Merits and shortcomings of the American Medical Association Guides to the Evaluation of Permanent Impairment, 5th Edition

Rondinelli, Robert D.; Katz, Richard T.

doi:10.1016/s1047-9651(01)00007-9

Cited by 37 publications

(23 citation statements)

References 3 publications

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“…Goldmann perimetry (isopters V-4, III-4 and I-4) was used to plot the monocular visual fields. Size of the intact binocular visual field was calculated and expressed in Functional Field Score, which corresponds to the number of points of a pre-defined overlay grid that fall within the intact visual field [17,18]. Furthermore, it was analyzed whether the border between the blind and intact area had shifted more than 5 degrees between T-pre and T-post.…”

Section: Methodsmentioning

confidence: 99%

The Effects of Compensatory Scanning Training on Mobility in Patients with Homonymous Visual Field Defects: Further Support, Predictive Variables and Follow-Up

et al. 2016

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IntroductionPeople with homonymous visual field defects (HVFD) often report difficulty detecting obstacles in the periphery on their blind side in time when moving around. Recently, a randomized controlled trial showed that the InSight-Hemianopia Compensatory Scanning Training (IH-CST) specifically improved detection of peripheral stimuli and avoiding obstacles when moving around, especially in dual task situations.MethodThe within-group training effects of the previously reported IH-CST are examined in an extended patient group. Performance of patients with HVFD on a pre-assessment, post-assessment and follow-up assessment and performance of a healthy control group are compared. Furthermore, it is examined whether training effects can be predicted by demographic characteristics, variables related to the visual disorder, and neuropsychological test results.ResultsPerformance on both subjective and objective measures of mobility-related scanning was improved after training, while no evidence was found for improvement in visual functions (including visual fields), reading, visual search and dot counting. Self-reported improvement did not correlate with improvement in objective mobility performance. According to the participants, the positive effects were still present six to ten months after training. No demographic characteristics, variables related to the visual disorder, and neuropsychological test results were found to predict the size of training effect, although some inconclusive evidence was found for more improvement in patients with left-sided HVFD than in patients with right-sided HFVD.ConclusionFurther support was found for a positive effect of IH-CST on detection of visual stimuli during mobility-related activities specifically. Based on the reports given by patients, these effects appear to be long-term effects. However, no conclusions can be drawn on the objective long-term training effects.

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Section: Methodsmentioning

confidence: 99%

The Effects of Compensatory Scanning Training on Mobility in Patients with Homonymous Visual Field Defects: Further Support, Predictive Variables and Follow-Up

et al. 2016

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“…Obstructive lung disease (FEV 1 /FVC < 0.70) was evaluated using the GOLD criteria 21 . Restrictive lung disease (TLC < 75% predicted) was evaluated using the Guides to the Evaluation of Permanent Impairment 22 .…”

Section: Methodsmentioning

confidence: 99%

Long-Term Pulmonary Function after Metastasectomy for Childhood Osteosarcoma: A Report from the St Jude Lifetime Cohort Study

Denbo

Zhu

Srivastava

et al. 2014

Journal of the American College of Surgeons

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Background Complete resection of lung metastases improves survival in patients with osteosarcoma. We evaluated the long-term effect of metastasectomy on pulmonary function of patients treated for osteosarcoma during childhood. Methods We reviewed the medical records of patients who had pulmonary function tests (PFTs) following metastasectomy for osteosarcoma. Patient, tumor, and treatment variables were abstracted along with PFTs. PFTs were recorded as a percentage of predicted value and were classified as abnormal for FVC <80%, FEV1 <80%, TLC <75%, and DLCOcorr <75%. Results Twenty-one patients had PFTs performed during follow-up. Mean age at diagnosis of osteosarcoma was 13.2±4.7 years. Fifteen patients had a single thoracotomy, and 6 patients had ≥ 2 thoracotomies (range, 2–6). Eighty lesions were resected. Nine patients had ≤ 2 lesions resected and 12 patients had >2 lesions (range, 3–12) resected. Mean time from the last surgical procedure to measurement of PFTs was 20.3±9.0years. TLC was abnormal for 28.6%, DLCOcorr for 47.4%, FVC for 40%, and FEV1 for 47.6% of the cohort members. Individual PFTs were abnormal in 13.3% (TLC) to 46.7% (DLCOcorr) of patients who had one thoracotomy and in 50.0% (DLCOcorr) to 66.7% (FEV1, TLC) of patients with ≥two thoracotomies. The number of thoracotomies was associated with abnormal TLC (p=0.03). Discussion Patients who underwent pulmonary metastasectomy for osteosarcoma as children often had abnormal PFTs on long-term follow up, but the reduction in lung volumes and DLCOcorr was relatively mild. Multiple thoracotomies predicted greater impairment of pulmonary function.

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“…Obstructive lung disease (FEV 1 /FVC < 0.70) was evaluated using the GOLD criteria[18]. Restrictive lung disease (TLC < 75% predicted) was evaluated using the Guide to the Evaluation of Permanent Impairment [19]. Participants reporting having smoked more than 100 cigarettes in their life were considered smokers [20], and pack-years of tobacco use were calculated from self-reported smoking history [6].…”

Section: Methodsmentioning

confidence: 99%

Cigarette Smoking and Pulmonary Function in Adult Survivors of Childhood Cancer Exposed to Pulmonary-Toxic Therapy: Results from the St. Jude Lifetime Cohort Study

Oancea

Gurney

Ness

et al. 2014

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Treatments for childhood cancer can impair pulmonary function. We assessed the potential impact of cigarette smoking on pulmonary function in 433 adult childhood cancer survivors (CCS) who received pulmonary-toxic therapy, using single breath diffusion capacity for carbon monoxide corrected for hemoglobin (DLCOcorr), forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and total lung capacity (TLC). FEV1/FVC median values among current (1.00; interquartile range (IQR): 0.94–1.04) and former smokers (0.98; IQR: 0.93–1.04) were lower than those who had never smoked (1.02; IQR: 0.96–1.06) (p = 0.003). Median FEV1/FVC values were lower among those who smoked ≥ 6 pack-years (0.99; IQR: 0.92–1.03) and those who smoked < 6 pack-years (1.00; IQR: 0.94–1.04), than among those who had never smoked (p=0.005). Our findings suggest that CCS have an increased risk for future obstructive and restrictive lung disease. Follow-up is needed to determine if smoking imparts more than additive risk. Smoking prevention and cessation need to be a priority in this population.

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Merits and shortcomings of the American Medical Association Guides to the Evaluation of Permanent Impairment, 5th Edition

Cited by 37 publications

References 3 publications

The Effects of Compensatory Scanning Training on Mobility in Patients with Homonymous Visual Field Defects: Further Support, Predictive Variables and Follow-Up

The Effects of Compensatory Scanning Training on Mobility in Patients with Homonymous Visual Field Defects: Further Support, Predictive Variables and Follow-Up

Long-Term Pulmonary Function after Metastasectomy for Childhood Osteosarcoma: A Report from the St Jude Lifetime Cohort Study

Cigarette Smoking and Pulmonary Function in Adult Survivors of Childhood Cancer Exposed to Pulmonary-Toxic Therapy: Results from the St. Jude Lifetime Cohort Study

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