Missed Diagnoses and Misdiagnoses of Environmental Toxicant Exposure

Hartman, David E.

doi:10.1016/s0193-953x(05)70030-7

Cited by 20 publications

(2 citation statements)

References 18 publications

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“…In addition, some environmental illnesses do not have definitive diagnostic criteria, and this causes both falsenegative and -positive misdiagnoses [71][72][73]. As the solution for Minamata disease [71], a quantitative score can be instituted for diagnosis.…”

Section: Intentional Behaviors Of Stakeholdersmentioning

confidence: 99%

Misdiagnosis in occupational and environmental medicine: a scoping review

Moon

Yoo

2021

J Occup Med Toxicol

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Introduction There has been no comprehensive review for misdiagnosis in Occupational and Environmental Medicine (OEM). The possible ramifications of an occupational disease (OD) or an environmental disease (ED) misdiagnosis are not just confined to the individual case but may extend to others exposed to the occupational or environmental hazard. Therefore, a comprehensive scoping review of published literature is imperative for understanding the nature of misdiagnoses in OEM. Methods A medical librarian searched MEDLINE (PubMed), EMBASE, and the Cochrane Library (on 06 November 2020). All collected OEM misdiagnoses were classified based on 2 conceptual frameworks, the typical framework, and the causation model. The distribution of misdiagnosis across each medical specialty, each diagnostic step of the typical framework and the causation model, and false-negative and false-positive were summarized. Results A total of 79 articles were included in the scoping review. For clinical specialty, pulmonology (30 articles) and dermatology or allergy (13 articles) was most frequent and second-most frequent, respectively. For each disease, occupational and environmental interstitial lung diseases, misdiagnosed as sarcoidosis (8 articles), and other lung diseases (8 articles) were most frequent. For the typical framework, the most vulnerable step was the first step, evidence of a disease (38 articles). For the causation model, the first step, knowledge base, was the most vulnerable step (42 articles). For reported articles, the frequency of false-negative (55 articles) outnumbered the frequency of false-positive (15 articles). Discussion In OEM, compared to general medicine, causal misdiagnosis associated with the probability of causation is also important. For making a diagnosis in OEM, a knowledge base about possible ODs and EDs is essential. Because of this reason, the education and training of treating physicians for common ODs and EDs are important. For ODs and EDs, various intentional behaviors of stakeholders should be considered. This scoping review might contribute to the improvement of understanding for misdiagnosis in OEM.

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Section: Intentional Behaviors Of Stakeholdersmentioning

confidence: 99%

Misdiagnosis in occupational and environmental medicine: a scoping review

Moon

Yoo

2021

J Occup Med Toxicol

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“…Although most of the North AmerÂ¬ ican flora north of Mexico is well known, numerous discoveries continue to be made, and it is estimated that several hundred new taxa remain to be discovÂ¬ ered and named from the United States alone (Ertter, in press;Milius, 1999). Hartman and Nelson (1998) indicated that 1197 new taxa of vascular plants, including five genera based entirely on newÂ¬ ly described species, were discovered in the United States and Canada between 1975 and 1994. Of these, 91 taxa belong to the Brassicaceae, and 217 (ca.…”

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confidence: 99%

Twisselmannia (Brassicaceae), a Remarkable New Genus from California

Al‐Shehbaz¹

1999

Novon

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Assessment of subjective stress in the municipal police force at the start and at the end of the shift

et al. 2006

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The aim of this study was to assess subjective stress in the municipal police force of a large Italian city by administering the Rapid Stress Assessment (RSA) Scale, a self‐rated tool, in order to identify any possible differences between the start and the end of the shift. Two samples of 100 exposed traffic police officers and 100 non‐exposed office‐workers of both sexes were assessed. The subjects were interviewed on a working day, at the start (6.45 a.m.) and end (2 p.m.) of their shift. The analysis of the data showed a significantly higher total score, as well as scores in the anxiety and aggressiveness clusters at the end of the shift both in traffic police officers and in office‐workers compared to those recorded at the start of the shift. The RSA ‘somatization’ cluster was only significantly higher at the end of the shift in traffic police officers with respect to the start of the shift. A gender analytical framework showed a higher score among separated or divorced women with children. The results could be taken to mean that the stressors have, throughout the working day, an ‘exhausting’ effect and the subject feels ‘down’, despite having finished his/her work for the day. Copyright © 2006 John Wiley & Sons, Ltd.

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Missed Diagnoses and Misdiagnoses of Environmental Toxicant Exposure

Cited by 20 publications

References 18 publications

Misdiagnosis in occupational and environmental medicine: a scoping review

Misdiagnosis in occupational and environmental medicine: a scoping review

Twisselmannia (Brassicaceae), a Remarkable New Genus from California

Assessment of subjective stress in the municipal police force at the start and at the end of the shift

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