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January 2008 The Role of the Pulmonologist in the Assessment of Disability in Patients With...

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is a scientific journal that preferentially publishes prospective original research articles whose content is based upon results dealing with several aspects of respiratory diseases such as epidemiology, pathophysiology, clinics, surgery, and basic investigation. Other types of articles such as reviews, editorials, a few special articles of interest to the society and the editorial board, scientific letters, letters to the Editor, and clinical images are also published in the Journal. It is a monthly Journal that publishes a total of 12 issues and a few supplements, which contain articles belonging to the different sections.

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Vol. 44. Issue 4.

Pages 204-212 (January 2008)

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Vol. 44. Issue 4.

Pages 204-212 (January 2008)

Review Article

DOI: 10.1016/S1579-2129(09)60017-3

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The Role of the Pulmonologist in the Assessment of Disability in Patients With Respiratory Disease

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Cristina Martínez González

Corresponding author

cmartinez@hca.es

Correspondence: Dr C. Martínez Servicio de Neumología, Instituto Nacional de Silicosis Hospital Universitario Central de Asturias Dr. Bellmunt, s/n, 33006 Oviedo, Asturias, Spain

Servicio de Neumología, Instituto Nacional de Silicosis, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain

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Abstract

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A high percentage of the individuals who consult respiratory medicine specialists are working adults, and these patients often complain that dyspnea on exertion hinders their ability to do their job. In other cases, patients are referred for assessment by those responsible for evaluating disability. Furthermore, diagnosis of a respiratory disease should be accompanied by a therapeutic regimen which, in addition to pharmacotherapy, should include advice on lifestyle, nutrition, and physical exercise and recommendations on the kind of work the patient can undertake. Pulmonologists are therefore heavily involved in the assessment of disability in patients with respiratory diseases.

The aim of this review is to offer respiratory specialists a broad view of the medical and legal procedures used to evaluate functional impairment caused by respiratory disease, and suggest how they can make recommendations to these patients concerning the appropriate working conditions for the prevention and treatment of their disease.

Key words:

Disability assessment

Evaluation of respiratory impairment

Respiratory diseases

Lung function tests

Respiratory medicine.

Una gran proporción de los individuos que acuden a las consultas de neumología son adultos en situación laboral activa, y con frecuencia refieren disnea de esfuerzo que les dificulta el desempeño de su trabajo. En otras ocasiones los pacientes son remitidos por las unidades de valoración de incapacidades para solicitar un informe acerca de su enfermedad. Si a esto añadimos que el diagnóstico de una enfermedad respiratoria debe acompañarse de unas prescripciones terapéuticas que, además de fármacos, incluyan recomendaciones sobre los hábitos de vida, nutrición, ejercicio físico y actividad laboral, hay sobradas razones para que el neumólogo se implique en la evaluación de la capacidad laboral de los pacientes con enfermedades respiratorias.

El objetivo de esta revisión es ofrecer al neumólogo una visión amplia de los procedimientos médico-legales que permiten evaluar el menoscabo funcional provocado por la enfermedad respiratoria, así como recomendar al paciente unas condiciones laborales adecuadas para la prevención y el tratamiento de su enfermedad.

Palabras clave:

Evaluación de incapacidad laboral

Evaluación del daño respiratorio

Enfermedades respiratorias

Pruebas de función pulmonar

Neumología

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