Authors: Muller, John G.¹; Lieske, Jonathan M.¹; Hernandez, Jose E.¹; Kubiak, Gosia¹; Rudolph, W. Garry²; Jan, Moore H.³

Source: Military Medicine, Volume 173, Number 4, April 2008 , pp. 375-380(6)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

Abstract:

U.S. Navy Asbestos Medical Surveillance Program B-reading reports were analyzed for variability in identifying pneumoconiosis in 278,944 chest radiographs done from 1990 to 2004 using commercial database and statistical software. Reported presence of pneumoconiosis by 33 B-readers ranged from 1.85 to 32.28%. The reported presence of parenchymal abnormalities ranged from 0.11 to 15.07%; increased profusion (to 1/0 or greater) of small parenchymal opacities ranged from 0.10 to 17.70%; presence of large opacities ranged from 0.00 to 0.67%; and presence of pleural abnormalities ranged from 1.08 to 23.93%. Ranges appear to be decreasing slightly as rates of abnormal findings are diminishing. Differences between U.S. East Coast, West Coast, and midcontinent were not statistically significant.

Document Type: Research article

Affiliations: 1: Navy and Marine Corps Public Health Center, 620 John Paul Jones Circle, Suite 1100, Portsmouth, VA 23708-2103. 2: Military Sealift Fleet Support Command, 1959 Morris Street, Suite 120, Norfolk, VA 23511-2419. 3: Military Sealift Fleet Support Command Ship Support Unit Guam, PSC 455, Box 198, FPO AP 96540-2600.

Publication date: 2008-04-01

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• Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
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