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AMA Guides to the Evaluation of Disease and Injury Causation 2nd Edition

4.6 out of 5 stars 16 customer reviews
ISBN-13: 978-1603598682
ISBN-10: 1603598685
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Frequently Bought Together

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Product Details

  • Paperback: 792 pages
  • Publisher: Amer Medical Assn; 2 edition (July 26, 2013)
  • Language: English
  • ISBN-10: 1603598685
  • ISBN-13: 978-1603598682
  • Product Dimensions: 1.8 x 7.5 x 10.2 inches
  • Shipping Weight: 3 pounds (View shipping rates and policies)
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (16 customer reviews)
  • Amazon Best Sellers Rank: #58,966 in Books (See Top 100 in Books)

Customer Reviews

Top Customer Reviews

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Recently my colleague, Dr. Anthony Sirucek, made me aware of a new publication by the American Medical Association entitled, “Guides to the Evaluation of Disease and Injury Causation”. This is a just released (copyright 2014) 2nd edition of the book first published in 1985. The manuscript’s opening line sets the stage for the purpose of the book. “Determining causation is a critical issue in occupational health, yet its definition remains elusive. Why? The causation concept may have a different meaning to various parties”. In the Introduction section it goes on to say, “In occupational health, causation has become key, since determination of causation is the gatekeeper to treatment and to determination of who is financially responsible”.
Although the volume is focused primarily on occupational exposure and injury, the same conclusions can be reached when substituting “personal injury” with “occupational injury”. The “Guides” introduction states, “It is incumbent on clinicians to give an opinion based on a careful review of three critical pieces of information:
1. Individual clinical findings
2. Individual workplace exposures
3. The literature linking (or not linking) the exposure of concern and the conditions in question”.

In the first three chapters, definitions of cost, fraud, risk, aggravation, exacerbation, recurrence, impairment evaluation, and apportionment are discussed. Concepts such as cause in fact, proximate cause, epistemology, specificity, sensitivity, positive predictive value and other research and statistical terms are quickly but efficiently reviewed with illustrative examples. These are all important in reaching conclusions needed to establish causation.
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This book is the most up to date review of the research to establish causation in Occupational Health injuries and illnesses. Who doesn't need this book should be the real question. The material is organized and easy to follow. I use it to show my employees how I come by my decisions. A lot about our thoughts about causation has been proven wrong and we need to know what is or is not appropriate to support as work related causation. This book will help us all get it right.
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If you do worker's comp evaluations, there is nothing else like this out there for evaluating physicians. If you need to address causation, and especially if you need to address apportionment, this is the book. I bought the first edition, and then the second, and I hope they continue to update and expand. Melhorn and Talmage are rockstars among orthopedic evaluating educators. Thank you.
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The Mental Health Chapter is Bizarre. The authors say that five steps must be followed for assessment. They are as follows

STEP 1. DEFINITIVELY ESTABLISH A DIAGNOSIS
This involves making a definitive diagnosis, have the diagnosis of an explanatory nature, objective findings, scientifically validated diagnosis. They say that none of these criteria can be satisfied with DSM-IV-TR. They say that definitive diagnosis can not be made because 1. It can not be definitively determined if someone is mentally ill. 2. The diagnoses are not well defined one from the other. These arguments are silly. 1. If someone has symptoms, abnormal mental state examination, deterioration in functioning and collateral history, then I would be happy that they have a mental illness. The level of proof required is balance of probabilities, not definitive proof. 2. It does not matter that one diagnosis shares features with another. If you can explain to me the difference between recurrent myoclonic jerks and mild simple clonic seizures without secondary generalisation, then you are doing better than me. Can you always say which people have constrictive lung disease and which ones have restrictive disease. Or glucose intolerance vs diabetes? Nope. You can't.

They say that a diagnosis must be of an explanatory nature, and that in medicine, they are. Well, wrong. First, PTSD does have causation as part of the diagnosis, and idiopathic hypertension does not. Likewise, premature labour does not have causation as part of the diagnosis - it just is. They of mental illness, "None of them are real illness". Good. If you have schizophrenia, you are cured!

They say that there are no objective features of diagnosis of mental illness. This is silly.
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Although Brazil uses some diferente criteria, in case of legal disputes it is essential to have the best knowledge about the individual case. AMA is a name of inquestionable value anywhere in the world.
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much improved form the prior edition. A great tool for reference and clarificationwhen writing utilization reviews on a variety of subjects
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It is a very useful guide. The reference list is very good. It is a must for all those who are involved in dealing with compensation problems. I am glad I have the book wit me.
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This publication is unquestionably the most authoritative concise source for information regarding the causation of industrially related disease.
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