Working Capacity Impairment and Primary Disability Problems of Ukraine Urological Patients During Recent Years (2018–2022)
Authors: Vozianov Serhii , Driianska Victoriia , Pasiechnikov Serhii , Mitchenko Mykola , Vozianov Oleksandr , Peterburhskyi Volodymyr , Startseva Larysa , Kononova Halyna , Shevchuk Oleksandr 
Published: December 2024

The objective: to determine regional and generalized indicators of primary disability of the adult population of Ukraine, resulting from diseases of the genitourinary system in 2018–2022, specifics depending on age and established groups.
Materials and methods. The dynamics of data initially recognized as disabled due to diseases of the genitourinary system among the adult population of Ukraine and the analysis of regional characteristics in the period 2018–2022 years using data from official reporting and collections on the main indicators of urological care in Ukraine are presented.
For statistical processing using the “SPSS for Windows software package. Version 11” and “MedStat” we used the chi-square test, comparing the proportion for the two groups using Fisher’s angular transformation (with Yates’ correction); a difference of p < 0.05 was considered significant.
Results. Against the background of fluctuations in the absolute number of newly registered disabled persons due to diseases of the genitourinary system in adults (18+ years) during 2018–2022 years, the largest indicator was noted in 2022. In terms of the absolute number of the population in this year, the difference is significant compared to each from the previous ones (p < 0.001) with an upward trend in the Western region in 2022 compared to 2018 and 2019 (p = 0.054 and 0.076).
The structure of disability by group did not change in 2018–2022, the largest share is made up of persons of the III degree disability who are unable to work, with the Western region leading in terms of relative level. During this period, the number of persons recognized as I degree disabled for the first time is the largest in the city of Kyiv and the Southern region – 60% in 2021 and 48% in 2022, respectively.
The relative level of disability (per 10 thousand people) in the country was the highest in 2022, significantly different from 2019, 2021 (p = 0.015) and 2020 (p = 0.009). The Western region has been the leader forall 5 years of observation with the highest rate in 2022 compared to 2018–2020 (p < 0.001).
During the period 2018–2022, both in Ukraine as a whole and in each of the regions, the number of urologists per 1 million of population did not change reliably (p ≥ 0.05); the largest indicator of provision of these specialists for adults is in the city of Kyiv and the Western region (about 50 per 1 million population).
No correlation was found between the number of urologists in each region (per 1 million population) and initially recognized disabled people due to diseases of the genitourinary system (per 10,000 population) in the regions of Ukraine and in the city of Kyiv.
Conclusions. The determined indicators of the first recognized disabled people in Ukraine with regional features during the last 5 years, including in the conditions of wartime in 2022 year, allow to optimize the provision of urological care, with the aim of reducing the number of disabled people in adulthood, providing specialists and renal replacement therapy in case of CKD, as well as creating better socio-economic conditions for treatment and rehabilitation.