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Causation

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Newsletter Articles
Guides Newsletter (2020) 25 (5): 12–15.
Published: 01 September 2020
...Steven D. Feinberg, MD This article describes special aspects of addressing and defining substantial medical evidence, causation, and apportionment in the California Workers' Compensation system. Substantial medical evidence is framed in terms of reasonable medical probability, and the opinion must...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 8–11.
Published: 01 July 2020
...Robert B. Snyder, MD; James B. Talmage, MD The decision about whether a case of documented COVID-19 illness is accepted as occupationally acquired and thus work compensable is made by insurers, or if contested, by judges or administrative bureaus. Causation for COVID-19 may be difficult to show...
Newsletter Articles
Guides Newsletter (2017) 22 (1): 11–16.
Published: 01 January 2017
...Joel Weddington, MD; Charles N. Brooks, MD; Mark Melhorn, MD; Christopher R. Brigham, MD In most cases of shoulder injury at work, causation analysis is not clear-cut and requires detailed, thoughtful, and time-consuming causation analysis; traditionally, physicians have approached...
Newsletter Articles
Guides Newsletter (2014) 19 (5): 3–12.
Published: 01 September 2014
... state makes its own laws, the answer depends on what caused the loss of consciousness, and the second asks specifically what happened in the fall that caused the injury? The first question speaks to medical causation, which applies scientific analysis to determine the cause of the problem. The second...
Newsletter Articles
Guides Newsletter (2013) 18 (4): 10–11.
Published: 01 July 2013
... edition of a superb monograph, edited by J. Mark Melhorn, James B Talmage, William E. Ackermann, and Mark H. Hyman, entitled AMA Guides to the Evaluation of Disease and Injury Causation , Second Edition has been published by the American Medical Association. The purpose of the book is to offer health...
Newsletter Articles
Guides Newsletter (2013) 18 (4): 1–5.
Published: 01 July 2013
... This article presents the current science regarding the causation for herniated lumbar discs, taken from the second edition of the AMA Guides to the Evaluation of Disease and Injury Causation . Sciatica is a relatively common disorder; point prevalence population estimates range from 2% to 5...
Newsletter Articles
Guides Newsletter (2012) 17 (5): 1–7.
Published: 01 September 2012
..., and arthritis may appear in localized or systemic forms. A diagnosis of thumb-CMC arthritis is based on symptoms of localized pain, tenderness, and instability on physical examination and radiographic evaluation. The AMA Guides to the Evaluation of Disease and Injury Causation provides a protocol for assessing...
Newsletter Articles
Guides Newsletter (2012) 17 (4): 1–10.
Published: 01 July 2012
... in injury to or illness in the other is not based on scientific evidence and instead is an unsupportable myth. Determining relationships between risk factors or exposures and medical conditions is a complex process that is outlined in the Guides to the Evaluation of Disease and Injury Causation ( Causation...
Newsletter Articles
Guides Newsletter (2012) 17 (3): 10–12.
Published: 01 May 2012
...Christopher R. Brigham, MD; Charles N. Brooks, MD; James B. Talmage, MD Causation analysis always should be based on current scientific evidence and the facts of a specific case rather than common opinions or beliefs, eg, the myth that “favoring” one lower extremity often results in injury...
Newsletter Articles
Guides Newsletter (2009) 14 (5): 10–11.
Published: 01 September 2009
... to the Evaluation of Disease and Injury Causation, has been published by the American Medical Association. The purpose of the book is to offer health care providers a cogent framework in which to opine whether a condition is work-related or attributable to a specific event. Any Independent Medical Examiner...
Newsletter Articles
Guides Newsletter (2007) 12 (6): 5–8.
Published: 01 November 2007
...J. Mark Melhorn, MD Medical evidence is drawn from observation, is multifactorial, and relies on the laws of probability rather than a single cause, but, in law, finding causation between a wrongful act and harm is essential to the attribution of legal responsibility. These different perspectives...
Newsletter Articles
Guides Newsletter (2007) 12 (2): 4–8.
Published: 01 March 2007
...Frederick Fung, MD, MS A diagnosis of toxic-related injury/illness requires a consideration of the illness related to the toxic exposure, including diagnosis, causation, and permanent impairment; these are best performed by a physician who is certified by a specialty board certified by the American...
Newsletter Articles
Guides Newsletter (2016) 21 (6): 3–4.
Published: 01 November 2016
... currently available regarding causation of the condition(s) in question, ie, generic causation; the facts of the individual case, ie, specific causation; and the legal threshold in the applicable jurisdiction for acceptance of a condition as work related. The AMA Guides to the Evaluation of Disease...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 17–19.
Published: 01 September 2021
... Surgeons. 4 For example, such documentation specifies that the necessity of a review of medical records is an inherent theme of the standard method for causation analysis, and explains 4 : Of relevance to the third step of causation analysis (“Evidence of individual exposure. What objective...
Newsletter Articles
Guides Newsletter (2012) 17 (3): 1–10.
Published: 01 May 2012
...Robert J Barth, PhD The American Medical Association's Guides to the Evaluation of Disease and Injury Causation ( Causation ) is an important component of the AMA Guides library and delineates a type of evaluation that is distinctly different from a diagnostic evaluation, a treatment planning...
Newsletter Articles
Guides Newsletter (2000) 5 (4): 8–10, 12.
Published: 01 July 2000
... standpoint (ie, how to prevent recurrent injury or eliminate the cause of an illness). In workers’ compensation, causation analysis extends beyond diagnosis, prophylaxis, and treatment and must consider whether the condition is attributable to the workplace. The terms cause, effect, exacerbation...
Newsletter Articles
Guides Newsletter (2016) 21 (3): 10–14.
Published: 01 May 2016
...Christopher R. Brigham, MD; J. Mark Melhorn, MD; Charles N. Brooks, MD; Steven D. Feinberg, MD; James B. Talmage, MD Causation analysis involves determining what conditions are related to a compensable injury or illness; apportionment is the allocation of responsibility among two or more probable...
Newsletter Articles
Guides Newsletter (2015) 20 (5): 3–11.
Published: 01 September 2015
... causation analysis. Arbitrary or opinion-based unscientific apportionment estimates that amount to little more than speculation should be avoided. The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fourth and Fifth Editions, are similar in their assessment of orthopedic impairment...
Newsletter Articles
Guides Newsletter (2012) 17 (6): 10–11.
Published: 01 November 2012
..., with the exception of an accepted causal relationship, it is necessary to determine if the impairing condition resulted from the alleged injury. The process of assessing causation was presented in the May – June 2012 issue of the AMA Guides Newsletter. 2 This article references the approaches defined in the AMA...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 3–11.
Published: 01 November 2019
...—or the lack thereof—between pathology and aging, as well as degenerative changes and symptoms, to facilitate causation analysis. For a fuller discussion of causation analysis for the spine, readers can consult the AMA Guides to the Evaluation of Disease and Injury Causation, Second Edition . © 2019 American...