title: [Costs in hand amputations derived from labor injuries].
abstract: BACKGROUND
  Hand injuries by labor accidents are first rank. It is necessary to have a multidisciplinary medical approach to frequently generated temporary and permanent disabilities that affect costs to an institution and to enterprise.
  
  
  OBJECTIVE
  To determine the direct cost (DC) and the indirect cost (IC) of complete and partial amputations in hand caused by labor injuries.
  
  
  METHODS
  An observational study was performed. The data was obtained from labor injuries with amputation of a finger or hand that received multidisciplinary management. The costs were calculated according to the list of Institutional Unit Costs. The IC were obtained with the "safety pays" program.
  
  
  RESULTS
  We included 48 cases. The average age was 32.17 years; the cost of surgical operations was $767,470; and the payment of a partial disability permanent was $1,032,670; the DC of the sample of 48 workers was $2,955,007 with an IC of $3,250,507 and a total cost of $6,205,515, the average cost per worker of $51,741 for DC, $56,915 for IC and $108,657 for the total cost.
  
  
  CONCLUSIONS
  Costs of hand injures requires the creation of prevention programs.
authors.affiliation: Servicio de Salud en el Trabajo, Delegación Jalisco, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico. dra_yao@hotmail.com
authors.forename: Yaocihuatl
authors.initials: Y
authors.lastname: Castañeda-Borrayo
authors.forename: Ana Bárbara Isabel
authors.initials: AB
authors.lastname: Mireles-Pérez
authors.forename: Ana Margarita
authors.initials: AM
authors.lastname: González-Ramos
authors.forename: Cindy
authors.initials: C
authors.lastname: Pérez-García
authors.forename: Luz Rocío
authors.initials: LR
authors.lastname: Navarro-Trujillo
mesh_terms: D000062:Accidents, Occupational / Q000191:economics*; D000328:Adult; D000671:Amputation, Surgical / Q000191:economics*; D003365:Costs and Cost Analysis; D006230:Hand Injuries / Q000191:economics* / Q000601:surgery*; D006801:Humans; D012189:Retrospective Studies