PMID- 30799529
OWN - NLM
STAT- MEDLINE
DCOM- 20200103
LR  - 20200309
IS  - 1437-160X (Electronic)
IS  - 0172-8172 (Linking)
VI  - 39
IP  - 4
DP  - 2019 Apr
TI  - Disability due to rheumatic diseases in the city of Junin, Argentina.
PG  - 729-733
LID - 10.1007/s00296-019-04260-5 [doi]
AB  - The aim of the study is to analyze the characteristics of patients with rheumatic 
      diseases applying for a Disability Certificate (DC). Every application for DC 
      filed by patients of 16 years of age and older in the Health Secretariat of 
      Junin, between 2012 and 2016, was analyzed regarding age, gender, rheumatic 
      disease as the cause of disability, employment status, and health insurance 
      coverage. Applications were examined as per two elements: inflammatory articular 
      or systemic disease (IASD) versus degenerative diseases, regional or generalized 
      pain syndromes (non-IASD). Based on the DCs accepted, a Disability Prevalence 
      Rate (DPR) was estimated and the most common causes of disability were 
      determined. Out of 400 applications, 68% belonged to women; applicants' median 
      age was 61 years, only 27% were working, 42% were for DC renewal, and 46% were 
      IASD. Overall, 83% of the applications submitted were accepted. Those patients 
      with accepted DC applications were older (median age 62 vs 55; p < 0.001), had 
      health insurance coverage (90% vs 65%; p <0.001), were applying for DC renewal 
      (49% vs 12%; p < 0.001) and more frequently presented a IASD (52% vs 17%; p < 
      0.001). 48% of accepted DC applications had osteoarthritis (OA), 36% rheumatoid 
      arthritis (RA), 6% psoriatic arthritis (PsA), 5% systemic lupus erythematosus 
      (SLE) and 2% ankylosing spondylitis (AS). The DPR was 0.5%. Overall, the accepted 
      applications for DC belong to older patients with health insurance coverage, who 
      were submitting an application for DC renewal and suffer from a IASD. OA, RA, 
      PsA, SLE and AS were the five most common causes of disability.
FAU - Fara, Nauan
AU  - Fara N
AUID- ORCID: 0000-0001-7820-9523
AD  - Instituto Medico de la Comunidad, Los Chajaes 1067, Codigo Postal 6000, Junin, 
      Provincia De Buenos Aires, Argentina. nauan.fara@gmail.com.
FAU - Recchia, Orlando
AU  - Recchia O
AD  - Junta Evaluadora de Discapacidad, Municipalidad de Junin, Junin, Provincia De 
      Buenos Aires, Argentina.
FAU - Sequeira, Gabriel
AU  - Sequeira G
AUID- ORCID: 0000-0003-0898-2224
AD  - Centro Dermatologico Schejtman, San Miguel, Provincia De Buenos Aires, Argentina.
FAU - Sanchez, Karina
AU  - Sanchez K
AD  - Direccion para las Personas con Discapacidad, Municipalidad de Junin, Junin, 
      Provincia De Buenos Aires, Argentina.
LA  - eng
PT  - Journal Article
DEP - 20190225
PL  - Germany
TA  - Rheumatol Int
JT  - Rheumatology international
JID - 8206885
SB  - IM
MH  - Adult
MH  - Aged
MH  - Argentina/epidemiology
MH  - Arthritis, Psoriatic/epidemiology
MH  - Arthritis, Rheumatoid/*epidemiology
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Lupus Erythematosus, Systemic/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis/*epidemiology
MH  - Rheumatic Diseases/epidemiology
MH  - *Social Security
MH  - Spondylitis, Ankylosing/epidemiology
OTO - NOTNLM
OT  - Disability
OT  - Disability certificate
OT  - Osteoarthritis
OT  - Rheumatic diseases
OT  - Rheumatoid arthritis
EDAT- 2019/02/26 06:00
MHDA- 2020/01/04 06:00
CRDT- 2019/02/26 06:00
PHST- 2019/01/28 00:00 [received]
PHST- 2019/02/17 00:00 [accepted]
PHST- 2019/02/26 06:00 [pubmed]
PHST- 2020/01/04 06:00 [medline]
PHST- 2019/02/26 06:00 [entrez]
AID - 10.1007/s00296-019-04260-5 [pii]
AID - 10.1007/s00296-019-04260-5 [doi]
PST - ppublish
SO  - Rheumatol Int. 2019 Apr;39(4):729-733. doi: 10.1007/s00296-019-04260-5. Epub 2019 
      Feb 25.