Review Article
The Role of the Pulmonologist in the Assessment of Disability in Patients With Respiratory Disease
Cristina Martínez González
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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
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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Cerón Navarro, J.C. Peñalver Cuesta, J. Padilla Alarcón, C. Jordá Aragón, J. Escrivá Peiró, V. Calvo Medina, A. García Zarza, J. Pastor Guillem, E. Blasco Armengod" "autores" => array:9 [ 0 => array:2 [ "nombre" => "J. Cerón" "apellidos" => "Navarro" ] 1 => array:2 [ "nombre" => "J.C. Peñalver" "apellidos" => "Cuesta" ] 2 => array:2 [ "nombre" => "J. Padilla" "apellidos" => "Alarcón" ] 3 => array:2 [ "nombre" => "C. Jordá" "apellidos" => "Aragón" ] 4 => array:2 [ "nombre" => "J. Escrivá" "apellidos" => "Peiró" ] 5 => array:2 [ "nombre" => "V. Calvo" "apellidos" => "Medina" ] 6 => array:2 [ "nombre" => "A. García" "apellidos" => "Zarza" ] 7 => array:2 [ "nombre" => "J. Pastor" "apellidos" => "Guillem" ] 8 => array:2 [ "nombre" => "E. 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Martínez Servicio de Neumología, Instituto Nacional de Silicosis Hospital Universitario Central de Asturias Dr. Bellmunt, s/n, 33006 Oviedo, Asturias, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-06-01" "fechaAceptado" => "2007-06-19" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155223" "palabras" => array:5 [ 0 => "<span class="elsevierStyleItalic">Disability assessment</span>" 1 => "<span class="elsevierStyleItalic">Evaluation of respiratory impairment</span>" 2 => "<span class="elsevierStyleItalic">Respiratory diseases</span>" 3 => "<span class="elsevierStyleItalic">Lung function tests</span>" 4 => "<span class="elsevierStyleItalic">Respiratory medicine.</span>" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155222" "palabras" => array:5 [ 0 => "<span class="elsevierStyleItalic">Evaluación de incapacidad laboral</span>" 1 => "<span class="elsevierStyleItalic">Evaluación del daño respiratorio</span>" 2 => "<span class="elsevierStyleItalic">Enfermedades respiratorias</span>" 3 => "<span class="elsevierStyleItalic">Pruebas de función pulmonar</span>" 4 => "<span class="elsevierStyleItalic">Neumología</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">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.</p><p class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">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.</p><p class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:42 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosing and managing occupational diseases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A Seaton" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "BMJ" "fecha" => "1995" "volumen" => "310" "paginaInicial" => "1282" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7773034" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enfermedades respiratorias de origen ocupacional" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C Martínez González" 1 => "G Rego Fernández" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2000" "volumen" => "36" "paginaInicial" => "631" "paginaFinal" => "644" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11171436" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Real Decreto Legislativo 1/1994, de 20 de junio, por el que se aprueba el texto refundido de la Ley General de la Seguridad Social. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 2 | 5 |
| 2024 October | 30 | 18 | 48 |
| 2024 September | 31 | 14 | 45 |
| 2024 August | 52 | 35 | 87 |
| 2024 July | 30 | 22 | 52 |
| 2024 June | 27 | 27 | 54 |
| 2024 May | 42 | 35 | 77 |
| 2024 April | 14 | 20 | 34 |
| 2024 March | 26 | 18 | 44 |
| 2024 February | 20 | 18 | 38 |
| 2023 June | 0 | 1 | 1 |
| 2023 March | 2 | 4 | 6 |
| 2023 February | 12 | 19 | 31 |
| 2023 January | 19 | 29 | 48 |
| 2022 December | 21 | 30 | 51 |
| 2022 November | 16 | 22 | 38 |
| 2022 October | 17 | 29 | 46 |
| 2022 September | 15 | 29 | 44 |
| 2022 August | 19 | 42 | 61 |
| 2022 July | 22 | 43 | 65 |
| 2022 June | 13 | 29 | 42 |
| 2022 May | 19 | 30 | 49 |
| 2022 April | 15 | 29 | 44 |
| 2022 March | 20 | 29 | 49 |
| 2022 February | 19 | 24 | 43 |
| 2022 January | 18 | 38 | 56 |
| 2021 December | 15 | 42 | 57 |
| 2021 November | 18 | 50 | 68 |
| 2021 October | 22 | 50 | 72 |
| 2021 September | 17 | 58 | 75 |
| 2021 August | 7 | 35 | 42 |
| 2021 July | 15 | 29 | 44 |
| 2021 June | 12 | 34 | 46 |
| 2021 May | 11 | 20 | 31 |
| 2021 April | 33 | 38 | 71 |
| 2021 March | 16 | 19 | 35 |
| 2021 February | 9 | 18 | 27 |
| 2021 January | 14 | 13 | 27 |
| 2020 December | 10 | 13 | 23 |
| 2020 November | 8 | 13 | 21 |
| 2020 October | 9 | 7 | 16 |
| 2020 September | 5 | 6 | 11 |
| 2020 August | 12 | 11 | 23 |
| 2020 July | 18 | 17 | 35 |
| 2020 June | 7 | 7 | 14 |
| 2020 May | 19 | 15 | 34 |
| 2020 April | 28 | 14 | 42 |
| 2020 March | 11 | 13 | 24 |
| 2020 February | 20 | 10 | 30 |
| 2020 January | 15 | 16 | 31 |
| 2019 December | 18 | 10 | 28 |
| 2019 November | 11 | 5 | 16 |
| 2019 October | 8 | 10 | 18 |
| 2019 September | 7 | 10 | 17 |
| 2019 August | 15 | 7 | 22 |
| 2019 July | 12 | 14 | 26 |
| 2019 June | 4 | 9 | 13 |
| 2019 May | 5 | 16 | 21 |
| 2019 April | 5 | 23 | 28 |
| 2019 March | 8 | 11 | 19 |
| 2019 February | 8 | 8 | 16 |
| 2019 January | 8 | 8 | 16 |
| 2018 December | 7 | 9 | 16 |
| 2018 November | 15 | 13 | 28 |
| 2018 October | 16 | 18 | 34 |
| 2018 September | 8 | 10 | 18 |
| 2018 May | 1 | 0 | 1 |
| 2018 April | 5 | 6 | 11 |
| 2018 March | 1 | 3 | 4 |
| 2018 February | 4 | 8 | 12 |
| 2018 January | 2 | 3 | 5 |
| 2017 December | 4 | 5 | 9 |
| 2017 November | 3 | 6 | 9 |
| 2017 October | 1 | 11 | 12 |
| 2017 September | 3 | 8 | 11 |
| 2017 August | 8 | 9 | 17 |
| 2017 July | 3 | 2 | 5 |
| 2017 June | 9 | 11 | 20 |
| 2017 May | 6 | 7 | 13 |
| 2017 April | 2 | 4 | 6 |
| 2017 March | 3 | 4 | 7 |
| 2017 February | 0 | 2 | 2 |
| 2017 January | 4 | 7 | 11 |
| 2016 December | 4 | 4 | 8 |
| 2016 November | 15 | 8 | 23 |
| 2016 October | 13 | 9 | 22 |
| 2016 September | 5 | 4 | 9 |
| 2016 August | 8 | 5 | 13 |
| 2016 July | 3 | 0 | 3 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 86 | 9 | 95 |
| 2015 September | 86 | 9 | 95 |
| 2015 August | 82 | 16 | 98 |
| 2015 July | 149 | 14 | 163 |
| 2015 June | 69 | 2 | 71 |
| 2015 May | 75 | 12 | 87 |
| 2015 April | 78 | 10 | 88 |
| 2015 March | 87 | 4 | 91 |
| 2015 February | 98 | 1 | 99 |
| 2015 January | 56 | 11 | 67 |
| 2014 December | 82 | 11 | 93 |
| 2014 November | 72 | 5 | 77 |
| 2014 October | 117 | 7 | 124 |
| 2014 September | 64 | 10 | 74 |
| 2014 August | 58 | 10 | 68 |
| 2014 July | 57 | 5 | 62 |
| 2014 June | 71 | 6 | 77 |
| 2014 May | 78 | 7 | 85 |
| 2014 April | 63 | 4 | 67 |
| 2014 March | 87 | 12 | 99 |
| 2014 February | 61 | 8 | 69 |
| 2014 January | 58 | 5 | 63 |
| 2013 December | 69 | 10 | 79 |
| 2013 November | 40 | 3 | 43 |
| 2013 October | 51 | 8 | 59 |
| 2013 September | 67 | 10 | 77 |
| 2013 August | 64 | 5 | 69 |
| 2013 July | 45 | 11 | 56 |
| 2013 June | 36 | 7 | 43 |
| 2013 May | 48 | 4 | 52 |
| 2013 April | 19 | 3 | 22 |
| 2013 March | 12 | 3 | 15 |
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