Revista medica del Instituto Mexicano del Seguro Social · 2026
[Social security burden due to work-related disability due to kidney failure].
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Torres-Toledano Marisol, Molina-Domínguez Teresa, Bautista-De Anda Rocío, Cortés-Sanabria Laura, Granados-García Víctor, Cueto-Manzano Alfonso
Аннотация
BACKGROUND: Kidney Failure (KF) leads to loss of productive years, premature mortality, and substantial social burden due to work-related disability.
OBJECTIVE: To characterize temporary and permanent work disability transfers attributable to KF among affiliates of the Mexican Social Security Institute (IMSS).
METHODS: Patterns of use were analyzed for: (a) disability pensions at the national and regional levels, and (b) temporary work disability (TWD) at the healthcare facility level. All monetary values are expressed in 2024 Mexican pesos (MXN).
RESULTS: A decreasing trend in newly granted KF-related disability pensions was identified over time. In 2024, 690 new pensions were reported, 24% of which were for women, with the highest proportions in Jalisco (26%) and the State of Mexico (14%). Temporary work disability was observed in 24% of insured individuals who ultimately returned to work, lasting on average 70 days (SD 71) and costing MXN 11,534 (SD 12,347). Individuals on automated peritoneal dialysis had shorter TWD durations (p < 0.05). Among new pension recipients, 88% had a preceding TWD episode lasting an average of 95 days (95% CI: 82-112), equivalent to MXN 16,102 (95% CI: 12,866-18,339). The estimated average annual pension, weighted by salary range, was MXN 74,218. On average, 17.4 productive years (95% CI: 16-19) and 27.3 years lived with disability were lost per case.
CONCLUSIONS: Standardizing IMSS procedures aimed at assessing and mitigating work disability could substantially reduce the burden of KF for patients, their families, and society.
OBJECTIVE: To characterize temporary and permanent work disability transfers attributable to KF among affiliates of the Mexican Social Security Institute (IMSS).
METHODS: Patterns of use were analyzed for: (a) disability pensions at the national and regional levels, and (b) temporary work disability (TWD) at the healthcare facility level. All monetary values are expressed in 2024 Mexican pesos (MXN).
RESULTS: A decreasing trend in newly granted KF-related disability pensions was identified over time. In 2024, 690 new pensions were reported, 24% of which were for women, with the highest proportions in Jalisco (26%) and the State of Mexico (14%). Temporary work disability was observed in 24% of insured individuals who ultimately returned to work, lasting on average 70 days (SD 71) and costing MXN 11,534 (SD 12,347). Individuals on automated peritoneal dialysis had shorter TWD durations (p < 0.05). Among new pension recipients, 88% had a preceding TWD episode lasting an average of 95 days (95% CI: 82-112), equivalent to MXN 16,102 (95% CI: 12,866-18,339). The estimated average annual pension, weighted by salary range, was MXN 74,218. On average, 17.4 productive years (95% CI: 16-19) and 27.3 years lived with disability were lost per case.
CONCLUSIONS: Standardizing IMSS procedures aimed at assessing and mitigating work disability could substantially reduce the burden of KF for patients, their families, and society.