Changes in B-Readings Over Time in the United States Navy Asbestos Medical Surveillance Program

Muller, John G.; Rudolph, W; Lieske, Jonathan M.; Hernandez, Jose E.; Jan, Moore H.; Kubiak, Gosia

doi:10.1097/jom.0b013e31802df12c

Cited by 3 publications

(2 citation statements)

References 10 publications

(14 reference statements)

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“…About 15 % of occupationally exposed individuals who demonstrated radiographic abnormalities consistent with asbestosis, showed no visible pleural plaques on radiographs. Autopsy studies have shown that pleural plaques are much more common than asbestosis and are present in most asbestosis cases, but may be too small to be seen on radiographs (6,(12)(13). Our results are in accordance with previous reports.…”

Section: Resultssupporting

confidence: 83%

Interobserver Variations in Diagnosing Asbestosis According to the ILO Classification

Perić

Novak

Barišić

et al. 2009

Archives of Industrial Hygiene and Toxicology

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Inhalation of asbestos fi bres leads to asbestosis of the pleura and the lung, with possible progression to lung cancer and malignant pleural or peritoneal mesothelioma. Asbestosis remains diffi cult to diagnose, especially in its early stages. The most important role in its diagnosis is that of chest radiographs. The aim of this cross-sectional study was to address interobserver variations in interpreting chest radiographs in asbestos workers, which remain to be an issue, despite improvements in the International Labour Offi ce (ILO) classifi cation system. In our ten-year study, we investigated 318 workers occupationally exposed to asbestos, and in 210 workers with diagnosed asbestos-related changes we compared interpretations of chest radiographs according to ILO by two independent radiologists. The apparent degree of interobserver variation in classifying lung fi brosis was 26.66 % for the diameter of changes and 42.2 % for the profusion of the changes. In cases with diffuse pleural thickening, the interobserver variation using ILO procedures was 34.93 %. This investigation raises the issue of standardisation and objectivity of interpretation of asbestosis according to the ILO classifi cation system. This study has revealed a signifi cant disagreement in the estimated degree of pleural and parenchymal asbestos pulmonary disease. This is why we believe highresolution computed tomography (HRCT) should also be used as a part of international classifi cation.

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Section: Resultssupporting

confidence: 83%

Interobserver Variations in Diagnosing Asbestosis According to the ILO Classification

Perić

Novak

Barišić

et al. 2009

Archives of Industrial Hygiene and Toxicology

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“…Corporate monitoring, medical surveillance, environmental monitoring, and a number of individual surveys play a significant role in providing useful information for the purposes of prevention and decision-making (3,12,56,87,96,109,138). The National Health and Nutrition Examination Survey has provided nationallevel estimates of the biomarkers of exposure for many chemicals in the U.S. population.…”

Section: Other Important Activitiesmentioning

confidence: 99%

Advances and Current Themes in Occupational Health and Environmental Public Health Surveillance

Shire

Marsh

Talbott

et al. 2011

Annu. Rev. Public Health

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The essential purpose of public health surveillance is to monitor important health outcomes and risk factors and provide actionable information to practitioners, policy makers, researchers, and the public to prevent or ameliorate exposure, disease, and death. Although separate 1970s-era acts of Congress made possible the creation of modern occupational health and environmental public health surveillance, these acts also led to fragmented responsibilities and unconnected data across federal agencies. Having a well-defined purpose for systematically collecting relevant data is key, and state and local programs play a crucial role in conducting meaningful surveillance and connecting it with evidence-based outreach and interventions. Congress has directed monies to environmental public health surveillance and capacity has improved, yet no analagous funding has occurred to address the fragmentation found within occupational health surveillance. This article provides a review of the advances and important themes within occupational health and environmental public health surveillance over the past decade.

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Variability in Interpretation among B-Readers in the U.S. Navy Asbestos Medical Surveillance Program

et al. 2008

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Changes in B-Readings Over Time in the United States Navy Asbestos Medical Surveillance Program

Abstract: Changes from previous B-readings are common, and may have clinical and other implications, which are discussed. B-readings should not be used as the sole basis for determining the presence or absence of pneumoconiosis.

Cited by 3 publications

References 10 publications

Interobserver Variations in Diagnosing Asbestosis According to the ILO Classification

Interobserver Variations in Diagnosing Asbestosis According to the ILO Classification

Advances and Current Themes in Occupational Health and Environmental Public Health Surveillance

Variability in Interpretation among B-Readers in the U.S. Navy Asbestos Medical Surveillance Program

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