Disability in diseases of the peripheral nervous system at working age in the Republic of Bashkortostan

Abstract

Introduction. Diseases of the peripheral nervous system (PNS) are diagnosed in 48.0-76.6% of industrial workers, accounting for more than 50% of occupational morbidity rate. PNS are characterized by a chronic progressive course, being the main cause of the temporary and permanent disability. However, the issues of disability associated with PNS diseases remain unexplored. Purpose of the work: to study the level of primary disability of the working-age population of the Republic of Bashkortostan due to PNS diseases. Material and methods. Among all cases initially recognized as disabled over 2014-2018 disabled people of working age with the main diagnoses of PNS diseases were selected. Results. The average annual rate of disability due to PNS diseases during 2014-2018 in the Republic of Bashkortostan was established to be of 0.1006 ± 0.028 cases per 10,000 working-age population. The structure is dominated by radiculopathy of the lumbosacral level, polyneuropathy of the upper and lower extremities; men are more likely to get sick, people over 50 years old. Limitations. The features of the formation of disability at working age in all 107 people recognized as disabled due to PNS diseases for 2014-2018 in the Republic of Bashkortostan were studied. Conclusions. Intensive indicator of disability due to PNS diseases in working age for 2014-2018 increased by 1.5 times, their proportion increased by 1.5-2.0 times among the disabled due to all and neurological diseases. Disability by 79.7% is formed due to radiculopathy of the lumbosacral level, polyneuropathy of the upper and lower extremities. Among the disabled, men predominate, people over 50 years of age with a tendency to increase the proportion of younger people. Disability among men is 2.2 times higher than in women. Disability due to PNS diseases occurs on average at 48.7 ± 5.7 years and 23.6 ± 3.0 years of experience, which reduces the duration of a healthy life and possible years of work experience. Disability due to PNS diseases at working age has a particularly important social, medical and economic significance and requires special attention to its prevention.