title: Epilepsy and social security: general aspects of the insured claimants and medical decisions.
abstract: BACKGROUND
  Epilepsy affects adults at productive age and interferes with their ability to work. However, the granting of social security benefits to these patients has not received sufficient attention. This article aims to provide a profile of individuals with a previous diagnosis of epilepsy that file claims for social security benefits and a profile of the medical advisory decisions that support the concession of these benefits.
  
  
  METHODS
  A sample of thirty individuals with illness-related problems due to epilepsy was selected from the claimants that receive Social Security Incapacity/Sickness benefits.
  
  
  METHODS
  An exploratory data analysis of the 188 Social Security medical files of the thirty claimants was performed using the clinical and epidemiological information and the medical advisory criteria.
  
  
  RESULTS
  The mean age of the claimants was 39 years and most of them were males in jobs that do not require a lot of schooling. The first claim was filed within an average of four years of employment. On average, each worker files a claim every three months, which entitles him/her to receive incapacity/sickness benefits for seventeen months. The frequency of seizures and the medications used by the claimants were registered in 60% of the medical files. In addition, the description of the physical and neurological exam was incomplete in 50% of the files. Furthermore, 60% of the files did not include the argument or the clinical evidence that was used to justify the concession of a benefit.
  
  
  CONCLUSIONS
  The medical advisory decisions on epileptic workers tend to be inconsistent, overly lenient and generally lacking in clinical evidence. The disparities among the granted benefits indicate the need for the National Social Security System to review and draft specific guidelines for epilepsy.
authors.affiliation: University of Brasilia, Brasília, Brazil Hospital de Base of Brasília, Brasília, Brazil.
authors.forename: Lisiane Seguti
authors.initials: LS
authors.lastname: Ferreira
authors.forename: Dario
authors.initials: D
authors.lastname: Palhares
authors.forename: Marília
authors.initials: M
authors.lastname: Gava
authors.forename: Vladimir Ferreira
authors.initials: VF
authors.lastname: Seguti
authors.forename: Antônio Carlos Estima
authors.initials: AC
authors.lastname: Marasciulo
mesh_terms: D000328:Adult; D001938:Brazil; D004827:Epilepsy / Q000191:economics*; D005260:Female; D006801:Humans; D007345:Insurance Claim Review; D008297:Male; D008875:Middle Aged; D011996:Records / Q000592:standards; D012943:Social Security / Q000191:economics*; D014938:Work Capacity Evaluation; D055815:Young Adult
keywords: Incapacity; medical advisory; sickness benefits