Dokumentart(en): Zeitschriftenbeitrag
Titel der Veröffentlichung: Begutachtung phlebologischer Erkrankungen

Unusual features and problems at the expert assessment of vein damages and venous diseases are described, including indications for rational and evidence based diagnostics adapted to the needs. Besides it was an essential concern to point out important actual conceptual changes for the expert assessment in the legal scheme by the German social civil code (Sozialgesetzbuch VI). So the concepts of occupational disability (Berufsunfähigkeit) and of lost of earning capacity (Erwerbsunfähigkeit) don't exist in the legal pension scheme since 01st 01st 2001 any more. The idea of the "reduction in the earning capacity” (Erwerbsminderung) has been introduced instead. There is still the concept of occupational disability (Berufsunfähigkeit) for the professional supply systems (berufsständige Versorgungswerke) and the private occupational disability insurances - but with different definitions and performances, which have to be taken into account if need be. Since the old definitions still frequently appear at the expert’s activcity, they are represented in these explanations briefly. In general expert reports on vein diseases are according to size and contents quite often a sad example of general ignorance of pathophysiology, clinic and modern diagnostics of the venous diseases and their meaning for social and occupational medicine.