J Korean Med Sci.  2009 May;24(Suppl 2):S277-S287. 10.3346/jkms.2009.24.S2.S277.

Development of Korean Academy of Medical Sciences Guideline Rating the Physical Impairment; Kidney, Bladder, Urethra, Male and Female Reproductive Systems (Preliminary Report)

Affiliations
  • 1Department of Urology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. chung90@paik.ac.kr
  • 2Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine, Dr. Sohn's Hemodialysis Center, Seoul, Korea.
  • 4Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea.
  • 5Department of Urology, Pusan National University Hospital, Pusan National University College of Medicine, Busan, Korea.
  • 6Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
  • 7Department of Urology, Chonbuk National University Hospital, Chonbuk National University College of Medicine, Jeonju, Korea.
  • 8Department of Obstetrics & Gynecology, St. Mary's Hospital, the Catholic University of Korea, College of Medicine, Seoul, Korea.
  • 9Department of Obstetrics & Gynecology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
  • 10Department of Obstetrics & Gynecology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Abstract

For the evaluation of the kidney impairment, serum creatinine concentrations or glomerular filtration rates are mainly used, and the conditions of solitary or transplanted kidney and chronic dialysis are also taken into the considerations. Some symptoms and signs of the chronic renal disability in spite of adequate treatment add one additional grade. For evaluating bladder and urethral impairment, the criteria include voiding symptoms and signs. The patients with urinary diversions have impairment grades depending on the alteration of upper urinary tract function. For penile impairment, the degrees are evaluated using the international index of erectile function, nocturnal penile tumescence and color doppler ultrasonography. For evaluating impairment of other male reproductive organs, functional and anatomical changes of these organs, analysis of the semen or hormones and the state of solitary testis are used as the criteria. For evaluating impairment of female reproductive organs, pregnancy potential, requirement of continuous treatment and the ability of sexual intercourse are used. Also, degree of impairment is modified according to the ages in evaluating female reproductive systems. We have tried to make this evaluation system objective, scientific, and convenient, but still find it leaving much to be desired.

Keyword

Evaluation; Disability; Physical Impairment; Urogenital System

MeSH Terms

*Disability Evaluation
Female
Genitalia, Female/physiopathology
Genitalia, Male/physiopathology
Humans
Kidney Diseases/classification/*diagnosis
Korea
Male
Program Development
Severity of Illness Index
Urethral Diseases/classification/*diagnosis
Urinary Bladder Diseases/classification/*diagnosis
Urologic Diseases/classification/*diagnosis

Reference

1. McBride ED. Disability evaluation and principles of treatment of compensable injuries. 1963. 6th ed. Philadelphia: JB Lippincott Co.
2. Gunnar A, Linda C. American Medical Association. Guides to the Evaluation of Permanent Impairment. 2000. 5th ed. New York: American Medical Association;143–171.
3. Ministry of Health and Welfare. Guidance for the disability grading. 2003.
4. Li Z, Kang SH, Lee SD. Review of Korean Disability Evaluation Systems and Suggestions for the Improvement Direction. Korean J Leg Med. 2007. 31:16–30.
5. American Medical Association. Guides to the evaluation of permanent impairment. 2007. 6th ed. New York: American Medical Association;129–158.
6. Lee KS. Assessment of physical impairment and disability evaluation: problem of present system and design for better system. J Korean Neurosurg Soc. 1994. 23:276–282.
7. Ministry of Health, Labor and Welfare in Japan. Outline of the Systems and Basic Statistics in Annual Reports on Health and Welfare 1998-1999 Social Security and National Life from white paper and reports. 2007. Volume 2-II:(www-admin@mhlw.go.jp).
8. Rosen RC, Hatzichristou D, Broderick G, et al. Lue TF, Basson R, Rosen R, editors. Clinical evaluation and symptom scales: Sexual dysfunction assessment in men. Sexual Medicine: Sexual Dysfunctions in Men and Women. 2004. Paris: Health Publications;173–220.
9. Baker LA, Sigman D, Mathews RI, Benson J, Docimo SG. An analysis of clinical outcomes using color Doppler testicular ultrasound for testicular torsion. Pediatrics. 2000. 105:604–607.
Article
10. Carter SS, Shinohara K, Lipshultz LI. Transrectal ultrasonography in disorders of the seminal vesicles and ejaculatory ducts. Urol Clin North Am. 1989. 16:773–790.
11. Korean Medical Association. Guides to the Evaluation of Permanent Impairment. 2005. 1st ed. Seoul: Korean Medical Association.
12. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute. National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003. 42:1206–1252.
Article
13. Denker BM, Brenner BM. Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL, editors. Azotemia and urinary abnormalities. Harrison's Principles of Internal Medicine. 2005. 16th ed. New York: McGraw-Hill.
14. Schwartz GJ, Haycock GB, Edelmann CM Jr, Spitzer A. A simple estimate of glomerular filtration rate in children derived from body length and plasma creatinine. Pediatrics. 1976. 58:259–263.
15. Andrew C, Peterson MD, George D, Webster MD. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Urodynamic and Videourodynamic Evaluation of Voiding Dysfunction. Campbell-Walsh urology. 2007. 9th ed. Philadelphia: Saunders;1986–2010.
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