708 people were recognized as disabled for the first time due to the pathology of the eye. The dynamics of primary disability was characterized by unevenness. The values of the intensive indicator of primary disability ranged from 1.7 to 2.6 (mean 1.9) per 10,000 population aged 18 and above. Among those initially recognized as disabled, individuals at retirement age prevailed with an increased instance of 8.5% every subsequent five years. People with disabilities were mainly residents of the cities in the region. Compared with 2007–2011 and 2012–2016 in the last 5 years, the share of IDPs in groups I and II increased (27.1% [524/1,930] and 43.4% [837/1930]), while the proportion people with disabilities of group III decreased (29.5% [569/1930]). The leading cause of disability was glaucoma (32.0% [606/1,891], 30.1% [569/1,887], and 31.1% [599/1,930] in groups I, II, and III, respectively). Second place in the list is occupied by age-related macular degeneration (15.7% [298/1,891], 20.3% [383/1,887], and 27% [522/1,930] in groups I, II, and III, respectively), and the third is myopia (14.1% [268/1,891], 11.2% [211/1,887], and 11.9% [231/1,930] in groups I, II, and III, respectively). CONCLUSION: The dynamics of primary disability due to eye pathology in the adult population of the Krasnoyarsk Territory in 2007–2021 are variable, partly associated with an increase in the number of people with disabilities of retirement age. There was an increase in disability groups during 2017–2021. Therefore, improving the efficiency of preventive medicine and providing the region with medical personnel can help reduce the level of primary disability in the region.

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Ophthalmopatology as a cause of primary disability in the adults of Krasnoyarsk region: A 15-year (2007–2021) overview

Теrekhоvich,

Kozina,

Kokh

et al. 2023

Medical and Social Expert Evaluation and Rehabilitation

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Features of Primary Ocular Disability in the Krasnodar Region in 2016–2018

Апостолова¹,

Малышев²,

Bashko³

et al. 2021

Oftalʹmologiâ

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Purpose: to study the state and dynamics of changes in primary ocular disability in the period 2016–2018 by nosological forms. A complete retrospective study was made based on the data of the MSE (medical and social expertise) Bureau’s reporting documents. The following indicators of primary disability (per 10 thousand population) were registered from 2016 till 2018: among the adult population (18 years and older) 69,0–70,7–68,6 respectively; among the able-bodied population 42,8–44,1–41,1 respectively; among the population of retirement age — 125,1–126,4–124,6 accordingly. In the structure of primary disability of the adult population by severity for the period 2016–2018, the dynamics recorded an increase in the proportion of 1 group and 3 group with a decrease in the share of disability of 2 group. In the nosological structure of primary disability of the adult population in 2016–2017–2018, eye diseases account for 3 %, 3 % and 3.2 %, respectively, of all first recognized as disabled. There has been an increase in first-time applicants to the MSE Bureau. In the nosological structure of primary disability, the percentage of glaucoma patients over the past period is 47–33–32.5 % of the total number of primary disability for eye diseases, which determines the 1st rank. There is a progressive increase in the number of people with disabilities due to glaucoma of group 1 and group 2 throughout the study period. In the nosological structure of primary disability for 2016–2018 the percentage of patients with retinal diseases is 25–23–23.8 % of the total number of primary disability for eye diseases, which corresponds to the 2nd rank. There is a progressive increase in the number of disabled people in group 2. A low proportion of persons of working age in the structure of primary ocular disability was noted. A consistently high share of primary disability and a progressive increase in severe disability combined with an increase in persons of retirement age in the Krasnodar region forms an unfavorable forecast for an increase in the number of blind and visually impaired residents of the region.

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Primary disability caused by glaucoma in the Krasnoyarsk region

V.,

Теrekhоvich,

Kokh

et al. 2023

Glaucoma

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PURPOSE. Assessment of the state of primary disability (PD) caused by glaucoma in the adult population of the Krasnoyarsk Region over time in the period from 2017 to 2021.METHODS. The information from the reporting documentation of the Bureaus of Medical and Social Expertise (MSE) of Russia and the Krasnoyarsk Region for 2017–2021 was analyzed. The analysis of primary disability indicators was carried out for two age groups of the adult population: individuals of working age (men aged 18–59; women aged 18–54) and individuals of retirement age (men aged 60 and older; women aged 55 and older). The obtained results were processed using the Statistica 10.0 software (StatSoft, USA).RESULTS. During 2017–2021 in the Krasnoyarsk Region, 1930 adults were recognized for the first time as disabled due to an ocular pathology. Glaucoma occupied the first ranking place — 31.0% (599) of cases in the structure of primary disability. Individuals of retirement age became disabled in 86.8% (520) of cases. Residents of the cities of the region became disabled in 69.1% (414) of cases. Males dominated among those who were recognized as disabled for the first time (RDF) due to glaucoma — 60.4% (362) of cases. The level of PD for glaucoma among the adult population of the region in 2017 was 0.52, in 2018 — 0.52, in 2019 — 0.59, in 2020 — 0.44, in 2021 — 0.57 per 10 thousand adult population. For five years, there was an increase in the level of PD due to glaucoma by 50% among the able-bodied urban population of the region, by 45.6% among senior citizens, by 110% among the able-bodied village population. In persons of retirement age living in rural areas of the region, the prevalence of PD decreased by 21.1%. The maximum values of the intensive indicator of PD were determined for men of retirement age: in 2017 — 3.6 per 10 thousand, in 2021 — 3.8 per 10 thousand of the corresponding population of the region. Formation of the contingent of disabled people occurred mainly due to the RDF of I and II disability groups. The proportion of group I disability was the largest — 40.4% (242/599) of cases. People with group I disability were more often treated with local antihypertensive drugs, were operated on at stage 3 of glaucoma.CONCLUSION. To reduce primary disability for glaucoma it is necessary to increase preventive efforts, timely use modern methods of diagnosis and treatment, including surgery, and ensure sufficient availability of ophthalmological personnel and high-tech equipment.

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Features of primary disability due to eye diseases in the Krasnodar region

Cited by 3 publications

References 0 publications

Ophthalmopatology as a cause of primary disability in the adults of Krasnoyarsk region: A 15-year (2007–2021) overview

Ophthalmopatology as a cause of primary disability in the adults of Krasnoyarsk region: A 15-year (2007–2021) overview

Features of Primary Ocular Disability in the Krasnodar Region in 2016–2018

Primary disability caused by glaucoma in the Krasnoyarsk region

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