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![]() New Table of DisabilitiesApril 2006 EditionChapter 16
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Table 16.1 | Loss of Function - Upper Urinary Tract | This table is used to rate impairment in the upper urinary tract. |
Table 16.2 | Loss of Function - Lower Urinary Tract | This table is used to rate impairment in the lower urinary tract. |
Table 16.3 | Loss of Function - Sexual and Reproductive - Male | This table is used to rate impairment in female sexual and reproductive function. |
Table 16.4 | Loss of Function - Sexual and Reproductive - Female | This table is used to rate impairment in female sexual and reproductive function. |
Table 16.5 | Other Impairment - Breasts - Male | This table is used to rate impairment of the male breast. |
Table 16.6 | Other Impairment - Breasts - Female | This table is used to rate impairment of the female breast. |
The tables that may be used to rate impairment from urinary tract conditions are:
Table 16.1 | Loss of Function - Upper Urinary Tract | This table is used to rate impairment in the upper urinary tract. |
Table 16.2 | Loss of Function - Lower Urinary Tract | This table is used to rate impairment in the lower urinary tract. |
Table 16.1 is used to rate impairment from conditions of the upper urinary tract (kidney and ureter). Only one rating may be selected for each entitled condition. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
Ratings in the upper urinary tract table take into account the presence of signs and symptoms and laboratory findings which may accompany the urinary tract impairment. Signs and symptoms include hypertension, chronic anemia, edema, headache, dyspnea, fatigue, fever, chills, back pain, dizziness, hematuria, anuria and recurrent urinary infections.
The creatinine clearance test is used in routine practice to estimate the glomerular filtration rate (GFR). The GFR is the single best indicator of overall renal function.
Creatinine clearance may be estimated either by analysis of a 24 hour urine collection or from the serum creatinine level by applying the following modified Cockcroft-Gault formula:
Males | |
Creatinine clearance (mL/min)b = |
1.2 (140 - patient’s age, years) (TBW, kg) |
(serum creatinine, µmol/L) |
Females:
Multiply equation above by 0.85.
bTo convert from mL/min to SI (mL/s) divide the mL/min value by 60.
Abbreviation: TBW = Total Body Weight
When entitled upper urinary tract conditions result in permanent impairment of other organ systems, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s).
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Table 16.2 is used to rate impairment from conditions of the lower urinary tract (bladder and urethra), prostate and epididymis. Only one rating may be selected for each entitled condition. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
When entitled lower urinary tract conditions result in permanent impairment of other organ systems, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s).
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Only one rating may be given for each entitled condition from Table 16.1. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest rating is selected.
Each bullet () represents one criterion. In order for a rating to be established for Table 16.1 , follow the "ands " and "ors ".
Table 16.1 - Loss of Function - Upper Urinary TractRating | Criteria |
Nil |
|
Four |
|
Nine |
|
Thirteen |
|
Twenty-one |
|
Twenty-six |
|
Forty-three |
|
Fifty-seven |
|
Eighty-one |
|
Step 1: | Determine the rating from Table 16.1 (Loss of Function - Upper Urinary Tract). |
Step 2: | Does the Partially Contributing Table apply? If yes , then apply to rating at Step 1. |
Step 3: | Determine the Quality of Life rating. |
Step 4: | Add the ratings at Step 2 and Step 3. |
Step 5: | If partial entitlement exists, apply to the rating above. |
This is the Disability Assessment |
Only one rating may be given for each entitled condition from Table 16.2 . If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
Each bullet () represents one criterion. In order for a rating to be established for Table 16.2 , only one criterion must be met at a level of impairment for that rating to be selected.
Table 16.2 - Loss of Function - Lower Urinary TractRating | Criteria |
Nil |
|
One |
|
Four |
|
Nine |
|
Thirteen |
|
Eighteen |
|
Twenty-six |
|
Thirty-four |
|
Forty-three |
|
Step 1: | Determine the rating from Table 16.2 (Loss of Function - Lower Urinary Tract). |
Step 2: | Does the Partially Contributing Table apply? If yes, then apply to rating at Step 1. |
Step 3: | Determine the Quality of Life rating. |
Step 4: | Add the ratings at Step 2 and Step 3. |
Step 5: | If partial entitlement exists, apply to the Step 4 rating. |
This is the Disability Assessment |
Selection of Tables
The tables that may be used to rate impairment from sexual and reproductive conditions are:
Table 16.3 | Loss of Function - Sexual and Reproductive - Male | This table is used to rate impairment in male sexual and reproductive function. |
Table 16.4 | Loss of Function - Sexual and Reproductive - Female | This table is used to rate impairment in female sexual and reproductive function. |
Table 16.5 | Other Impairment - Breasts - Male | This table is used to rate impairment of the male breast. |
Table 16.6 | Other Impairment - Breasts - Female | This table is used to rate impairment of the female breast. |
Table 16.3 is used to rate impairment from male sexual and reproductive conditions. Only one rating may be selected for each entitled condition. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
For Veterans Affairs Canada (VAC) purposes "Sterility" is defined as the complete inability to produce offspring despite medical intervention.
When entitled male sexual and reproductive conditions result in permanent impairment of other organ systems, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s).
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Table 16.4 is used to rate impairment from female sexual and reproductive conditions.
Only one rating may be selected for each entitled condition. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
For Veterans Affairs Canada (VAC) purposes "Sterility" is defined as the complete inability to produce offspring despite medical intervention.
When entitled female sexual and reproductive conditions result in permanent impairment of other organ systems, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s).
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Table 16.5 is used to rate impairment from male breast conditions. Only one rating may be selected for each entitled condition. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
When entitled male breast conditions result in permanent impairment of other organ systems, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s).
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Table 16.6 is used to rate impairment from female breast conditions. Only one rating may be selected for each entitled condition. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
When entitled female breast conditions result in permanent impairment of other organ systems, a consequential entitlement decision is required. If awarded, the resulting impairment of that organ system(s) will be rated using the applicable body system specific table(s).
If non-entitled conditions or conditions rated within another chapter/table of the Table of Disabilities are contributing to the overall impairment, then the Partially Contributing Table (PCT) must be applied to arrive at the rating which is due to the entitled condition(s) rated within this table.
Only one rating may be given for each entitled condition from Table 16.3. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
Each bullet () represents one criterion. In order for a rating to be established for Table 16.3 , only one criterion must be met at a level of impairment for that rating to be selected.
Table 16.3 - Loss of Function - Sexual and Reproductive - MaleRating | Criteria |
Nil |
|
One |
|
Four |
|
Nine |
|
Eighteen |
|
Twenty-six |
|
*A separate rating for permanent sterility is not given for these conditions.
Step 1: | Determine the rating from Table 16.3 (Loss of Function - Sexual and Reproductive - Male). |
Step 2: | Does the Partially Contributing Table apply? If yes, then apply to rating at Step 1. |
Step 3: | Determine the Quality of Life rating. |
Step 4: | Add the ratings at Step 2 and Step 3. |
Step 5: | If partial entitlement exists, apply to the Step 4 rating. |
This is the Disability Assessment |
Only one rating may be given for each entitled condition from Table 16.4 . If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
Each bullet () represents one criterion. In order for a rating to be established for Table 16.4 , only one criterion must be met at a level of impairment for that rating to be selected.
Table 16.4 - Loss of Function - Sexual and Reproductive - Female
Rating | Criteria |
Nil |
|
One |
|
Four |
|
Nine |
|
Thirteen |
|
Eighteen |
|
Twenty-six |
|
*A separate rating for permanent sterility is not given for these conditions.
Step 1: | Determine the rating from Table 16.4 (Other Impairment - Breasts - Male). |
Step 2: | Does the Partially Contributing Table apply? If yes, then apply to rating at Step 1. |
Step 3: | Determine the Quality of Life rating. |
Step 4: | Add the ratings at Step 2 and Step 3. |
Step 5: | If partial entitlement exists, apply to the Step 4 rating. |
This is the Disability Assessment |
Only one rating may be given for each entitled condition from Table 16.5. If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
Each bullet () represents one criterion. In order for a rating to be established for Table 16.5, only one criterion must be met at a level of impairment for that rating to be selected.
Table 16.5 - Other Impairment - Breasts - MaleRating | Criteria |
Nil |
|
One |
|
Four |
|
Step 1: | Determine the rating from Table 16.5 (Other Impairment - Breasts - Male). |
Step 2: | Does the Partially Contributing Table apply? If yes, then apply to rating at Step 1. |
Step 3: | Determine the Quality of Life rating. |
Step 4: | Add the ratings at Step 2 and Step 3. |
Step 5: | If partial entitlement exists, apply to the Step 4 rating. |
This is the Disability Assessment |
Only one rating may be given for each entitled condition from Table 16.6 If more than one rating is applicable for an entitled condition, the ratings are compared and the highest selected.
Each bullet () represents one criterion. In order for a rating to be established for Table 16.6 , only one criterion must be met at a level of impairment for that rating to be selected.
Table 16.6 - Other Impairment - Breasts - FemaleRating | Criteria |
Nil |
|
Four |
|
Nine |
|
Thirteen |
|
Twenty-six |
|
Step 1: | Determine the rating from Table 16.6 (Other Impairment - Breasts -Female). |
Step 2: | Does the Partially Contributing Table apply? If yes, then apply to rating at Step 1. |
Step 3: | Determine the Quality of Life rating. |
Step 4: | Add the ratings at Step 2 and Step 3. |
Step 5: | If partial entitlement exists, apply to the Step 4 rating. |
This is the Disability Assessment |