МЕДИКО-СОЦИАЛЬНАЯ ЭКСПЕРТИЗА БОЛЬНЫХ РАКОМ МОЧЕВОГО ПУЗЫРЯ ПОСЛЕ ЦИСТЭКТОМИИ

Аннотация

Criteria for sociomedical examination of patients who have undergone cystectomy with operations of urinary diversion have been currently insufficiently developed. Based on the standard criteria used for sociomedical examination, the authors identify criteria for defining the restricted working ability and disability groups in patients after cystectomy. Estimating the disability group and restricted working ability in patients with urinary bladder cancer after cystectomy should be based on a strictly individual approach, by keeping in mind the complete cancer prognosis, on the integrated assessment made by an expert and a patient himself, on the use of criteria for estimating the quality of life while assessing the degree of restrictions of the basic categories of vital activity. Thus, the estimation should yield an obvious, quantitative result to make an extremely accurate and objective sociomedical examination, which is fully reflected in the use of the questionnaire proposed by us.