Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
1988-3-11
pubmed:abstractText
A critical review of the medical data accumulated on 100 consecutive miners referred for evaluation for disability under the Federal Coal Mine Health and Safety Act documented the generation of an excess of unreliable data at an unacceptable cost, even though the evaluations had been performed by physicians who regularly perform this service. Physician training appears to have an impact on the accuracy and reproducibility of historical inquiry regarding items that would identify other causes of activity-limiting dyspnea. Physicians with pulmonary training are statistically more likely to include the cigarette smoking history, as well as history for the presence or absence of exertional chest pain and paroxysmal nocturnal dyspnea. Spirometric pulmonary functions that are supervised and interpreted by physicians with pulmonary training are less likely to show wide variation between the forced expiratory volume in 1 sec, and the direct maximum voluntary ventilation. Regardless of the source, the direct MVV measurement does not contribute additional useful information about a claimant's pulmonary impairment. Arterial blood gas analysis does not add to the discriminatory value of spirometry and should be dropped from the routine claimant's evaluation. Electrocardiography identifies cardiovascular disease in a sufficient number of applicants to make this test worthwhile. The presence or absence of pneumonconiosis on chest radiograph does not vary significantly when interpreted by the examining physician regardless of pulmonary training.(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0096-1736
pubmed:author
pubmed:issnType
Print
pubmed:volume
29
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
937-41
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1987
pubmed:articleTitle
Variability in the evaluation of the Federal black lung benefits claimant.
pubmed:affiliation
Division of Respiratory and Environmental Medicine, University of Louisville School of Medicine, KY 40292.
pubmed:publicationType
Journal Article