Trends in the Formation of Disability Due to Multiple sclerosis in Moscow in 2014-2021

S. P. Zapariy, A. Samusenko, Y. Vyazovichenko, A. V. Svetlichnaya, A. Gerasimov, N. V. Torchinsky
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Abstract

Relevance. Multiple sclerosis (MS) is a chronic progressive neurodegenerative autoimmune disease of the central nervous system, affecting mainly people of working age and leading to disability. Since this disease is a frequent cause of persistent disability, the importance and at the same time insufficiency of research in the field of regional specific programs related to disability due to MS is noted. Aims. To study the dynamics and features of the formation of primary and repeated disability due to MS among various age groups of the population, taking into account gender characteristics and severity of disability in Moscow in 2014–2021. Materials and methods. The study used examination materials of persons over 18 years of age with MS, collected in an electronic database of medical and social expertise (ITU) of the Federal State Institution "ITU Main Bureau for Moscow", acts, protocols of ITU, static f-088/06 on the re-examination of RS. Results. The last 8 years have been characterized by a decrease in general disability due to MS, with a decrease in the number of persons recognized as disabled for the first time (VPI) and an increase in the number of persons re-recognized as disabled (PPI). There is a drop in the proportion of disabled people of the first and second disability groups with an increase in the third group. In the structure of VPI and PPI due to MS, persons of working age prevailed with a slight decrease in the group of PPI. The gender structure was dominated by female persons. Conclusion. The study of indicators of disability due to MS among various population groups in modern conditions is of great importance for monitoring the level of disability of patients and maintaining a socially active life of the patient.
2014-2021年莫斯科多发性硬化症残疾形成趋势
的相关性。多发性硬化症(MS)是一种慢性进行性中枢神经系统神经退行性自身免疫性疾病,主要影响工作年龄人群并导致残疾。由于这种疾病是持续残疾的常见原因,因此注意到与MS引起的残疾相关的区域特定计划领域的研究的重要性和同时的不足。目标考虑性别特征和残疾严重程度,研究2014-2021年莫斯科不同年龄段人群MS原发和重复残疾形成的动态和特征。材料和方法。该研究使用了联邦国家机构"国际电联莫斯科主局"的医学和社会专门知识电子数据库(国际电联)收集的18岁以上多发性硬化症患者的检查材料、国际电联法案、议定书、关于RS结果重新检查的静态f-088/06。过去8年的特点是由于MS导致的一般残疾减少,首次被确认为残疾的人数(VPI)减少,再被确认为残疾的人数(PPI)增加。第一和第二残疾群体的残疾人比例有所下降,第三残疾群体的残疾人比例有所上升。在MS致VPI和PPI的结构中,工作年龄人群占主导地位,PPI组略有下降。性别结构以女性为主。结论。研究现代条件下不同人群的MS致残指标,对于监测患者的残疾水平和维持患者的社会活跃生活具有重要意义。
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