ABSTRACT
La fibromialgia se define como un estado doloroso generalizado que no afecta a las articulaciones, sino a zonas musculares y raquis con una exagerada sensibilidad a la presión en unos puntos determinados, así lo recoge la Organización Mundial de la Salud desde 1992, incluyéndola en el CIE-10 con el código M79.0.Especialmente compleja es la valoración de sus limitaciones desde el punto de vista clínico, social, laboral o pericial. Esta complejidad trasciende al ámbito médico-legal y se refleja en las cuantiosas sentencias recogidas (más de 30.000), de las que el 96% se corresponden con el área de lo Social y en los conceptos de Limitación e Incapacidad laboral. La herramienta FM-Check puede servir de apoyo para una valoración homogénea, integral y objetiva, evitando inequidades. Puede complementarse con otras en función del destino de la valoración y calificación al que se encamine al paciente/trabajador afectado..(AU)
Fibromyalgia was defined in 1992 by the World Health Organization as a general painful state that does not affect the joints, but muscle areas and rachis with an exaggerated sensitivity to pressure at specific points and was included in the ICD-10 with M79.0 code. Especially complex is the valuation of its limitations both in terms of clinical, social,occupational, or expert view. This complexity transcends the forensic field and is reflected in the substantial sentences collected (over 30,000), of which 96% correspond to the area of the Social and concepts of limitation and disability. The FM-Check tool can support for seamless, omprehensive and objective assessment,avoiding inequities. It can be complemented with other depending on the destination of the assessment and qualification to which the patient / affected worker is heading..(AU)
Subject(s)
Humans , Health VulnerabilityABSTRACT
Background: Psychiatric and mood disorders may hamper the efficiency of workers and cause absenteeism. Material and Methods: Revision of sick leaves related to schizophrenia, bipolar diseases, anxiety, depression and adaptive disorders that were granted in Spain in the period January- December 2011. The mean number of days off work for each disease and the costs per each labor day lost were calculated. Results: The total number of labor days lost for schizophrenia, bipolar diseases and mood disorders were 72,831; 899,107 and 3,666,055 days, respectively. The mean duration of sick leaves for the same diagnoses were 84; 100 and 64 days/year respectively. The total indirect costs of sick leaves for psychiatric diseases during 2011 were € 100 million approximately, corresponding to 4% of costs for all diseases. Conclusions: The high costs of absenteeism derived from psychiatric diseases should prompt measures to promote a better adaptation to work environments of people suffering these ailments.