Zonana-Nacach A, Moreno-Cazares MC, Gómez-Naranjo R

Language: Spanish
References: 12
Page: 400-404
PDF size: 320.39 Kb.

ABSTRACT

Background: Long-term sick leave by illeness is cause of financial expences and worker's loss of productivity.
Objective: To evaluate the financial expense incurred by spinal disk herniation in health professionals.
Methods: 3000 health professionals of the Instituto Mexicano del Seguro Social work in Tecate, Tijuana and Rosarito, cities of Baja California, Mexico. During 2009-2011, 1070 health professionals have long sick leave certificates and 48 has a cervical or lumbar disk herniation. We evaluate the total days of absenteeism in comparison with the absenteeism days suggested by the Medical Disability Advisor.
Results: Of the 48 spinal herniated disks, 54% were cervical and 65% had surgical management. The mean (± SD) days of absence was 125 ± 84 and 24 (50%) of the spinal herniated disks exceeded the Medical Disability Advisor disability duration parameters, in 6 (26%), 12 (52%), and 5 (22%) patients due to no diagnostic concordance, diagnosis delay and residual pain respectively. The total cost of the spinal herniated disks that extended outside of the Medical Disability Advisor disability duration parameters was 683,026 pesos versus 367,081 pesos of the spinal herniated disks that not exceed the Medical Disability Advisor disability duration parameters. After 12 months of followup, 9 (18.8%) continue wit sick leave and 2 (4%) had permanent disability.
Conclusions: In patients with a spinal herniated disk, the costs of subsidies were two-fold more due principally to a not diagnostic agreement.

REFERENCES

1. Noriega Elío M, Barrón Soto A, Sierra Martínez O, Méndez Ramírez I, Pulido Navarro M, Cruz Flores C. The debate on lower back pain and its relationship to work: a retrospective study of workers on sick leave. Cad Saude Publica 2005;21:887-897.

2. División Técnica de Información Estadística en Salud. Motivos de consulta en medicina familiar en el IMSS, 1991-2002. Rev Med IMSS 2003;41:441-448.

3. Garfias Rojas O, Bohórquez López A, Godínez Rocha A. Perfil epidemiológico de la invalidez. Rev Med IMSS 2000;38:101-111.

4. División Técnica de Información Estadística en Salud. El IMSS en cifras: discapacidad en derechohabientes del IMSS. Encuesta Nacional de Salud 2000. Rev Med IMSS 2004;42:449-456.

5. Radhakrishan K, Litchy WJ, O’Fallon WM, Kurland LT. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994;117 (Pt 2):325-335.

6. Salemi G, Savettieri G, Meneghini F, Di Benedetto ME, Ragonese P, Morgante L, et al. Prevalence of cervical spondylotic radiculopathy: a door-to-door survey in a Sicilian municipality. Acta Neurol Scand 1996;93:184-188.

7. Andersson G. Epidemiology of spinal disorders. In: Frymoyer JW, Ducker TB, Hadler NM, Kostuik JP, Weinstein JN, Whitecloud TS, editors. The adult spine: Principles and Practice. 2nd ed. Philadelphia: Lippincott-Raven 1997;93-141.

8. Quiroz-Moreno R, Lezama-Suárez G, Gómez-Jiménez C. Disc alterations of lumbar spine on magnetic resonance images in asymptomatic workers. Rev Med IMSS 2008;46:185-190.

9. Rihn JA, Hilibrand AS, Radcliff K, Kurd M, Lurie J, Blood E, et al. Duration of Symptoms Resulting from Lumbar Disc Herniation: Effect on Treatment Outcomes: Analysis of the Spine Patient Outcomes Research Trial (SPORT). J Bone Joint Surg Am 2011;93:1906-1914.

10. Peul WC, van den Hout WB, Brand R, Thomeer RTWM, Koes BW, et al. Prolonged conservative care versus early surgery in patients with sciatica caused by lumbar disc herniation: two year results of a randomised controlled trial. BMJ 2008;336:1355-1358.

11. Rothman SM, Nicholson KJ, Winkelstein BA. Time-Dependent Mechanics and Measures of Glial Activation and Behavioral Sensitivity in a Rodent Model of Radiculopathy. J Neurotrauma 2010;27:803-814.

12. Nygaard ØP, Kloster R, Solberg T. Duration of leg pain as a predictor of outcome after surgery for lumbar disc herniation: a prospective cohort study with 1-year follow up. J Neurosurgery 2000;92(Suppl 2):131-134.