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Outcome

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Newsletter Articles
Guides Newsletter (2016) 21 (6): 12–13.
Published: 01 November 2016
.... This outcome need not have been a foregone conclusion. Research has shown that, for adults, worklessness is harmful to both physical and mental health, as well as to marital, family, social, and economic well-being. Gaps in social fabric are creating job loss and work disability because none...
Figures
Newsletter Articles
Guides Newsletter (2024) 29 (1): 1–3.
Published: 01 January 2024
... was performed from October 2022 to March 2023. Exposures Patient interviews and medical record abstractions were used to assess occupational exposure to respirable crystalline silica, including duration of work tenure and preventive measures undertaken. Main Outcomes and Measures Demographics, clinical...
Newsletter Articles
Guides Newsletter (2021) 26 (6): 21–23.
Published: 01 November 2021
...: It is clear that PFOA is a different disease process than tibiofemoral osteoarthritis (TFOA). There is no doubt that PFR has a higher failure rate than TKR, but evidence suggests that outcomes and recovery may be better in the PFR group. This is complicated by subsets of those with PFOA faring better than...
Newsletter Articles
Guides Newsletter (2023) 28 (2): 39–50.
Published: 01 March 2023
...Kathryn L. Mueller, MD, MPH, FACOEM; Daniel Bruns, PsyD, FAPA; Robert L. Glueckauf, PhD; Stephen R. Gillaspy, PhD Functional patient-reported outcome measures (fPROMs) are tools used in health care to assess patients' subjective experiences of their functioning and quality of life. They are used...
Newsletter Articles
Guides Newsletter (2018) 23 (1): 9.
Published: 01 January 2018
...Les Kertay, PhD Behavioral health terminology is an area beset by imprecision that results from confusing claim determinations, unnecessary evaluations, and poor outcomes that result from inappropriate treatment. In medical evaluation reports, one notes references to depression, anxiety, and stress...
Newsletter Articles
Guides Newsletter (2013) 18 (1): 1–18.
Published: 01 January 2013
... pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation...
Newsletter Articles
Guides Newsletter (2021) 26 (6): 15–18.
Published: 01 November 2021
...Fabien Gagnon, MD, PsyD; Les Kertay, PhD Given the increase in psychiatric occupational disability claims over the past 20 years, better patient psychiatric assessment and management is critical. To minimize iatrogenic psychiatric disability and maximize positive outcomes, it is important...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 3–12.
Published: 01 September 2021
...James B. Talmage, MD; Robert B. Snyder, MD Evidence shows that chronic opioid therapy is usually not beneficial; weaning patients off opioids many times results in less pain and better function, and opioid-induced hyperalgesia is real and frequent. Further evidence suggests that surgical outcomes...
Newsletter Articles
Guides Newsletter (2021) 26 (4): 14.
Published: 01 July 2021
... reviews of 1-year outcomes 3 and 20-year outcomes 4 have not identified coronal malalignment as a cause of chronic knee pain or the need for revision. However, most published studies consider “ideal” alignment on coronal full-length lower limb radiographs as a hip-knee-ankle angle between 3...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
..., and therefore, we have more limited experience in understanding all of its outcomes. Thus, clinical, functional, and permanent impairment assessment is challenging. Symptoms including fatigue, dyspnea, and cognitive difficulties have been referred to as “post-acute COVID,” “long COVID,” or “long haulers...
Newsletter Articles
Guides Newsletter (2021) 26 (6): 19–21.
Published: 01 November 2021
..., for this reason, PFA was not a named procedure in Table 17-33. However, unicondylar knee replacements were performed with greater frequency than PFA during those years and are, therefore, listed in Table 17-33. Short-term outcomes of PFA have been published in case series, but long-term outcomes and randomized...
Newsletter Articles
Guides Newsletter (2013) 18 (3): 1–3.
Published: 01 May 2013
... (MRI), has not been found either to influence treatment recommendations or improve outcomes. Further, routine advanced imaging is not associated with improved outcomes and identifies many radiographic findings that correlate poorly with symptoms; imaging is recommended when severe or progressive...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
... of treatment are necessary before OUD is confirmed and the patient is at MMI. The AMA Guides is based on impairments of activities of daily living (ADL), so a patient's MMI should result in a happy outcome and no impairment, although the burden of treatment compliance may be a relevant consideration...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 3–9.
Published: 01 May 2019
..., perception, and experience and cannot be better explained by another physical or psychiatric illness. Within this system of evaluation, administrative and medical iatrogenicity are associated with unnecessary medical care and poor outcomes for individuals. In addition to determining industrial causality...
Newsletter Articles
Guides Newsletter (2018) 23 (4): 3–8.
Published: 01 July 2018
...Marcos Iglesias, MD Many physicians were not formally trained in the evaluation and management of disability and must understand the language of disability, how disability is evaluated, what to expect from a medical evaluation, and how to communicate effectively to achieve the best outcomes...
Newsletter Articles
Guides Newsletter (2016) 21 (6): 3–4.
Published: 01 November 2016
... outcomes. © 2016 American Medical Association. All Rights Reserved. 2016 American Medical Association Repetitive illness, sometimes called repetitive injury or cumulative trauma but probably mislabeled as such since there was no singular traumatic event, claims come to the attention...
Newsletter Articles
Guides Newsletter (2016) 21 (5): 9–10.
Published: 01 September 2016
... should not find for both sides equally (ie, should not attempt to achieve parity in outcomes), particularly because any case sent for review has some feature that raised questions in the mind of an experienced observer. This experienced observer requires an impartial, expert physician advisor who can...
Newsletter Articles
Guides Newsletter (2016) 21 (5): 11–15.
Published: 01 September 2016
... of a complex set of interactions in which competing agendas may be played out. By engaging in effective communications with key stakeholders, the HCP can play a key role in ensuring that the most appropriate clinical outcomes occur. Despite the complexity of the underlying variables, the principles...
Newsletter Articles
Guides Newsletter (2016) 21 (4): 3–8.
Published: 01 July 2016
... outcome of medical conditions and how these differences can be appropriately addressed using the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition. Sex differences are objective and are based on biochemical and biological factors; gender refers to cultural attitudes...