title: [Financial expenses incurred by herniated disk in health professionals].
abstract: BACKGROUND
  Long-term sick leave by illeness is cause of financial expences and worker's loss of productivity.
  
  
  OBJECTIVE
  To evaluate the financial expense incurred by spinal disk herniation in health professionals.
  
  
  METHODS
  3000 health professionals of the Instituto Mexicano del Seguro Social work in Tecate, Tijuana and Rosarito, cities of Baja California, Mexico. During 2009-2011, 1070 health professionals had long sick leave certificates and 48 had a cervical or lumbar disk herniation. We evaluated the total days of absenteeism in comparison with the absenteeism days suggested by the Medical Disability Advisor.
  
  
  RESULTS
  Of the 48 spinal herniated disks, 54% were cervical and 65% had surgical management. The mean (± SD) days of absence was 125 ± 84 and 24 (50%) of the spinal herniated disks exceeded the Medical Disability Advisor disability duration parameters, in 6 (26%), 12 (52%), and 5 (22%) patients due to no diagnostic concordance, diagnosis delay and residual pain, respectively. The total cost of the spinal herniated disks that extended outside of the Medical Disability Advisor disability duration parameters was 683,026 pesos versus 367,081 pesos of the spinal herniated disks that did not exceed the Medical Disability Advisor disability duration parameters. After 12 months of follow-up, 9 (18.8%) continue with sick leave and 2 (4%) had permanent disability.
  
  
  CONCLUSIONS
  In patients with a spinal herniated disk, the costs of subsidies were two-fold more due principally to a not diagnostic agreement.
authors.forename: Abraham
authors.initials: A
authors.lastname: Zonana-Nacach
authors.forename: Marco Cesar
authors.initials: MC
authors.lastname: Moreno-Cazares
authors.forename: Rafael
authors.initials: R
authors.lastname: Gómez-Naranjo
mesh_terms: D000047:Academies and Institutes / Q000191:economics; D000059:Accidents / Q000191:economics / Q000706:statistics & numerical data; D000328:Adult; D002574:Cervical Vertebrae; D003365:Costs and Cost Analysis / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D016208:Databases, Factual / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D005102:Health Expenditures / Q000706:statistics & numerical data; D006282:Health Personnel / Q000191:economics*; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000191:economics* / Q000453:epidemiology / Q000601:surgery; D008159:Lumbar Vertebrae; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012189:Retrospective Studies; D018582:Sick Leave / Q000191:economics* / Q000706:statistics & numerical data; D012943:Social Security / Q000191:economics* / Q000706:statistics & numerical data; D014938:Work Capacity Evaluation
keywords: Financial expenses; IMSS; health workers; hernia de disco; herniated disk; subsidio; trabajadores del Instituto Mexicano del Seguro Social