Military medical examination for urolithiasis in the Armed Forces (analysis of work published in 2015-2019)



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Abstract

A statistical analysis of the results of a medical examination of service members on conscription and contract with a urolithiasis diagnosis in 2015-2019 is presented. The study includes expert opinions that, following the Russian legislation, could be the basis for early dismissal of service members for health reasons due to limited suitability and inadequacy for military service. The dynamics of medical expert outcomes was investigated by analyzing time series and calculating the second - order polynomial trend. When determining the degree of renal dysfunction in relation to Article 72 of the Schedule of Diseases to estimate the glomerular filtration rate, instead of the Cockcroft - Gault formula, it was proposed to use the CKD-EPI formula (Chronic Kidney Disease Epidemiology Collaboration, 2011), as well as to amend the wording of the explanations to Article 72 Schedules of diseases. The question of using the sup nosological concept of chronic kidney disease in the assessment of renal dysfunction during military medical examination is discussed. The development of modern technologies for diagnosing and treating patients with urolithiasis dictates the need for the earliest clarification of the criteria for assessing renal function during the military medical examination.

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About the authors

E. V Kryukov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

V. V Protoshchak

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: protoshakurology@mail.ru
St. Petersburg, Russia

M. V Paronnikov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

E. G Karpushchenko

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

A. V Datsko

The Main Center for Military Medical Expertise of the Ministry of Defense of the Russian Federation

Email: andvdspb@rambler.ru
Moscow, Russia

O. N Petrova

The Main Center for Military Medical Expertise of the Ministry of Defense of the Russian Federation

Moscow, Russia

O. V Nikolaev

The Main Center for Military Medical Expertise of the Ministry of Defense of the Russian Federation

Moscow, Russia

A. G Borisov

The Main Center for Military Medical Expertise of the Ministry of Defense of the Russian Federation; The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Moscow, Russia

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