Abstract

In Russia in 2005-2017 990,574 persons were repeatedly recognized as disabled due to diseases of the endocrine system. The predominant etiological cause is diabetes mellitus, the specific gravity of which in the nosological structure of repeated disability due to this pathology in the dynamics is characterized by a tendency of some growth (86.8% -87.6% in 2012-2017). In the structure of recurrent disability due to diabetes mellitus, the age-adjusted PIs of retirement age prevailed - 45.5%, their specific gravity increased (from 36.1% in 2012). A decrease in the level of repeated disability due to diabetes mellitus was revealed from 4.8 to 2.5 per 10 thousand adult population (the indicator of visibility in relation to the level of 2012 was 52.1%). This trend took place in all age sectors of the adult population, with the maximum rate of decline in the indicator in 2014-2015. In 2017, the rate of decrease in the level of repeated disability among the population of middle age was -14.6%, whereas among the population of young and elderly age the indicator was 2 times lower and did not differ significantly (-7.1% and -7.7, respectively %). In the structure of recurrent disability, due to diabetes mellitus, the III group III was prevalent, however, a negative tendency was observed to decrease their specific gravity with an increase in the IIII group IIII indices (26.4% -28.4% and group I (7.1-13,0%).

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