Main Trends in Recurrent Disability Resulting from Musculoskeletal Injury Outcomes in Moscow in 2012–2017

Abstract

Summary. Introduction: Pathology of the musculoskeletal system remains a complex medical and social problem due to a high prevalence of injuries and the severity of social consequences including incapacity for work and disability. Our purpose was to study the structure and dynamics of recurrent disability of the adult population in Moscow resulting from musculoskeletal injury outcomes in comparison with the indicators for the Central Federal District and the Russian Federation as a whole in 2012–2017, in order to develop appropriate measures for medical and social rehabilitation. Materials and methods: We studied cases of recurrent disability resulting from musculoskeletal injury outcomes in people aged 18 and older in Moscow (9,787), the Central Federal District (55,363) and the Russian Federation (246,376) using the electronic database of the unified information and analytical system of medical and social expertise, statistical observation forms No. 7, Social Security (“Sobes”), and digests of the Federal Bureau of Medical and Social Expert Examination of the Ministry of Labor and Social Protection of the Russian Federation. We applied methods of data copying, comparative analysis, and descriptive statistics (extensive and intensive indicators, significance tests (p)). Results: We established a decrease in the number of cases of recurrent disability both in Moscow and in the Central Federal District and the Russian Federation in 2012–2017. The proportion of such cases in Moscow was higher than in the Russian Federation, but lower than in the Central Federal District while the rate of recurrent disability of the adult population resulting from musculo skeletal injury outcomes in Moscow was lower than that in the district and the country as a whole. Most cases of recurrent disability were persons of working age (18–44 years of age): the extensive indicators were higher in Moscow while the intensive indicators in Moscow were lower than in the Central Federal District and the Russian Federation. As for the severity of disability, then persons with grade III disabilities predominated; their percentage was higher in Moscow but the disability rate there was still lower than in the Central Federal District and the Russian Federation. Conclusions: The study of recurrent disability resulting from musculoskeletal injury outcomes in Moscow in 2012–2017 revealed that novel approaches to carrying out expert rehabilitation diagnostics contribute to a more accurate assessment of severity of impairments and selection of appropriate age and sex-specific rehabilitation measures promoting effective rehabilitation and social integration of people with disabilities.