Остеоартроз: Возрастные Особенности Первичной Инвалидности

Петрунько, Ирина Леонидовна; Меньшикова, Л. В.; Сергеева, Наталья Владимировна; Черкасова, Алла Александровна

doi:10.52485/19986173_2018_2_41

Cited by 2 publications

(3 citation statements)

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“…Так, установлено, что непрямые затраты в связи с лечением остеоартрозов превалировали и составили для работающего пациента 70,4 % вследствие непроизведённой продукции при наступлении ВУТ, а у неработающего пациента-инвалида -91,4 % от общей суммы потерь вследствие заболевания. При этом потери НДФЛ не учтены [14]. В ряде зарубежных исследований показано, что эндопротезирование тазобедренного сустава намного выгоднее консервативного лечения, даже для пациентов старше 80 лет [8,23].…”

Section: Discussionunclassified

“…Очевидно, что полученная нами оценка занижена, так как в неё не включены затраты из средств пациентов и их семей, например, на приобретение лекарств и ортопедического оборудования, транспортные расходы и другое. Ранее показано, что экономическое бремя возлагается не только на систему здравоохранения, но и на пациента, у которого резко снижается способность к самообслуживанию, а также его семью, вынужденную выделять финансовые, моральные и физические ресурсы для ухода за инвалидом [14,24,25]. По мнению ряда авторов, в расходы должны быть заложены риски развития осложнений, связанных с коморбидной патологией, распространённой среди пациентов со сниженной физической активностью [11].…”

Section: Discussionunclassified

“…Аналогичные исследования в Российской Федерации единичны и посвящены не только коксартрозу, а остеоартрозам в целом [12][13][14]. Методы оценки ущерба от болезней и экономической эффективности лечения могут значительно различаться в зависимости от особенностей изучаемой патологии, а также у разных авторов, что затрудняет использование результатов в практическом здравоохранении [15,16].…”

Section: обоснованиеunclassified

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Assessing socio-economic damage caused by coxarthrosis in the population

Koryak,

Botvinkin,

Sorokovikov

et al. 2023

Acta biomedica scientifica

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Background. About 40 % of patients diagnosed with coxarthrosis annually seek medical help and receive social support due to this disease. Increased use of an expensive surgery for treatment of coxarthrosis and projected growth of its prevalence in the population determine the relevance of socio-economic analysis. The aim of the study. To assess the value and structure of economic damage caused by the delivering health and social care to patients with coxarthrosis at the state level of the Russian Federation. Methods. To assess economic damage, we used the average annual number of various categories of patients and disabled people with coxarthrosis in the Irkutsk region for 2008–2017. Three main categories were identified: patients who visited the outpatients’ clinic; patients with total hip replacement; disabled people due to coxarthrosis. For each category, we calculated weighted average damage per 1 conventional patient, taking into account direct and indirect costs and subsequent multiplication by the average annual number of individual categories of patients. Calculations were performed in 2017 prices. Results. The average annual socio-economic damage from coxarthrosis amounted to 1.39 (1.34÷1.43) billion rubles or 0.1 % of the gross regional product. The most of the damage (64.4 %) were indirect costs associated with disability due to coxarthrosis, 22.2 % of the total amount were the costs of hip replacement surgery, 13.4 % were the costs of outpatient visits. Indirect economic losses due to disability in patients of working age were 4.2 times higher than losses due to disability of oldage pensioners. Conclusion. The results of the study confirm the economic feasibility of surgical treatment of coxarthrosis, especially in patients of working age.

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Section: Discussionunclassified

Section: обоснованиеunclassified

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Assessing socio-economic damage caused by coxarthrosis in the population

Koryak,

Botvinkin,

Sorokovikov

et al. 2023

Acta biomedica scientifica

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Minimally invasive treatment of osteoarthritis of the hip joint by radiofrequency denervation: a clinical case

Горохов

Zagorodniy

Kuzmin

et al. 2023

Journal of Clinical Practice

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Background. At present, there is an increasing trend towards the spread of osteoarthritis among the population of Russia and the world, and therefore the search for an effective and low-traumatic method of stopping pain syndrome of directional exposure in coxarthrosis is an urgent and important problem of modern medicine. Clinical Case Description. A clinical case of treatment of a 64-year-old patient, a working pensioner, with complaints of severe pain in the left hip joint and a clinical picture of stage IV coxarthrosis according to the Kellgren and Lawrence classification, is presented at the Multidisciplinary medical Center of the Bank of Russia. Previously, the patient was given indications for planned joint arthroplasty due to the ineffectiveness of conservative treatment courses. The pain syndrome on the visual analogue scale (VAS) was 9 points, according to the Harris Hip Score 32 points (unsatisfactory result). In connection with the development of an acute concomitant disease, radiofrequency denervation (RFD) of the left hip joint was performed with discharge the next day and a positive outcome in the form of a decrease in pain for a long period. VAS: 1st day - 3 points, 1 month - 2 points, 6 months - 6 points, 12 months - 7 points, as well as according to the "Harris Hip Score": 1 month after the test 82 points (good result), after 6 months 76 points (satisfactory result) Conclusion. As this clinical case showed, RFD is an alternative for patients with osteoarthritis of the hip joint who are contraindicated in total arthroplasty, and conservative treatment does not give long-term positive results in severe pain.

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Остеоартроз: Возрастные Особенности Первичной Инвалидности

Cited by 2 publications

References 0 publications

Assessing socio-economic damage caused by coxarthrosis in the population

Assessing socio-economic damage caused by coxarthrosis in the population

Minimally invasive treatment of osteoarthritis of the hip joint by radiofrequency denervation: a clinical case

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