P741 IBD-related work disability in Brazil
Notice bibliographique
Résumé
Background: Given the increasing prevalence of Inflammatory Bowel Diseases (IBD) in Brazil [7] and considering that the highest peak incidence occurs in young patients; the work disability generates relevant economic and social impacts. This study aimed at assessing disability due to IBD in the Brazilian population. Methods: Analysis was obtained through the computerized Single System of Social Security Benefits Information with the crosscheck of aid pension and disability retirement, for ulcerative colitis (UC) and Crohn's disease (CD) between 2010 and 2014. Additional data were obtained within the platform including the average values, benefit duration, gender, age, and region of the country. Results: In terms of costs, the value of benefits paid from 2010 to 2014 for IBD was US$ 98,098,212,representing approximately 1% of the total of all benefits paid by the social security. Benefits paid for CD were higher than for UC, whereas both tend to decrease from 2010 to 2014. Figure 1. Rates of temporary benefits and disability pensions due to Crohn's disease and ulcerative colitis, per 100,000 taxpayers, from 2010 to 2014. Figure 2. Average number of days of temporary disability due to Crohn's disease and ulcerative colitis, from 2010 to 2014. Temporary disability was more frequent in UC, while permanent disability in CD. Temporary disability affected younger patients with CD than UC. Rates for temporary and permanent disability were greater among women. Temporary work absences due to UC and CD were greater in the South, while the lowest rates in the North and Northeast, due to CD. Permanent disability rates were higher in the South (UC) and Southeast (CD). Absence from work was longer in CD (355 days) compared to UC (305 days), reaching almost a year. Conclusions: IBD-related work disability rates are much longer in Brazil, compared to the ones seen in developed countries [1]. Reduction trends may reflect improvements in access to health care and medication. Vocational rehabilitation programs may positively impact social security and quality of life of patients. References: [1] Bassi A; Dodd S; Williamson P et al, (2004), Cost of illness of inflammatory bowel disease in the UK: a single centre retrospective study, GUT, 1471–1478, 53 [2] Van Deen WK, Esrailian E, Hommes DW, (2015), Value-based care for inflammatory bowel diseases, J Crohns Colites, J Crohns Colites, 421–427, 9(5) [3] Rocchi A; Benchimol E; Bernstein C et al, (2012), Inflammatory bowel disease: A Canadian burden of illness review, Can J Gastroenterol, 811–818, 26(11) [4] Ganz, ML, Surgarman R, Wang R, et al, (2016), The economic and health impact of of Crohn's disease in the United States: Evidence from a Nationally Representative Survey, Inflamm Bowel Dis, 1032–1040, 22(5) [5] Kaplan, G.G., (2015), The global burden of IBD: from 2015 to 2025, Nat. Rev Gastroenterol. Hepatol, 720–727, 12 [6] Hoivik, M.L.; Moum, B.; Solberg, I.C et al. IBSEN Group, (2013), Work disability in inflammatory bowel disease patients 10 years after disease onset: results from the IBSEN Study, GUT, 368–375, 62 [7] Victoria, C.R.; Sasaak, L.Y.; Nunes, H.R, (2009), Incidence and prevalence rates od inflammatory bowel diseases, in Midwestern of São Paulo state in Brazil, Arq Gastroenterol, 20–25, 46 [8] Souza, M.H.L.P; Troncon, L.E; Rodrigues, C.M, et al, (2002), Evolução da ocorrência (1980–1999) da Doença de Crohn e da Retocolite Ulcerativa Idiopática e análise das suas características clínicas em um Hospital Universitário do Sudeste do Brasil, Arq Gastroenterol, 98–105, 39 (2) [9] Kawalec P, Malinowski KP, (2015), Indirect health costs in ulcerative colitis and Crohn's disease: a systematic review and meta-analysis, Expert Rev Pharmacoecon Outcomes Res, 253–266, 15(2) [10] Floyd DN, Langham S, Séverac HC et al, (2015), The economic and quality-of-life burden of Crohn's disease in Europe and the United States, 2000 to 2013: a systematic review, Dig Dis Sci, 299–312, 60(2)
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».