Key result
Surgical myocardial revascularization in Russia is associated with high rates of disability and significant economic damage, partly due to a lack of uniform criteria for post-surgical evaluation.
Why the study?
Despite surgical myocardial revascularization being performed primarily in working-age patients in Russia, disability rates remain high and return to work is suboptimal, partly due to a lack of uniform criteria for medical and social examination referral.
There is a need for uniform criteria for medical and social examination after CABG in Russia to improve return-to-work rates and reduce economic damage from disability.
Answers are grounded in this paper and cite their sources.
May support uniform post-CABG evaluation criteria in Russia; leaves open effects on disability without prospective studies.
Cardiovascular diseases (CVD) remain the leading cause of death in the structure of mortality. The methods of high-technology medical care have been developed to eff ectively fi ght the high prevalence of CVD. The achievements in surgical methods of treatment for coronary artery disease (CAD) are currently undeniable. An important social and economic objective of surgical treatment for CAD is to restore the occupational status of patients. According to various national sources, patients undergoing surgery are estimated to have working age. The proportion of elderly patients undergoing coronary artery bypass grafting (CABG) in other countries is higher. Despite the fact that people receiving surgical treatments in Russia are primarily of working age, the rate of return to work and the percentage of disability are higher. Economic damage due to these factors is signifi cant. There are several causes of this situation including the lack of uniform criteria of referring patients for medical and social examination after surgical myocardial revascularization.
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Kuzmichkina et al. (2020) conducted a review in Coronary artery disease. Surgical myocardial revascularization was evaluated on Return to work and disability. Surgical myocardial revascularization in Russia is associated with high rates of disability and significant economic damage, partly due to a lack of uniform criteria for post-surgical evaluation.
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